Prieto-Regueiro Beatriz, Gómez-Santos Gladys, Grini Daniele, Burgueño-Torres Laura, Diéguez-Pérez Montserrat
Primary Care Odontoestomatologist, Health Services Management of Lanzarote's Health Area, 35500 Arrecife, Spain.
Health Promotion Service, General Directorate of Public Health of the Canary Islands Health Service, 38005 Santa Cruz de Tenerife, Spain.
Healthcare (Basel). 2023 Aug 20;11(16):2344. doi: 10.3390/healthcare11162344.
Approaching inequalities to achieve health equity requires joint action. Early childhood caries affects disadvantaged population groups. The objective of this study was to determine the relevance of sociocultural inequalities and parental origin with respect to oral health in preschool children in Lanzarote. A transversal epidemiological study was carried out. Sociocultural data and information about parental origin were collected via a questionnaire. The decayed and filled teeth (dft), decayed teeth (dt), filled teeth (ft), restorative index (RI), plaque index (PI) and gingival index (GI) were obtained via an investigator's examination. Statistical analysis of the data indicated that children of semi-skilled manual workers (28.15%) had the highest prevalence of caries (46.9%). Additionally 43.7 of the mothers had second grade and first cycle studies. When relating the medium and high level of education, there were statistically significant differences in relation to the cod index ( = 0.046). When the origin was foreign (48.4%), preschoolers presented 10.7% more active or untreated caries than Spaniards ( = 0.038). Low socioeconomic cultural level and foreign origin is associated with a more deficient state of oral health in preschoolers. Oral health programs are needed to minimize social inequalities.
解决不平等问题以实现健康公平需要共同行动。幼儿龋齿影响弱势群体。本研究的目的是确定社会文化不平等和父母出身与兰萨罗特岛学龄前儿童口腔健康的相关性。开展了一项横向流行病学研究。通过问卷调查收集社会文化数据和有关父母出身的信息。通过检查人员的检查获得龋补牙数(dft)、龋齿数(dt)、补牙数(ft)、修复指数(RI)、菌斑指数(PI)和牙龈指数(GI)。数据的统计分析表明,半熟练体力劳动者的子女(28.15%)龋齿患病率最高(46.9%)。此外,43.7%的母亲接受过二年级和第一阶段教育。在将中等和高等教育水平联系起来时,与龋失补指数相关存在统计学显著差异(P = 0.046)。当出身为外国时(48.4%),学龄前儿童的活动性或未治疗龋齿比西班牙人多10.7%(P = 0.038)。社会经济文化水平低和出身外国与学龄前儿童口腔健康状况较差有关。需要开展口腔健康项目以尽量减少社会不平等。