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乌干达部分地区儿童和成人龋齿的患病率及相关因素

Prevalence and factors associated with dental caries among children and adults in selected districts in Uganda.

作者信息

Kutesa Annet, Kasangaki Arabat, Nkamba Moses, Muwazi Louis, Okullo Isaac, Rwenyonyi Charles Mugisha

机构信息

Department of Dentistry, School of Health Sciences, College of Health Sciences, Makerere University, Kampala.

出版信息

Afr Health Sci. 2015 Dec;15(4):1302-7. doi: 10.4314/ahs.v15i4.33.

Abstract

OBJECTIVE

The aim was to determine the prevalence and factors associated with dental caries among adults and children in seven districts of Uganda.

METHODS

Participants aged 11-13 (n=1230) and 35-44 years (n=648) were randomly selected from urban and rural areas of Gulu, Soroti, Jinja, Masaka, Kabale, Kabarole and Hoima districts. They were examined by 4 trained and calibrated dentists for dental caries using Decayed, Missing and Filled teeth index as described by World Health Organisation.

RESULTS

Overall mean DMFT score was 0.73 for children and 4.71 for adults. Generally, there was a higher mean DMFT score in the rural (2.19) compared to urban areas (1.97). In all the districts, except Hoima, there was a higher mean DMFT score of children in rural compared to urban. In adults, similar trend was mainly registered in Masaka, Hoima and Gulu districts. Most participants (79.9%, n=1309) occasionally ate sugared snacks. Overall, 95% (n=1795) of the participants cleaned their teeth with plastic tooth brushes (71.7%) and chewing sticks (8.3%).

CONCLUSION

Although the severity of dental caries was low, the disease was widespread in the study population. A high proportion of participants reported consumption of sugared snacks and drinks, which calls for oral health education.

摘要

目的

旨在确定乌干达七个地区成人和儿童龋齿的患病率及相关因素。

方法

从古卢、索罗蒂、金贾、马萨卡、卡巴莱、卡巴罗莱和霍伊马地区的城乡随机选取11 - 13岁(n = 1230)和35 - 44岁(n = 648)的参与者。由4名经过培训和校准的牙医按照世界卫生组织描述的龋齿、缺失和充填牙指数对他们进行龋齿检查。

结果

儿童的总体平均DMFT评分为0.73,成人为4.71。一般来说,农村地区的平均DMFT评分(2.19)高于城市地区(1.97)。在所有地区中,除霍伊马外,农村儿童的平均DMFT评分高于城市。在成人中,类似趋势主要出现在马萨卡、霍伊马和古卢地区。大多数参与者(79.9%,n = 1309)偶尔吃含糖零食。总体而言,95%(n = 1795)的参与者用塑料牙刷(71.7%)和咀嚼棒(8.3%)清洁牙齿。

结论

尽管龋齿严重程度较低,但该疾病在研究人群中广泛存在。高比例的参与者报告食用含糖零食和饮料,这需要进行口腔健康教育。

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