Wolverhampton Special Care Dental Services, Pennfields Health Centre, Wolverhampton, UK.
Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.
Br Dent J. 2019 Mar;226(5):349-353. doi: 10.1038/s41415-019-0029-9.
Introduction Socioeconomic and ethnic status have in the past been implicated as possible causes of dental caries. Aims To assess the role that relative social depravation and ethnicity has on dental caries in two- and three-year-olds undergoing DGA in Wolverhampton. Design and methods Retrospective analysis of hospital records of 213 patients over a six-year period (2011-2016). A three-way analysis of variance (ANOVA) and chi-square tests were used to test statistical significance. Results The most significant factor between ethnicity, year and sex, was ethnicity (P = 0.026), with the greatest difference between mean number of teeth extracted per treatment visit for Other Whites (mean = 6.3) compared with White British (mean = 4.0) (difference P = 0.012). The association between the difference in extracted quadrant and year of treatment was significant (P = 0.011), with the greatest frequency of extractions involving three and four quadrants in the later years of 2015 and 2016. Seventy percent of children treated were living in the 20% most deprived areas (deciles one and two) compared with children living in more affluent areas (deciles three to ten) (P <0.001). Conclusion An important public health issue is highlighted which needs to be addressed, both at a national level and locally, through early oral health education for mothers from relatively deprived areas; particularly those of Other White ethnicity.
引言 过去，社会经济地位和族裔一直被认为是导致龋齿的可能原因。目的 评估相对社会贫困和族裔在伍尔弗汉普顿接受 DGA 的 2 至 3 岁儿童龋齿中的作用。设计和方法 对 6 年期间（2011-2016 年）213 名患者的医院记录进行回顾性分析。使用三向方差分析（ANOVA）和卡方检验来检验统计学意义。结果 在族裔、年份和性别之间，最显著的因素是族裔（P = 0.026），每一次治疗就诊中提取的牙齿平均数差异最大，其他白人（平均=6.3）与英国白人（平均=4.0）（差异 P = 0.012）。治疗年份与提取象限差异之间的关联具有统计学意义（P = 0.011），在 2015 年和 2016 年的后期，涉及三个和四个象限的提取频率最高。接受治疗的儿童中有 70%生活在最贫困的 20%地区（十分之一和十分之二），而生活在较富裕地区（十分之三到十分之十）的儿童（P <0.001）。结论 突出了一个重要的公共卫生问题，需要在国家和地方层面上通过对来自相对贫困地区的母亲进行早期口腔健康教育来解决，特别是那些其他白人种族的母亲。
