Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, USA.
Department of Public Health and Community Service, Tufts University School of Dental Medicine, Boston, USA.
Glob Health Action. 2021 Jan 1;14(1):1904628. doi: 10.1080/16549716.2021.1904628.
: Dental diseases are chronic, lifelong and preventable yet affect over half the world's population. Personal oral hygiene practices and socio-economic factors contribute to oral health outcomes affecting oral health quality of life. Integrating basic oral care within community level health systems increases accessibility and availability of oral health resources.: National Oral Health Survey of Rwanda (NOHSR) data were investigated for associations of socio-demographic characteristics, personal oral hygiene practices, oral health outcomes, and oral health quality of life indicators.: Data were analyzed and descriptive statistics calculated. Multivariable logistic regression models were developed to assess associations between untreated caries, calculus, and pain with various independent variables (demographics and personal oral hygiene practices). Additional logistic regression models examined associations between quality of life indicators and the aforementioned independent variables as well as untreated caries and pain.: Those who did not use a toothbrush (62.7%), or toothpaste (70.0%), and cleaned their teeth less than once per day (55.3%) had a higher prevalence of untreated caries. Approximately one-third of those in rural areas cleaned their teeth once per day or more compared to two-thirds of those in urban areas (35.4% vs. 71.2%). Those cleaning their teeth less than once daily were estimated to have 56.0% higher odds of caries than those who cleaned their teeth once a day or more (OR = 1.56, [95% CI 1.25-1.95]). Those with secondary education or higher and those with skilled jobs demonstrated more frequent teeth cleaning and higher toothbrush and toothpaste use. Quality-of-life indicators varied significantly with untreated caries and pain.: Socio-economic, individual, and workforce characteristics are important considerations when assessing oral health outcomes. This study investigated social demographic disparities in relation to oral health related behaviors and outcomes. This information can help guide oral health care programming in Rwanda.
: 口腔疾病是慢性的、终身的和可预防的,但却影响了世界上一半以上的人口。个人口腔卫生习惯和社会经济因素共同影响口腔健康结局,进而影响口腔健康生活质量。将基本口腔护理纳入社区级卫生系统可增加口腔健康资源的可及性和可得性。: 对卢旺达国家口腔健康调查(NOHSR)数据进行了研究,以调查社会人口统计学特征、个人口腔卫生习惯、口腔健康结局和口腔健康生活质量指标之间的关联。: 对数据进行了分析并计算了描述性统计数据。建立了多变量逻辑回归模型,以评估未经治疗的龋齿、牙垢和疼痛与各种自变量(人口统计学和个人口腔卫生习惯)之间的关联。另外的逻辑回归模型还研究了生活质量指标与上述自变量以及未经治疗的龋齿和疼痛之间的关联。: 不使用牙刷(62.7%)或牙膏(70.0%)以及每天刷牙少于一次(55.3%)的人未经治疗的龋齿患病率更高。与城市地区相比,大约三分之一的农村地区的人每天刷牙一次或更多(35.4%比 71.2%)。每天刷牙少于一次的人比每天刷牙一次或更多的人患龋齿的几率高 56.0%(OR=1.56,[95%CI 1.25-1.95])。具有中等教育或更高学历和技术工作的人表现出更频繁的刷牙、更频繁地使用牙刷和牙膏。生活质量指标与未经治疗的龋齿和疼痛有显著差异。: 社会经济、个人和劳动力特征是评估口腔健康结局时需要考虑的重要因素。本研究调查了与口腔健康相关行为和结局相关的社会人口统计学差异。这些信息可以帮助指导卢旺达的口腔保健规划。