Lalloo Ratilal, Jamieson Lisa M, Ha Diep, Luzzi Liana
J Health Care Poor Underserved. 2016 Feb;27(1 Suppl):161-77. doi: 10.1353/hpu.2016.0045.
Tooth decay is related to poverty, measured at individual and neighbourhood levels. It is however uncertain if living in an advantaged neighbourhood reduces tooth decay similarly in Australian Indigenous and non-Indigenous children.
This study describes tooth decay by neighbourhood characteristics and Indigenous status, and examines inequalities by Indigenous status.
In deciduous dentition the percentage of children with tooth decay and untreated decay decreased on average 26% and 20% respectively in the non-Indigenous sample from poor to affluent neighbourhoods. In Indigenous children tooth decay and untreated decay decreased on average 6% and 8%, respectively, from poor to affluent neighbourhoods.
While all children from affluent areas had less tooth decay, the gap between non-Indigenous and Indigenous children remained significant across neighbourhood characteristics. This suggests that both universal and targeted prevention programs should be considered for all Indigenous children irrespective of where they live.
龋齿与个人及社区层面所衡量的贫困状况相关。然而,澳大利亚原住民和非原住民儿童生活在条件优越的社区是否能同样程度地减少龋齿尚不确定。
本研究按社区特征和原住民身份描述龋齿情况,并探讨原住民身份导致的不平等问题。
在乳牙列中,非原住民样本中,从贫困社区到富裕社区,患龋齿儿童和未经治疗龋齿儿童的比例平均分别下降了26%和20%。在原住民儿童中,从贫困社区到富裕社区,龋齿和未经治疗龋齿的比例平均分别下降了6%和8%。
虽然富裕地区的所有儿童龋齿都较少,但在不同社区特征中,非原住民和原住民儿童之间的差距仍然很大。这表明,无论居住在哪里,都应为所有原住民儿童考虑普及性和针对性的预防项目。