Drugan Caroline
Dental Public Health Bristol University.
Br Dent J. 2013 Sep;215(5):226-7. doi: 10.1038/sj.bdj.2013.857.
To assess recruitment and participation within seven school/pre-school-based programmes for fluoride varnish applications.
Year-long pilots were undertaken in six primary schools (ages four to five years) and one pre-school (aged three years). Three applications of fluoride varnish were carried out coinciding with the three school terms.
In spite of intensive recruitment efforts, only 78% of the total 589 children were enrolled in the pilot; 15% had to be excluded because no response could be obtained from their parents. At the end of 12 months, 79% of enrolled children (62% of total) had received all three applications. Children did not receive applications because they were absent on the days when the dental team were carrying out the screening or fluoride varnish applications, were ill, or because the child refused. The highest refusal rate was in the pre-school.
Younger children need to be targeted if improvement in the oral health of five-year-olds is to be achieved, the only dental measure in the Public Health Outcomes Framework, but they were less likely to cooperate. More research is needed on approaches to maximise participation in community programmes such as this, if they are to achieve significant population-level improvements in child dental health.
评估七个基于学校/幼儿园的氟化物涂漆项目的招募和参与情况。
在六所小学（4至5岁）和一所幼儿园（3岁）开展了为期一年的试点。氟化物涂漆的三次应用与三个学期同步进行。
尽管进行了密集的招募工作，但在589名儿童中，只有78%的儿童参加了试点；15%的儿童因无法获得其父母的回应而被排除。在12个月结束时，79%的已登记儿童（占总数的62%）接受了全部三次应用。儿童未接受应用是因为在牙科团队进行筛查或氟化物涂漆应用当天他们缺勤、生病，或者因为儿童拒绝。拒绝率最高的是在幼儿园。
如果要实现五岁儿童口腔健康的改善（这是《公共卫生成果框架》中唯一的牙科措施），就需要针对年龄较小的儿童，但他们合作的可能性较小。如果此类社区项目要在儿童牙齿健康方面实现显著的人群水平改善，就需要对最大化参与此类项目的方法进行更多研究。
