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新冠疫情期间坦桑尼亚伊伦布拉医护人员的口腔健康状况

Oral Health Status of Healthcare Workers in Ilembula/Tanzania during the COVID-19 Condition.

作者信息

Bensel Tobias, Megiroo Simon, Kronenberg Werner, Bömicke Wolfgang, Ulrichs Timo, Hinz Sebastian

机构信息

Institute for Research in International Assistance, Akkon University for Human Sciences, Colditzstraße 34-36, 12099 Berlin, Germany.

Health Department, ELCT/North Central Diocese, Arusha P.O. Box 16173, Tanzania.

出版信息

Healthcare (Basel). 2024 Apr 29;12(9):920. doi: 10.3390/healthcare12090920.

Abstract

The challenge of reduced dental treatment and education infrastructure in the Tanzanian highlands affects the oral health situation of both the general population and local healthcare workers. The aim of this study was to investigate the oral health status of healthcare workers at Ilembula Lutheran Hospital (ILH), Tanzania, during the COVID-19 pandemic. In total, 134 healthcare workers (62 women, 72 men; mean age 36.48 ± 9.56 years, range 19-59 years; median age 35.00 years) participated in this cross-sectional study, conducted from 12 February to 27 February. A dental examiner trained in oral health screening performed the oral health data collection. Data collection was performed by probability sampling using the Ilembula Data Collection Form-Oral Health (IDCF-Oral Health) questionnaire distributed in paper form. Ethical approval was obtained from the National Institute for Medical Research/Tanzania. The decayed, missing, and filled teeth (DMF/T) index proposed by the World Health Organization (WHO) was used with the associated caries measurement method and the simplified oral hygiene index (OHI-S). Details regarding edentulism, nutritional habits, and socio-economic factors were collected. Statistical analysis was performed using linear regression (α = 0.05). The average DMF-T index was 3.33 ± 0.82, with age, gender, meal frequency, and soft drink consumption significantly influencing the index. No evidence of dental plaque was detected in 43.3% of the participants. Of the participants, 32.8% required prosthetic treatment (Kennedy Class III), while 16.4% needed it for acute malocclusions. Oral hygiene products were used in 97% of cases. A total of 35.8% of the participants had an OHI-S score of up to 1.0, with ( < 0.001) age and ( < 0.001) sex having a significant influence on the index. The current oral health situation of healthcare workers at ILH shows a moderate need for restorative and prosthetic treatment in rural Tanzania. Despite the COVID-19 pandemic, there was no change in the need for dental treatment, which may be explained by the generally restricted access to dental healthcare in the investigated region. The development of an interdisciplinary oral health prophylaxis system could help to reduce the need for future treatments.

摘要

坦桑尼亚高地牙科治疗和教育基础设施减少带来的挑战影响着普通民众和当地医护人员的口腔健康状况。本研究的目的是调查在新冠疫情期间坦桑尼亚伊伦布拉路德医院(ILH)医护人员的口腔健康状况。共有134名医护人员(62名女性,72名男性;平均年龄36.48±9.56岁,范围19 - 59岁;中位年龄35.00岁)参与了这项于2月12日至2月27日进行的横断面研究。一名接受过口腔健康筛查培训的牙科检查人员进行了口腔健康数据收集。数据收集通过概率抽样进行,使用以纸质形式分发的伊伦布拉数据收集表 - 口腔健康(IDCF - 口腔健康)问卷。获得了坦桑尼亚国家医学研究所的伦理批准。采用了世界卫生组织(WHO)提出的龋失补牙(DMF/T)指数以及相关的龋病测量方法和简化口腔卫生指数(OHI - S)。收集了关于无牙状况、营养习惯和社会经济因素的详细信息。使用线性回归进行统计分析(α = 0.05)。平均DMF - T指数为3.33±0.82,年龄、性别、用餐频率和软饮料消费对该指数有显著影响。43.3%的参与者未检测到牙菌斑。在参与者中,32.8%需要修复治疗(肯尼迪III类),而16.4%因急性错牙合需要修复治疗。97%的情况使用了口腔卫生用品。共有35.8%的参与者OHI - S评分高达1.0,年龄(<0.001)和性别(<0.001)对该指数有显著影响。ILH医护人员目前的口腔健康状况表明,坦桑尼亚农村地区对修复和修复治疗有中度需求。尽管有新冠疫情,但牙科治疗需求没有变化,这可能是由于所调查地区普遍难以获得牙科医疗服务。建立一个跨学科的口腔健康预防系统可能有助于减少未来的治疗需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31c2/11083547/e8c2b7423897/healthcare-12-00920-g001.jpg

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