Levy Dan Henry, Livny Alon, Sgan-Cohen Harold, Yavnai Nirit
Medical Corps, Israel Defense Forces, Ramat Gan, Israel.
The Shraga Segal Dept. of Microbiology, Immunology and Genetics, Ben Gurion University of the Negev, Beer Sheva, Israel.
Isr J Health Policy Res. 2018 May 9;7(1):24. doi: 10.1186/s13584-018-0222-3.
The need for dental treatments, especially those related to dental caries, may be associated with and influenced by a wide range of demographic variables. The aim of this study was to describe caries related treatment needs among young Israeli adults and the association with several socio-demographic factors, including socio-economic cluster (SEC), intellectual capabilities, ethnicity and other variables.
Data were collected from dental records of army recruits between 2012 and 2013. We cross-examined data regarding dental treatment needs with socio-demographic variables: age, gender, SEC, intellectual capability score (ICS), birth place of participant and parents, education and immigration.
Data received regarding 13,398 combat recruits during their first four months of military training. Most subjects were males (92.4%), with a mean age of 18.9 years. 10.8% were immigrants, with 12.2 years living in Israel before their recruitment. Only 17.7% had no dental treatment needs. Mean number of teeth needing treatment was: for restorations 1.96 ± 2.59, for root canal therapies 0.07 ± 0.44 and for extractions 0.05 ± 0.28. Low ICS scores and low SEC group were significantly associated with higher treatment needs (P < 0.001). Statistically significant higher treatment needs were observed among participants who originated from immigrant families. In a multivariate analysis (Generalized Linear Model), gender, age, ICS score, SEC group and country of birth were found as independent predictors for number of restorations needed.
Socio-demographic variables significantly influence dental treatment needs and should be taken into account when preparing intervention programs in this population.
牙科治疗的需求,尤其是与龋齿相关的需求,可能与多种人口统计学变量相关并受其影响。本研究的目的是描述以色列年轻成年人中与龋齿相关的治疗需求以及与若干社会人口学因素的关联,这些因素包括社会经济集群(SEC)、智力水平、种族和其他变量。
收集了2012年至2013年期间新兵的牙科记录数据。我们将牙科治疗需求数据与社会人口学变量进行了交叉分析:年龄、性别、SEC、智力能力得分(ICS)、参与者及其父母的出生地、教育程度和移民情况。
收到了13398名战斗新兵在军事训练前四个月的数据。大多数受试者为男性(92.4%),平均年龄为18.9岁。10.8%为移民,入伍前在以色列生活了12.2年。只有17.7%的人没有牙科治疗需求。需要治疗的牙齿平均数量为:修复治疗1.96±2.59颗,根管治疗0.07±0.44颗,拔牙0.05±0.28颗。低ICS得分和低SEC组与更高的治疗需求显著相关(P<0.001)。在来自移民家庭的参与者中观察到统计学上显著更高的治疗需求。在多变量分析(广义线性模型)中,性别、年龄、ICS得分、SEC组和出生地被发现是所需修复治疗数量的独立预测因素。
社会人口学变量显著影响牙科治疗需求,在为该人群制定干预计划时应予以考虑。