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土耳其儿童和成人的龋齿及相关因素:第三次全国口腔健康调查结果

Dental caries and associated factors among Turkish children and adults: Findings from the 3rd National Oral Health Survey.

作者信息

Orhan Ayse Isil, Alkan Afra, Orhan Kaan, Tezel Adnan, Karaoglanoglu Serpil, Oztas Dilek

机构信息

Faculty of Dentistry, Department of Pediatric Dentistry, Ankara Yildirim Beyazit University, Ankara, Turkey.

Faculty of Medicine, Department of Biostatistics and Medical Informatics, Ankara Yildirim Beyazit University, Ankara, Turkey.

出版信息

Community Dent Oral Epidemiol. 2024 Aug;52(4):499-508. doi: 10.1111/cdoe.12943. Epub 2024 Jan 18.

Abstract

BACKGROUND

Information on the current status of oral health and related risk factors is lacking in Turkiye. This study aimed to evaluate dental caries and associated factors among the Turkish population using the findings of the third national oral health survey.

METHODS

This cross-sectional epidemiological survey was carried out between March and September in 2018 including five index ages and age groups (5-, 12-, 15-year-olds, 35-44 and 65-74 age groups). A multistage cluster sampling design was used to obtain a national representative sample of these age groups. Participants were interviewed face-to-face using a structured questionnaire, and oral examinations were performed based on the methods and criteria suggested by the World Health Organization. The adjusted prevalence ratio for dental caries was estimated considering sociodemographic and behavioural characteristics by using log-binomial and robust Poisson regression analysis in R and SAS software.

RESULTS

After data cleaning, a total of 11 091 participants remained. The prevalence of dental caries was 76.5% (95% confidence interval: 75.4%-77.7%) and determined to be associated with age, dental visit, and pain or discomfort history during the previous year among the Turkish population. Prevalence was also associated with the mother's education level among 5-, 12- and 15-year-olds. For the 35-44 age group, individuals living in urban areas had lower dental caries than those living in rural areas. For 65-74 age group, none of the factors were significantly associated with dental caries.

CONCLUSION

A high prevalence of dental caries was observed in Turkish children and adults. Therefore, it is necessary to strengthen current preventive oral health programs. Regular disease surveillance should be maintained. National oral health targets should be formulated in accordance with Turkiye's needs, resources and structure.

摘要

背景

土耳其缺乏关于口腔健康现状及相关风险因素的信息。本研究旨在利用第三次全国口腔健康调查结果评估土耳其人群的龋齿情况及相关因素。

方法

这项横断面流行病学调查于2018年3月至9月进行,涵盖五个指数年龄和年龄组(5岁、12岁、15岁、35 - 44岁和65 - 74岁年龄组)。采用多阶段整群抽样设计获取这些年龄组具有全国代表性的样本。参与者通过结构化问卷进行面对面访谈,并根据世界卫生组织建议的方法和标准进行口腔检查。在R和SAS软件中,使用对数二项式和稳健泊松回归分析,考虑社会人口学和行为特征估计龋齿的调整患病率比。

结果

数据清理后,共有11091名参与者。土耳其人群中龋齿患病率为76.5%(95%置信区间:75.4% - 77.7%),且确定与年龄、看牙次数以及前一年的疼痛或不适病史有关。在5岁、12岁和15岁儿童中,患病率还与母亲的教育水平有关。对于35 - 44岁年龄组,居住在城市地区的个体龋齿患病率低于农村地区。对于65 - 74岁年龄组,没有因素与龋齿显著相关。

结论

在土耳其儿童和成人中观察到龋齿的高患病率。因此,有必要加强当前的预防性口腔健康项目。应维持定期疾病监测。应根据土耳其的需求、资源和结构制定国家口腔健康目标。

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