Barriuso Lapresa Laura, Sanz-Barbero Belén
Unidad Docente de Medicina Preventiva y Salud Pública, Región de Murcia, Murcia, España.
Rev Esp Salud Publica. 2012 Jan-Feb;86(1):115-24. doi: 10.1590/S1135-57272012000100010.
oral health is integral to health from the eruption of the first tooth. To achieving, it is necessary an early establishment of healthy oral habits as regular dental checkups. In developed countries, caries is the most prevalent chronic pediatric disease and it may be increasing in preschool age.
a) assessing prevalence of oral health services use among Spanish preschool population, b) quantifying and analyzing the existence of variability among autonomous community and c) identifying variables associated with such use.
cross-sectional study about Spanish National health Survey (2006).
2,172 children aged between 2 and 5 years (both inclusive).
have gone to dental services at least once during life.
sociodemographic, self-referred dental health, habits and family socioeconomic status variables. Multivariate logistic regression analysis.
20.8% of Spanish preschoolers reported had attended dental services. Probability of use increased with age (OR: 1,88; IC:1,53-2,31), frequency of daily tooth brushing (three or more times per day vrs less than once: OR: 2,94; IC: 1,47-5,87) and presence of caries (OR: 2,60; IC: 1,22-5,51). There is a socioeconomic gradient about probability of use: it increased with family socioeconomic status measured by social class (low vrs high: OR: 0,41; IC: 0,19-0,86) and maternal educational level (OR: 1,62; IC: 1,13-2,32). There was not variability in the oral health services use attributable to the autonomous community.
the use of dental health services among Spanish preschool population is lower than desirable. The promotion of its use should be intensified in children from disadvantaged families.
从第一颗牙齿萌出开始，口腔健康就是整体健康的一部分。要实现这一点，有必要尽早养成健康的口腔习惯，比如定期进行牙齿检查。在发达国家，龋齿是最常见的儿童慢性疾病，并且在学龄前儿童中可能呈上升趋势。
a）评估西班牙学龄前儿童群体中口腔健康服务的使用情况；b）量化并分析自治区之间存在的差异；c）确定与这种使用情况相关的变量。
关于西班牙国家健康调查（2006年）的横断面研究。
2172名年龄在2至5岁（含2岁和5岁）的儿童。
一生中至少去过一次牙科服务机构。
社会人口统计学、自我报告的牙齿健康、习惯以及家庭社会经济状况变量。多因素逻辑回归分析。
20.8%的西班牙学龄前儿童报告称去过牙科服务机构。使用概率随着年龄增长而增加（比值比：1.88；可信区间：1.53 - 2.31）、每天刷牙频率（每天三次或更多次与每天少于一次相比：比值比：2.94；可信区间：1.47 - 5.87）以及龋齿的存在（比值比：2.60；可信区间：1.22 - 5.51）。在使用概率方面存在社会经济梯度：随着以社会阶层衡量的家庭社会经济状况（低与高相比：比值比：0.41；可信区间：0.19 - 0.86）以及母亲教育水平（比值比：1.62；可信区间：1.13 - 2.32）的提高而增加。口腔健康服务的使用情况在自治区之间不存在差异。
西班牙学龄前儿童群体中牙科健康服务的使用低于理想水平。应加强对弱势家庭儿童使用牙科健康服务的推广。
