Department of Surgical Sciences, University of Rome Tor Vergata, Rome, Italy.
Eur J Paediatr Dent. 2020 Mar;21(1):70-73. doi: 10.23804/ejpd.2020.21.01.14.
The aim of this study was to analyse the dmft/DMFT index in paediatric patients belonging to families with low income, in conditions of social vulnerability and absolute poverty and to compare it with a control group with a good socioeconomic status.
The study analysed a total sample of 160 patients with average age of 8.6±2.5. The sample was divided into two groups based on the Equivalent Economic Situation Indicator (ISEE). Group 1 consists of 80 patients with an ISEE value less than €6.000 and was examined at the "Solidarietà Vincenziana" Dental Centre - Rome (Italy), which is a centre dedicated to people with minimum income, destitute, elderly without resources, immigrant children; Group 2 consists of 80 patients with an ISEE value of more than €20.000 and was examined at the Pediatric Dentistry Unit, University of Rome Tor Vergata.
Statistical analysis was performed using SPSS for Windows version 21 (IBM SPSS Inc., Chicago, IL, USA). The statistical analysis included a descriptive evaluation of the results in a bivariate analysis. The association between the presence of caries and the background variables was evaluated with the chi-squared association or Fisher test. The minimum level of significance was fixed at P-value?0.05.
Analysing the number of caries-free subjects and subjects with caries in reference to the age group between 5 and 12 years and the ISEE value, without distinction of sex, there is a statistically significant difference between Group 1 and Group 2, both in relation to the dmft (p=0.038, Chi-squared Test=4.28) and to the DMFT (p=0.001, Chi-squared Test=19.23). Subjects aged between 5 and 12 years had an average DMFT of 1.88 ± 0.83 (Group 1) and 0.95 ±0.54 (Group 2).
The study highlights a positive relationship between ISEE value, of poor socio-economic situations (condition of absolute poverty, low economic income) and increase in the DMFT index. The oral health status is an indicator of poverty. For this reason it would be advisable to plan early preventive interventions, providing the possibility of appropriate and effective access for children in economic and social needs, whose quality of life can be further negatively affected by oral diseases.
本研究旨在分析属于低收入、社会弱势和绝对贫困家庭的儿科患者的 dmft/DMFT 指数，并将其与具有良好社会经济地位的对照组进行比较。
本研究分析了总共 160 名平均年龄为 8.6±2.5 岁的患者样本。根据等效经济状况指数（ISEE），将样本分为两组。第 1 组由 80 名 ISEE 值低于€6000 的患者组成，他们在“Solidarietà Vincenziana”牙科中心（意大利罗马）接受检查，该中心专为收入最低、赤贫、无资源的老年人和移民儿童服务；第 2 组由 80 名 ISEE 值超过€20000 的患者组成，他们在罗马 Tor Vergata 大学儿科牙科系接受检查。
使用 SPSS for Windows 版本 21（IBM SPSS Inc.，芝加哥，IL，USA）进行统计分析。统计分析包括对双变量分析中结果的描述性评估。使用卡方关联或 Fisher 检验评估龋齿的存在与背景变量之间的关联。将显著性水平固定为 P 值?0.05。
分析 5 至 12 岁年龄组和 ISEE 值的无龋齿和龋齿患者数量，不分性别，第 1 组和第 2 组在 dmft（p=0.038，卡方检验=4.28）和 DMFT（p=0.001，卡方检验=19.23）方面存在统计学显著差异。5 至 12 岁的受试者平均 DMFT 为 1.88 ± 0.83（第 1 组）和 0.95 ±0.54（第 2 组）。
本研究表明，ISEE 值（贫困的社会经济状况（绝对贫困、低经济收入）与 DMFT 指数的增加呈正相关。口腔健康状况是贫困的一个指标。因此，建议及早规划预防性干预措施，为有经济和社会需求的儿童提供适当和有效的途径，他们的生活质量可能会因口腔疾病而进一步受到负面影响。
