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温哥华市中心小学适龄儿童的牙科治疗需求

Dental treatment needs in vancouver inner-city elementary school-aged children.

作者信息

Samim F, Aleksejuniene J, Zed C, Salimi N, Emperumal C P

机构信息

Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, Canada V6T 1Z3.

出版信息

Int J Dent. 2013;2013:602791. doi: 10.1155/2013/602791. Epub 2013 Jun 5.

Abstract

Aims. To examine the dental treatment needs of inner-city Vancouver elementary school-aged children and relate them to sociodemographic characteristics. Methods. A census sampling comprising 562 children from six out of eight eligible schools was chosen (response rate was 65.4%). Dental treatment needs were assessed based on criteria from the World Health Organization. Results. Every third child examined needed at least one restorative treatment. A higher proportion of children born outside Canada were in need of more extensive dental treatments such as pulp care and extractions compared to the children born in Canada. There were no statistically significant differences in dental treatment needs between age, gender, or income groups or between children with or without dental insurance (Chi Squared P > 0.05). The best significant predictors (Linear Multiple Regression, P > 0.05) of higher dental treatment needs were being born outside Canada, gender, time of last dental visit, and family income. Having dental insurance did not associate with needing less treatment. Conclusion. A high level of unmet dental treatment needs (32%) was found in inner-city Vancouver elementary school-aged children. Children born outside Canada, particularly the ones who recently arrived to Canada, needed more extensive dental treatments than children born in Canada.

摘要

目的。研究温哥华市中心小学适龄儿童的牙科治疗需求,并将其与社会人口学特征相关联。方法。从八所符合条件的学校中选取了六所学校的562名儿童进行普查抽样(应答率为65.4%)。根据世界卫生组织的标准评估牙科治疗需求。结果。每三名接受检查的儿童中就有一名至少需要一次修复治疗。与在加拿大出生的儿童相比,在加拿大境外出生的儿童中,有更高比例的儿童需要更广泛的牙科治疗,如牙髓护理和拔牙。在年龄、性别、收入组之间,或有或没有牙科保险的儿童之间,牙科治疗需求没有统计学上的显著差异(卡方检验P>0.05)。牙科治疗需求较高的最显著预测因素(线性多元回归,P>0.05)是在加拿大境外出生、性别、上次看牙时间和家庭收入。拥有牙科保险与需要较少治疗无关。结论。在温哥华市中心小学适龄儿童中发现了高水平的未满足牙科治疗需求(32%)。在加拿大境外出生的儿童,特别是最近抵达加拿大的儿童,比在加拿大出生的儿童需要更广泛的牙科治疗。

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