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秘鲁 12 岁以下儿童使用口腔卫生服务的相关因素。

Factors associated with the use of oral health services in Peruvian children under the age of 12 years.

机构信息

Unidad de Salud Pública, Escuela de Posgrado, Universidad Peruana Unión (UPeU), Lima, Perú.

Departamento de Odonto-estomatología, Hospital Carlos Lanfranco la Hoz, Lima, Perú.

出版信息

Clin Exp Dent Res. 2023 Feb;9(1):230-239. doi: 10.1002/cre2.674. Epub 2022 Oct 27.

Abstract

OBJECTIVES

To determine the prevalence and factors associated with the use of oral health services in Peruvian children under 12 years of age.

MATERIAL AND METHODS

A secondary analysis of 2019 Demographic and Family Health Survey was conducted. The sample consisted of 40,751 children. The main variable was the use of dental services (attended/not attended) in the last 6 months, and the independent variables were gender, age, area of residence, wealth quintile, health insurance coverage, information received on oral health care, age, and educational level of the caregivers. Analyses of absolute and relative frequencies, differences in proportions, and multivariate analysis using generalized linear models were performed.

RESULTS

The dental service utilization prevalence during the last 6 months was 31%. Correlation was found with urban area residents (PRa = 0.945; 95% CI: 0.904-0.988), the Jungle geographical domain (PRa = 0.926; 95% CI: 0.877-0.977), the highest wealth quintile (PRa = 1.323; 95% CI: 1.232-1.421), the higher education level of the caregiver (PRa = 1.375; 95% CI: 1.231-1.536), affiliation with the Public Health Insurance (PRa = 1.112; 95% CI: 1.069-1.158), and the condition of having received information on oral health care (PRa = 2.355; 95% CI: 2.263-2.245) with respect to their baseline variables.

CONCLUSIONS

Several socio-demographic factors were correlated with the use of oral health services in Peruvian children under 12 years of age and the percentage of their use was low. Information on oral health care had a more significant impact on both, the population from the highest wealth quintile and the highest educational attainment.

摘要

目的

确定秘鲁 12 岁以下儿童使用口腔卫生服务的流行率和相关因素。

材料和方法

对 2019 年人口与家庭健康调查进行了二次分析。样本由 40751 名儿童组成。主要变量是过去 6 个月内是否使用牙科服务(就诊/未就诊),而独立变量是性别、年龄、居住地区、财富五分位数、医疗保险覆盖范围、接受的口腔保健信息、照顾者的年龄和教育水平。进行了绝对和相对频率分析、比例差异分析以及使用广义线性模型的多变量分析。

结果

过去 6 个月的牙科服务利用率为 31%。与城市地区居民(PRa=0.945;95%CI:0.904-0.988)、丛林地理区域(PRa=0.926;95%CI:0.877-0.977)、最高财富五分位数(PRa=1.323;95%CI:1.232-1.421)、照顾者较高的教育水平(PRa=1.375;95%CI:1.231-1.536)、公共医疗保险的隶属关系(PRa=1.112;95%CI:1.069-1.158)以及接受口腔保健信息的情况(PRa=2.355;95%CI:2.263-2.245)相关,而这些情况均优于其基线变量。

结论

一些社会人口因素与秘鲁 12 岁以下儿童使用口腔卫生服务有关,其使用率较低。口腔保健信息对来自最高财富五分位数和最高教育程度的人群都有更显著的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d0a/9932245/2e7f8340d34e/CRE2-9-230-g001.jpg

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