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西弗吉尼亚州一所学校流动牙科诊所中男童与女童的口腔护理需求

Dental Care Needs of Male versus Female Children Visiting a School-based Mobile Dental Facility in West Virginia.

作者信息

Wiener R Constance, Summerlin Tiffany, Smith Lee B, Carrier Daniel T, Wiener Michael A

出版信息

J Dent Hyg. 2020 Jun;94(3):48-55.

Abstract

Many school-aged children have not received dental care in West Virginia, despite mandated statewide requirements of a dental evaluation and dental treatment before entering school, and the provision of Medicaid/CHIP insurance coverage for children from families below the federal poverty level. An innovative mobile oral health program to educate children, provide preventive care, and bring technology to public schools was developed for West Virginia children in a need shortage area. It was unknown if the unmet dental needs challenge was greater for male or female children residing in that area. The purpose of this study was to determine whether there was a difference by sex in the number of attendees and the incidence of dental caries for children who visited a school-based mobile dental facility. School-aged children who had not had a dental examination within the previous year were offered school-based examinations/assessments, preventive care, and oral health education via a mobile oral health program following parental/guardian consent. Data were collected concerning the number of current carious teeth in need of restoration. Descriptive statistics and chi square analyses were conducted to analyze the data. There were 429 students evaluated at the school-based mobile dental facility. Half (50.3%) were male. Referrals for additional necessary oral/medical care were made for 214 (50.1%) children; 45.9% of males and 53.3% of females (= 0.287) had dental caries. Results from this study indicate that sex was not a statistically significant factor in school-based mobile dental facility attendance nor in current dental caries incidence among school-aged children in an underserved area of West Virginia.

摘要

在西弗吉尼亚州,尽管该州规定学龄儿童入学前必须进行牙齿评估和治疗,且为家庭收入低于联邦贫困线的儿童提供医疗补助/儿童健康保险计划(CHIP)保险,但许多学龄儿童仍未接受过牙齿护理。针对西弗吉尼亚州一个需求短缺地区的儿童,开发了一项创新的流动口腔健康计划,旨在教育儿童、提供预防性护理并将相关技术引入公立学校。尚不清楚居住在该地区的男童或女童未满足的牙齿护理需求挑战是否更大。本研究的目的是确定在学校流动牙科设施就诊的儿童中,按性别划分的就诊人数和龋齿发病率是否存在差异。在获得家长/监护人同意后,通过流动口腔健康计划为前一年未进行过牙齿检查的学龄儿童提供校内检查/评估、预防性护理和口腔健康教育。收集了有关当前需要修复的龋齿数量的数据。进行了描述性统计和卡方分析以分析数据。在学校流动牙科设施接受评估的学生有429名。其中一半(50.3%)为男性。为214名(50.1%)儿童转诊以接受额外必要的口腔/医疗护理;45.9%的男童和53.3%的女童患有龋齿(= 0.287)。本研究结果表明,在西弗吉尼亚州一个服务不足地区,性别在学龄儿童到学校流动牙科设施就诊的情况以及当前龋齿发病率方面并非具有统计学意义的因素。

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