Monash Health Dental Services, Monash Health, Dandenong, Victoria, Australia.
Melbourne Dental School, The University of Melbourne, Parkville, Victoria, Australia.
Aust Dent J. 2022 Mar;67(1):21-29. doi: 10.1111/adj.12873. Epub 2021 Sep 20.
Little is known about the relationship between dental caries prevalence and the social risk factors of asylum seekers and refugees in Australia.
An oral health interview and a clinical oral examination were carried out on 201 asylum seekers and refugees patients, aged 18-68, attending Monash Health Dental Services, Melbourne, Victoria.
Data illustrated that 82% of participants had at least one tooth with untreated decay. Tooth level analysis revealed that white spot lesions were most prevalent in age groups 18-29 and 30-39, with respective mean values of 4.45 ± 4.95 and 3.49 ± 4.74. Binary logistic regression models identified multiple social factors as a barrier to receiving dental care. These included, but were not limited to; medication intake, consumption of soft drinks and long waiting lists. These social factors in addition to oral health factors, such as white spot and hypomineralization lesions, were significant predisposing factors to the presence of cavitated carious lesions.
Multiple social and oral health risk factors were identified and significantly associated with dental caries among refugee and asylum seeker patients. Addressing these underlying risks is an integral component to reducing the prevalence of dental caries among this population group and improving their overall general and oral health.
在澳大利亚，有关寻求庇护者和难民的龋齿患病率与社会风险因素之间的关系，人们知之甚少。
对在维多利亚州墨尔本蒙纳什健康牙科服务处就诊的 201 名年龄在 18 至 68 岁的寻求庇护者和难民进行了口腔健康访谈和临床口腔检查。
数据表明，82%的参与者至少有一颗未经治疗的龋齿。在牙位水平上的分析表明，白点病变在 18-29 岁和 30-39 岁年龄组中最为普遍，相应的平均值分别为 4.45±4.95 和 3.49±4.74。二元逻辑回归模型确定了多个社会因素是接受牙科护理的障碍。其中包括但不限于：用药、软饮料的摄入和长时间的候诊名单。这些社会因素以及口腔健康因素，如白点和脱矿病变，是导致龋齿空洞性病变存在的重要诱发因素。
确定了多个社会和口腔健康风险因素，这些因素与难民和寻求庇护者患者的龋齿显著相关。解决这些潜在风险是降低该人群组龋齿患病率和改善其整体一般和口腔健康的一个组成部分。
