193 个联合国国家 2007-2017 年幼儿龋病的流行情况和数据可用性。
Prevalence and Data Availability of Early Childhood Caries in 193 United Nations Countries, 2007-2017.
机构信息
Maha El Tantawi and Balgis O. Gaffar are with the Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. Morenike O. Folayan is with the Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Nigeria. Mohamed Mehaina is with Bibliotheca Alexandrina, Alexandria, Egypt. Ana Vukovic is with the Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Republic of Serbia. Jorge L. Castillo is with the Department of Paediatric Dentistry and Orthodontics, Universidad Peruana Cayetano Heredia, Lima, Peru. Arheiam Arheiam is with the Department of Community and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Libya. Ola B. Al-Batayneh is with the Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan. Arthur M. Kemoli is with the Department of Paediatric Dentistry and Orthodontics, College of Health Sciences, University of Nairobi, Kenya. Robert J. Schroth is with the Department of Preventive Dental Science, Dr Gerald Niznick College of Dentistry, and Departments of Pediatrics and Child Health and Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba. Gillian H. M. Lee is with Paediatric Dentistry, Faculty of Dentistry, University of Hong Kong, Hong Kong.
出版信息
Am J Public Health. 2018 Aug;108(8):1066-1072. doi: 10.2105/AJPH.2018.304466. Epub 2018 Jun 21.
OBJECTIVES
To assess the relationship between health care system and economic factors and early childhood caries (ECC) data availability and prevalence.
METHODS
We estimated ECC data for 193 United Nations countries from studies published between 2007 and 2017. We obtained other variables from the World Health Organization and the World Bank databases. We assessed association with ECC data availability by using logistic regression and with ECC prevalence by using linear regression.
RESULTS
We included 190 publications from 88 (45.6%) countries. The mean ECC prevalence was 23.8% and 57.3% in children younger than 36 months and children aged 36 to 71 months, respectively. The odds of ECC data availability were significantly higher for countries with more physicians and more dentists. In children younger than 36 months, ECC prevalence was associated with universal health coverage (B = -6.56). In children aged 36 to 71 months, it was associated with growth of gross national income (B = 0.27).
CONCLUSIONS
Countries with more physicians and more dentists were more likely to have ECC data. Among those with data, countries with higher economic growth had higher ECC prevalence.
目的
评估医疗保健系统和经济因素与儿童早期龋病（ECC）数据可得性和流行率之间的关系。
方法
我们根据 2007 年至 2017 年期间发表的研究，估计了 193 个联合国国家的 ECC 数据。我们从世界卫生组织和世界银行数据库中获取了其他变量。我们使用逻辑回归评估 ECC 数据可得性的相关性，使用线性回归评估 ECC 流行率的相关性。
结果
我们纳入了来自 88 个（45.6%）国家的 190 篇论文。36 个月以下儿童的平均 ECC 流行率分别为 23.8%和 57.3%。在医生和牙医较多的国家，ECC 数据可得性的可能性显著更高。在 36 个月以下的儿童中，ECC 流行率与全民健康覆盖有关（B=-6.56）。在 36 至 71 个月的儿童中，它与国民总收入的增长有关（B=0.27）。
结论
医生和牙医较多的国家更有可能获得 ECC 数据。在那些有数据的国家中，经济增长较快的国家 ECC 流行率较高。
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