University of Washington, US.
King's College London, GB.
Ann Glob Health. 2021 Aug 20;87(1):87. doi: 10.5334/aogh.3331. eCollection 2021.
Oral diseases are among the most prevalent non-communicable diseases worldwide, disproportionally affecting vulnerable populations. The Community of Claverito is one of many informal urban floating communities located on the Amazon River in Peru.
To assess child and caregiver dental health status (DHS) and to measure the associations between child DHS and child and family quality of life in the informal Community of Claverito.
DHS, as measured by decayed and filled teeth (DFT/dft), was recorded for 66 children and 35 caregivers using the WHO Oral Assessment form. Oral health-related quality of life was measured using the Parental-Caregiver Perceptions Questionnaire (P-CPQ). The family impact of child oral disorders was measured using the Family Impact Scale (FIS). Descriptive statistics, correlations, and regression analyses were used to evaluate the associations between DFT/dft, P-CPQ, and FIS scores (p < 0.05).
The majority of children assessed were female (52%) with a mean age of 9.4 years (SD ± 4.4). The prevalence of untreated child dental caries was 97%. The child and caregiver's mean DFT/dft scores were 6.8 (SD ± 4.5) and 8.7 (SD ± 13.3), respectively. Mean total P-CPQ and total FIS scores were 33.4 and 12.5, respectively. A significant positive association was observed between child DFT/dft scores and total FIS scores (p < 0.01). Significant associations were also observed between child DFT/dft scores and caregiver age (p < 0.01) and child DFT/dft scores and caregiver DFT scores (p < 0.01).
Children and their caregivers living in the Community of Claverito exhibited high levels of dental caries. Children's untreated dental caries were associated with both family's quality of life and caregivers' untreated dental caries. Further research is needed on how improving availability and access to oral health services have the potential to benefit the health of residents of informal communities like the one of Claverito.
口腔疾病是全球最普遍的非传染性疾病之一，不成比例地影响弱势群体。克拉韦里托社区是秘鲁亚马逊河上众多非正规城市浮动社区之一。
评估儿童和照顾者的口腔健康状况（DHS），并衡量克拉韦里托非正规社区儿童 DHS 与儿童和家庭生活质量之间的关系。
使用世界卫生组织口腔评估表记录了 66 名儿童和 35 名照顾者的 DHS（用龋齿和补牙衡量）。使用父母/照顾者感知问卷（P-CPQ）测量口腔健康相关生活质量。使用家庭影响量表（FIS）测量儿童口腔疾病对家庭的影响。使用描述性统计、相关性和回归分析评估 DFT/dft、P-CPQ 和 FIS 评分之间的关系（p<0.05）。
评估的大多数儿童为女性（52%），平均年龄为 9.4 岁（标准差±4.4）。未经治疗的儿童龋齿患病率为 97%。儿童和照顾者的平均 DFT/dft 评分分别为 6.8（标准差±4.5）和 8.7（标准差±13.3）。平均总 P-CPQ 和总 FIS 评分分别为 33.4 和 12.5。儿童 DFT/dft 评分与总 FIS 评分呈显著正相关（p<0.01）。儿童 DFT/dft 评分与照顾者年龄（p<0.01）和儿童 DFT/dft 评分与照顾者 DFT 评分（p<0.01）之间也存在显著关联。
生活在克拉韦里托社区的儿童及其照顾者患有严重的龋齿。儿童未经治疗的龋齿与家庭生活质量和照顾者未经治疗的龋齿都有关系。需要进一步研究如何提高口腔卫生服务的可及性和可用性，以便有可能使像克拉韦里托这样的非正规社区的居民受益。
