Delgado-Angulo Elsa K, Bernabé Eduardo, Marcenes Wagner
Division of Population and Patient Health, King's College London Dental Institute at Guy's, King's College and St. Thomas' Hospitals, London, UK Departamento Académico de Odontología Social, Universidad Peruana Cayetano Heredia, Lima, Perú
Division of Population and Patient Health, King's College London Dental Institute at Guy's, King's College and St. Thomas' Hospitals, London, UK.
J Public Health (Oxf). 2016 Jun;38(2):e55-62. doi: 10.1093/pubmed/fdv097. Epub 2015 Aug 17.
This study explored ethnic inequalities in dental caries among adults and assessed the role of socioeconomic position (SEP) in explaining those inequalities.
We analysed data on 2013 adults aged 16-65 years, from the East London Oral Health Inequality (ELOHI) Study, which included a random sample of adults and children living in East London in 2009-10. Participants completed a questionnaire and were clinically examined for dental caries at home. Dental caries was measured using the number of decayed, missing and filled teeth or DMFT index. Ethnic inequalities in dental caries were assessed in negative binomial regression models before and after adjustment for demographic (sex and age groups) and SEP measures (education and socioeconomic classification).
White Eastern European and White Other had higher DMFT, whereas all Asian (Pakistani, Indian, Bangladeshi and Other) and all Black (African, Caribbean and Other) ethnic groups had lower DMFT than White British. Similar inequalities were found for the number of filled and missing teeth, but there were no differences in the number of decayed teeth between ethnic groups.
This study showed considerable disparities in dental caries between and within the major ethnic categories, which were independent of demographics and SEP.
本研究探讨了成年人龋齿方面的种族不平等现象，并评估了社会经济地位（SEP）在解释这些不平等现象中所起的作用。
我们分析了来自东伦敦口腔健康不平等（ELOHI）研究的2013名16 - 65岁成年人的数据，该研究包括2009 - 10年居住在东伦敦的成年人和儿童的随机样本。参与者完成了一份问卷，并在家中接受了龋齿的临床检查。龋齿通过龋失补牙数或DMFT指数来衡量。在对人口统计学（性别和年龄组）和SEP指标（教育程度和社会经济分类）进行调整之前和之后，使用负二项回归模型评估龋齿方面的种族不平等。
东欧白人及其他白人的DMFT较高，而所有亚洲（巴基斯坦、印度、孟加拉及其他）和所有黑人（非洲、加勒比及其他）种族群体的DMFT均低于英国白人。在补牙数和失牙数方面也发现了类似的不平等现象，但各民族之间的龋齿数没有差异。
本研究表明，主要种族类别之间及内部在龋齿方面存在相当大的差异，这些差异与人口统计学和SEP无关。
