Attwood D, Blinkhorn A S, MacMillan A S
Department of Conservative Dentistry, Glasgow Dental Hospital and School, UK.
Community Dent Health. 1990 Jun;7(2):143-8.
In 1984 the Greater Glasgow Health Board commissioned a survey of the dental health of 12- and 15-year-old schoolchildren in Glasgow to aid the planning of dental services. As a number of studies have shown that dental health is improving in Western Europe, a new survey was undertaken in 1987 to assess whether there had been any improvement in the dental health of Glasgow schoolchildren. The 1984 study had also demonstrated a lower level of caries prevalence in good socio-economic areas (SEG1) than in deprived areas (SEG2), therefore the new study was designed to investigate further the effect of the social environment. The sampling frame and methods were similar to the 1984 study. Mean DMFT for 12 year old children was 4.71 in 1984 and 2.91 in 1987, a 38 per cent fall. the 15 year old children had mean DMFT scores of 7.97 and 5.56 respectively, a 30 per cent reduction. Although an improvement in dental health was found in all groups, when the data were divided by socio-economic groups major differences were revealed. The percentage improvements found in SEG1 were up to 3 times larger than those in SEG2. Thus the general improvement in dental health was mainly due to the SEG1 children. There has been an improvement in dental health in Glasgow children over the three-year period, but dental caries is still a major problem in many parts of Glasgow, particularly the deprived areas. Urgent steps need to be taken to implement preventive and health promotion programmes in these areas. The whole of Glasgow would benefit from the introduction of water fluoridation at an early date.
1984年，大格拉斯哥健康委员会委托对格拉斯哥12岁和15岁学童的牙齿健康状况进行一项调查，以协助规划牙科服务。由于多项研究表明西欧的牙齿健康状况正在改善，因此在1987年进行了一项新的调查，以评估格拉斯哥学童的牙齿健康是否有所改善。1984年的研究还表明，社会经济状况良好地区（SEG1）的龋齿患病率低于贫困地区（SEG2），因此新研究旨在进一步调查社会环境的影响。抽样框架和方法与1984年的研究相似。1984年12岁儿童的平均龋失补牙数（DMFT）为4.71，1987年为2.91，下降了38%。15岁儿童的平均DMFT分数分别为7.97和5.56，下降了30%。尽管所有组的牙齿健康状况都有所改善，但按社会经济组划分数据时，发现了重大差异。SEG1组的改善百分比比SEG2组高出多达3倍。因此，牙齿健康的总体改善主要归功于SEG1组的儿童。在三年期间，格拉斯哥儿童的牙齿健康状况有所改善，但龋齿在格拉斯哥的许多地区，尤其是贫困地区，仍然是一个主要问题。需要立即采取措施在这些地区实施预防和健康促进计划。尽早引入水氟化措施将使整个格拉斯哥受益。
