Institute of Odontology, University of Copenhagen, Copenhagen, Denmark.
National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Eur J Oral Sci. 2021 Oct;129(5):e12809. doi: 10.1111/eos.12809. Epub 2021 Jul 4.
This study analyzed the trend in self-reported dentate status over 30 years (1987-2017) among Danish adults, the self-reported frequencies of preventive dental visits undertaken annually during the period 1987-2013, and the self-reported use of the 2016 recall scheme for preventive dental check-ups. The impact of social determinants (education, employment, civil status, and ethnic background) on these dental outcome variables in 2017 was explored. Questionnaire data were obtained from the Danish Health and Morbidity Surveys conducted from 1987-2017, and they were analyzed by tri-variate frequency distributions and multivariate analyses. The prevalence of complete tooth loss was 17.7% in 1987 but 3.4% in 2017. The frequency of adults having 20 or more teeth grew markedly from 1987 (65.9%) to 2017 (85.1%). Educational inequality in dentate status persisted over the period. The frequency of preventive dental visits at least annually increased from 1987 to 2013, although visits were less frequent for young people. In 2017, preventive dental check-ups were reported in intervals: less than 12 months (56.4%), 12-18 months (18.9%), 19-24 months (4.8%), and more than 24 months (5.2%). In 2017, dentate status and preventive dental check-ups varied profoundly by social determinants. In conclusion, social policies should be implemented to tackle the persistent inequities in dentate status and public health policies should target Universal Health Coverage.
本研究分析了丹麦成年人在 30 年间（1987-2017 年）自我报告的牙齿状况趋势、1987-2013 年期间每年进行的预防性牙科就诊频率，以及自我报告使用 2016 年预防性牙科检查的召回计划的情况。探讨了社会决定因素（教育、就业、婚姻状况和种族背景）对 2017 年这些牙科结果变量的影响。问卷调查数据来自 1987-2017 年进行的丹麦健康和发病率调查，并通过三变量频率分布和多变量分析进行了分析。1987 年完全失牙的患病率为 17.7%，但 2017 年为 3.4%。2017 年拥有 20 颗或更多牙齿的成年人比例从 1987 年（65.9%）显著增长至 85.1%。牙齿状况的教育不平等现象在整个研究期间持续存在。至少每年一次的预防性牙科就诊频率从 1987 年增加到 2013 年，尽管年轻人的就诊频率较低。2017 年，预防性牙科检查的间隔为：不到 12 个月（56.4%）、12-18 个月（18.9%）、19-24 个月（4.8%）和超过 24 个月（5.2%）。2017 年，牙齿状况和预防性牙科检查因社会决定因素而存在显著差异。总之，应该实施社会政策来解决牙齿状况持续存在的不平等问题，公共卫生政策应该以全民健康覆盖为目标。
