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口腔疾病与非传染性疾病负担:亚太地区视角

Burden of oral diseases and noncommunicable diseases: An asia-pacific perspective.

作者信息

Balaji S M, Seeberger Gerhard Konrad, Hennedige Oliver

机构信息

Director and Consultant, Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India.

Member of the ERO Working Group 'Liberal Dental Practice', Past President of the ERO of the FDI-World Dental Federation, President-Elect of the FDI-World Dental Federation and Italian Dental Association, Turin, Italy.

出版信息

Indian J Dent Res. 2018 Nov-Dec;29(6):820-829. doi: 10.4103/ijdr.IJDR_812_18.

Abstract

BACKGROUND

At a population level, there are no systematic data to correlate the pattern of prevalence of noncommunicable diseases (NCD) with oral disease burden in South Asian countries. The influence of the age, gender, and geographical distribution on these diseases is not reported. We attempt to provide a population level correlation of occurrence using the Global Burden of Disease approach.

MATERIALS AND METHODS

Using the data from the Global Burden of Diseases, 2016, the occurrence of oral diseases (dental caries of permanent teeth, edentulism (including severe tooth loss), and periodontal diseases) and various NCDs, based on geographical region, gender and age groups were collected and subjected to correlation statistics. Statistical Package for Social Services (Version 23) was used to analyze the results. P ≤ 0.05 was considered as statistically significant.

RESULTS

Geographical location and age had a significant role in the occurrence of dental diseases. There was a considerable difference in rates of dental diseases and NCD prevalence in the various regions of Asia-Pacific. It was observed that for most of the NCDs, there was a linear significant relationship for edentulism as well as periodontal diseases with high statistical significance.

DISCUSSION

The factors that contribute to the discrepancies, phenomenon, and relationship between the oral diseases and NCDs are discussed. The current state of the importance of oral health, in maintaining overall health is discussed. Methods by which policymakers could bring about a change by utilizing the principles of "Overton window" for mobilizing the support of people are presented.

摘要

背景

在人群层面,南亚国家尚无系统性数据将非传染性疾病(NCD)的流行模式与口腔疾病负担相关联。未报告年龄、性别和地理分布对这些疾病的影响。我们试图采用全球疾病负担方法提供疾病发生情况的人群层面相关性。

材料与方法

利用2016年全球疾病负担数据,收集基于地理区域、性别和年龄组的口腔疾病(恒牙龋齿、无牙症(包括严重牙齿缺失)和牙周疾病)及各种非传染性疾病的发生情况,并进行相关性统计。使用社会科学统计软件包(第23版)分析结果。P≤0.05被视为具有统计学意义。

结果

地理位置和年龄在牙齿疾病的发生中起重要作用。亚太地区不同区域的牙齿疾病发病率和非传染性疾病患病率存在相当大的差异。据观察,对于大多数非传染性疾病,无牙症以及牙周疾病与之存在线性显著关系,且具有高度统计学意义。

讨论

讨论了导致口腔疾病与非传染性疾病之间差异、现象及关系的因素。讨论了口腔健康在维持整体健康方面的重要性现状。提出了政策制定者可利用“奥弗顿窗口”原则动员民众支持从而带来改变的方法。

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