Fauroux M-A, Germa A, Tramini P, Nabet C
EA4203 Bio-nano laboratory, faculty of dentistry of Montpellier, 545, avenue du Pr JL Viala, 34193 Montpellier cedex 5, France.
Faculty of dentistry of Paris Descartes, 92120 Montrouge, France; Inserm, UMR1153, obstetrical, perinatal, and pediatric epidemiology (EPOPE) Team, Epidemiology and Biostatistics, Sorbonne Paris Cité Research Center, 75004 Paris, France.
Rev Epidemiol Sante Publique. 2019 Jul;67(4):223-231. doi: 10.1016/j.respe.2019.04.055. Epub 2019 Jun 14.
The aim of this study was to estimate the prevalence of dental prosthetic treatment and to investigate the demographic, social, economic and medical factors associated with the use of fixed and removable dentures in a representative sample of adults living in France.
The data were obtained from the 2002-2003 Decennial Health Survey, a cross-sectional study of a representative sample of the population living in France, which included 29,679 adults. Information was collected by interview. The variables collected were fixed denture, removable denture, age, gender, number of children, area of residence, nationality, educational attainment, family social status, employment status, annual household income per capita, supplementary insurance, chronic disease, eyesight problems/glasses, hearing problems/hearing aids. Multinomial logistic regression models were used to study the relationship between prosthetic treatment and demographic, socioeconomic and medical characteristics unadjusted, adjusted for age and adjusted for all the characteristics.
The prevalence of prosthetic treatment was 34.6% (95% confidence interval (CI): [34.1; 35.2]) for fixed prosthetic dentures and 13.8% (95% CI: [13.4; 14.2]) for removable prosthetic dentures. We showed a gradient between educational attainment and removable dentures; the odds ratio adjusted for all the variables (aOR) associated with no or primary education compared to post-secondary education was 2.56; 95% CI: [2.09; 3.13]. When annual household income per capita was low, subjects were less likely to report fixed dentures (aOR=0.68; 95% CI: [0.62; 0.75]) than those with high annual household income per capita. Individuals without insurance less often reported fixed dentures than those with private insurance. Those reporting chronic disease were less likely to report fixed dentures (aOR=0.87; 95% CI: [0.79; 0.95]) but more likely to report removable dentures (aOR=1.29; 95% CI: [1.17; 1.43]) than those without chronic disease.
This study reveals social, economic and medical inequalities in fixed and removable prosthetic treatment among adults in France.
本研究的目的是估计假牙修复治疗的患病率，并调查法国成年代表性样本中与使用固定义齿和可摘义齿相关的人口统计学、社会、经济和医学因素。
数据来自2002 - 2003年十年期健康调查，这是一项对法国居住人口代表性样本的横断面研究，其中包括29,679名成年人。通过访谈收集信息。收集的变量包括固定义齿、可摘义齿、年龄、性别、子女数量、居住地区、国籍、教育程度、家庭社会地位、就业状况、人均家庭年收入、补充保险、慢性病、视力问题/眼镜、听力问题/助听器。使用多项逻辑回归模型研究假牙修复治疗与人口统计学、社会经济和医学特征之间未调整、年龄调整以及所有特征调整后的关系。
固定假牙修复治疗的患病率为34.6%（95%置信区间（CI）：[34.1；35.2]），可摘假牙修复治疗的患病率为13.8%（95%CI：[13.4；14.2]）。我们发现教育程度与可摘义齿之间存在梯度关系；与高等教育相比，未接受教育或小学教育的所有变量调整后的优势比（aOR）为2.56；95%CI：[2.09；3.13]。当人均家庭年收入较低时，与人均家庭年收入高的受试者相比，受试者报告佩戴固定义齿的可能性较小（aOR = 0.68；95%CI：[0.62；0.75]）。没有保险的个体报告佩戴固定义齿的频率低于有私人保险的个体。报告患有慢性病的个体报告佩戴固定义齿的可能性较小（aOR = 0.87；95%CI：[0.79；0.95]），但与没有慢性病的个体相比，报告佩戴可摘义齿的可能性更大（aOR = 1.29；95%CI：[1.17；1.43]）。
本研究揭示了法国成年人在固定和可摘假牙修复治疗方面的社会、经济和医学不平等。
