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难民的口腔健康:基于病例系列分析的问题与挑战。

The oral health of refugees: Issues and challenges arising from a case series analysis.

机构信息

Prosthodontics Department, School of Dentistry, Consultant in Fixed and Removable Prosthodontics, Jordan University Hospital, The University of Jordan, Amman, Jordan.

Oral and Maxillofacial Surgery Resident, Jordan University Hospital, Amman, Jordan.

出版信息

Community Dent Oral Epidemiol. 2020 Jun;48(3):195-200. doi: 10.1111/cdoe.12528. Epub 2020 Mar 2.

DOI:10.1111/cdoe.12528
PMID:32119751
Abstract

OBJECTIVES

Little is known of the oral health of refugees globally. The objective of this study was to characterize the oral health and care-seeking behaviours of refugees by investigating patterns of dental services provided to Syrian refugees in Jordan and their association with their oral health status.

METHODS

Clinical records from 444 patients who had received dental treatment over a 9-month period were retrieved and analysed. Collected data included gender, age and the type and number of treatment procedures provided for each patient.

RESULTS

Of the total sample (51.8% female; 48.2% male; aged 18-60 years), pain was the most common presenting complaint (73.0%), with poor aesthetics (17.1%) the second most common presenting complaint. About 63.3% of patients received only one procedure due to patients' lack of follow-up. Over half (54.5%) of dental treatments carried out were extractions, 74.1% of which were due to dental caries; 27.4% were fillings. Endodontic treatment was the least provided procedure (18.2%).

CONCLUSIONS

The oral health status of Syrian refugees is a major concern, given the often-deplorable living conditions in camps and limited, often inadequate access to oral healthcare services. This situation dramatically negatively affects a refugee's oral health. There is an urgent need to provide targeted dental services for this at-risk population. Additional research is warranted on refugees worldwide, and on the provision of appropriate interventions to enable optimal oral health for this population.

摘要

目的

全球范围内,有关难民口腔健康的信息知之甚少。本研究旨在通过调查在约旦的叙利亚难民所接受的牙科服务模式及其与口腔健康状况的关系,来描述难民的口腔健康和就医行为。

方法

检索并分析了在 9 个月期间接受过牙科治疗的 444 名患者的临床记录。收集的数据包括患者的性别、年龄以及每位患者接受的治疗类型和数量。

结果

在总样本(51.8%为女性;48.2%为男性;年龄在 18-60 岁之间)中,疼痛是最常见的就诊主诉(73.0%),其次是美观问题(17.1%)。由于患者缺乏后续治疗,约 63.3%的患者仅接受了一次治疗。超过一半(54.5%)的牙科治疗是拔牙,其中 74.1%是由于龋齿;27.4%是补牙。根管治疗是提供最少的治疗程序(18.2%)。

结论

鉴于难民营中常常恶劣的生活条件以及获得口腔保健服务的机会有限且往往不足,叙利亚难民的口腔健康状况令人严重关切。这种情况对难民的口腔健康产生了极大的负面影响。迫切需要为这一高危人群提供有针对性的牙科服务。需要对全球范围内的难民以及为这一人群提供适当干预措施以实现最佳口腔健康状况进行更多的研究。

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