Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia.
University Department of Rural Health, La Trobe University, Bendigo, Victoria, Australia.
Aust Dent J. 2022 Dec;67(4):344-351. doi: 10.1111/adj.12930. Epub 2022 Jul 18.
This paper investigated the associations between oral health with behavioural, demographic, periodontitis risk, financial and access to dental care barriers and compared the results in three Australian regional areas.
Data were obtained from the Australian National Study of Adult Oral Health (2017-18). Oral health status was measured using DMFT-score, and mean numbers of decayed, missing or filled teeth and periodontitis prevalence using the Center for Disease Control and Prevention (CDC) and the American Academy of Periodontology (AAP) Periodontal Classification. The analysis included these dependent variables by three regional areas, seven socio-demographic variables, two periodontal disease risk factors, two preventive dental behaviours, two barriers to dental care and three access to dental care variables.
Of the 15,731 people interviewed, 5,022 were examined. There was no significant difference in periodontitis prevalence between the regions. All the socio-demographic characteristics, periodontal disease risk factors and preventive dental behaviours were significantly associated with at least one of the dental caries indicators. In multivariable analysis, there was no significant association between regional location with any of the four clinical dental caries variables.
Poorer oral health outside major cities was associated with household income, education level, higher smoking, usual reason for and frequency of dental visiting.
本研究调查了口腔健康与行为、人口统计学、牙周炎风险、经济和获得牙科保健障碍之间的关联，并比较了澳大利亚三个地区的结果。
数据来自澳大利亚国家成人口腔健康研究（2017-18 年）。口腔健康状况采用 DMFT 评分进行测量，使用疾病控制与预防中心（CDC）和牙周病学会（AAP）牙周分类法测量龋齿、缺失或填补的牙齿平均数和牙周炎患病率。分析包括这三个地区的七个社会人口统计学变量、两个牙周病危险因素、两个预防性牙科行为、两个牙科保健障碍和三个牙科保健获取变量的这些依赖变量。
在接受采访的 15731 人中，有 5022 人接受了检查。三个地区的牙周炎患病率没有显著差异。所有社会人口统计学特征、牙周病危险因素和预防性牙科行为都与至少一种龋齿指标显著相关。在多变量分析中，地区位置与任何四个临床龋齿变量均无显著关联。
主要城市以外地区的口腔健康状况较差与家庭收入、教育水平、吸烟量较高、看牙的常见原因和频率有关。
