Bergeron Dave A, Talbot Lise R, Gaboury Isabelle
Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.
Department of Nursing, Université du Québec à Rimouski, Rimouski, Québec, Canada.
J Int Soc Prev Community Dent. 2020 Apr 14;10(2):156-162. doi: 10.4103/jispcd.JISPCD_438_19. eCollection 2020 Mar-Apr.
Oral health promotion (OHP) was introduced in Peruvian primary schools in 2013, and no evaluation has been undertaken in rural areas since then. To measure OHP outcomes, this cross-sectional study aimed to assess the oral health (OH) status of schoolchildren living in a remote rural area of the Cusco region.
Sixty-six children were recruited in three remote rural communities and in a rural district capital. Six dimensions of OH (knowledge, attitudes, behaviors, dental plaque, dental caries, and quality of life related to OH) were measured using self-administered questionnaires and dental examinations. Wilcoxon-Mann-Whitney tests were conducted to compare outcomes between two types of settings (remote rural community and district capital). Multiple linear regression models were fit to identify which variables can explain the variance observed in the decayed, missing, and filled teeth (DMFT) index.
The median percentage of dental plaque in remote rural communities was 78.7+ (interquartile range [IQR] 71.5-82.8) and 78.6+ (IQR 72.7-82.2) in the district capital ( = 0.90). The prevalence of dental caries was estimated to be 94.1+ (95+ confidence interval [CI] 71.1->99.9) in the district capital and 98.0+ (95+ CI 88.3->99.9) in remote rural communities ( = 0.43).
These results suggested that OHP interventions had not reached their full potential. Identifying different factors that influence the reported outcomes would provide a more comprehensive understanding and help to tailor OHP interventions.
2013年秘鲁的小学引入了口腔健康促进（OHP），自那时起农村地区尚未进行评估。为了衡量OHP的成果，这项横断面研究旨在评估生活在库斯科地区偏远农村地区的学童的口腔健康（OH）状况。
在三个偏远农村社区和一个农村地区首府招募了66名儿童。使用自填问卷和口腔检查测量OH的六个维度（知识、态度、行为、牙菌斑、龋齿以及与OH相关的生活质量）。进行Wilcoxon-Mann-Whitney检验以比较两种环境（偏远农村社区和地区首府）之间的结果。拟合多元线性回归模型以确定哪些变量可以解释在龋失补牙（DMFT）指数中观察到的差异。
偏远农村社区牙菌斑的中位数百分比为78.7 +（四分位间距[IQR] 71.5 - 82.8），地区首府为78.6 +（IQR 72.7 - 82.2）（P = 0.90）。地区首府龋齿患病率估计为94.1 +（95%置信区间[CI] 71.1 -> 99.9），偏远农村社区为98.0 +（95% CI 88.3 -> 99.9）（P = 0.43）。
这些结果表明OHP干预尚未发挥其全部潜力。确定影响报告结果的不同因素将提供更全面的理解，并有助于调整OHP干预措施。
