Joury Easter, Meer Rayan, Chedid Jean Claude Abou, Shibly Othman
Academic Clinical Lecturer, Centre for Dental Public Health and Primary Care, Institute of Dentistry, Queen Mary University of London, Turner Street, London, E1 2AD, UK.
Masters Student, Department of Periodontics and Endodontics, School of Dental Medicine, University at Buffalo, Buffalo, USA; Department of Preventive Dental Sciences, College of Dentistry, Taibah University, Almadinah Almunawwarah, Saudi Arabia.
Br Dent J. 2021 May 13. doi: 10.1038/s41415-021-2960-9.
Introduction Very little is known about the burden of childhood oral diseases in protracted humanitarian settings.Aim This study aimed to assess the prevalence of oral diseases in Syrian refugee children living in Lebanon and to investigate their relationship with the duration of displacement.Methods Data from Miles for Smiles programme for Syrian refugee schoolchildren in Bekaa/Lebanon were used (n = 823). A dental examination was performed to assess the presence of dental caries and abscess. A clinical form was used to collect data on the presence, intensity and duration of dental pain.Results The majority (90%) had dental caries, 57% had dental pain (of which 55% had moderate/severe pain and 38% had pain for more than a month) and 9% had dental abscess. After adjusting for age and gender, children in protracted displacement were significantly more likely to have a higher number of decayed teeth compared to their counterparts who had been displaced for less than five years (RR = 1.19; 95% CI = 1.09-1.29; P <0.001).Conclusions The burden of oral diseases in Syrian refugee children living in Lebanon was high, particularly among those living in a protracted situation. There is a need for evidence-based effective public health interventions to improve this population's oral health.
引言
对于长期人道主义环境下儿童口腔疾病的负担，人们了解甚少。
目的
本研究旨在评估生活在黎巴嫩的叙利亚难民儿童口腔疾病的患病率，并调查其与流离失所时间的关系。
方法
使用了黎巴嫩贝卡地区叙利亚难民学童“微笑里程”项目的数据（n = 823）。进行了牙科检查以评估龋齿和脓肿的情况。使用临床表格收集有关牙痛的存在、强度和持续时间的数据。
结果
大多数（90%）有龋齿，57%有牙痛（其中55%有中度/重度疼痛，38%疼痛持续一个多月），9%有牙脓肿。在对年龄和性别进行调整后，与流离失所不到五年的儿童相比，长期流离失所的儿童患龋齿的数量明显更多（相对风险 = 1.19；95%置信区间 = 1.09 - 1.29；P <0.001）。
结论
生活在黎巴嫩的叙利亚难民儿童口腔疾病负担很高，尤其是那些长期处于这种状况的儿童。需要有循证有效的公共卫生干预措施来改善这一人群的口腔健康。
