Ventura Fiorella, Lazzati Maria Rocio, Salgado Pablo Andres, Rossi Glenda Natalia, Wolf Thomas G, Squassi Aldo, Campus Guglielmo
Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Odontología Preventiva y Comunitaria-Instituto de Investigaciones en Salud Pública, (Department of Preventive and Community Dentistry, Faculty of Dentistry, University of Buenos Aires), Marcelo Torcuato de Alvear 2142, Buenos Aires C1122AAH, Argentina.
Universidad de Buenos Aires, Facultad de Odontología, Instituto de Investigación en Salud Pública (Institute of Public Health Research, Faculty of Dentistry, University of Buenos Aires), Marcelo Torcuato de Alvear 2142, Buenos Aires C1122AAH, Argentina.
Dent J (Basel). 2024 Oct 9;12(10):325. doi: 10.3390/dj12100325.
Caries experience in Argentine children is quite high and no national data are present.
This cross-sectional observational survey aimed to assess the oral health status of schoolchildren in Buenos Aires (CABA) using CTNI and to evaluate the ecological association between health inequalities and caries prevalence.
Data were collected, via a clustered procedure, during the 2016-2018 school years. Children were examined at school to determine dental status according to the CTNI performed under standardized conditions, using light, dental mirrors, WHO probes and magnification (2.5×). Secondary sources were used to acquire socio-demographic and epidemiological data. A hierarchical cluster analysis was carried out with the municipalities of the CABA as the dependent variable and the socio-demographic factors.
The study population consisted of 62,904 schoolchildren, 43,571 of whom were enrolled into the study. Total caries prevalence was 67.78% while severe caries prevalence was 28.29%, which was statistically associated with the year of the survey ( < 0.01). Four territorial conglomerates from a socio-epidemiological standpoint outline homogeneous areas of social risk; cluster 1 had the highest social risk. The prevalence of severe caries (CTNI 7-14) was highest in cluster 1 (44.7-53.2% of the population).
The social inequalities between municipalities of the CABA were statistically associated with high inequalities in oral health needs.
阿根廷儿童的龋齿患病率相当高，且尚无全国性数据。
这项横断面观察性调查旨在使用CTNI评估布宜诺斯艾利斯（CABA）学童的口腔健康状况，并评估健康不平等与龋齿患病率之间的生态关联。
在2016 - 2018学年期间，通过整群抽样程序收集数据。在学校对儿童进行检查，根据在标准化条件下使用灯光、牙镜、世界卫生组织探针和放大倍数（2.5倍）进行的CTNI来确定牙齿状况。使用二手资料获取社会人口统计学和流行病学数据。以CABA的各个市为因变量，以社会人口统计学因素进行分层聚类分析。
研究人群包括62904名学童，其中43571名被纳入研究。总龋齿患病率为67.78%，而重度龋齿患病率为28.29%，这与调查年份有统计学关联（<0.01）。从社会流行病学角度来看，四个地域集群勾勒出了社会风险同质区域；集群1的社会风险最高。重度龋齿（CTNI 7 - 14）患病率在集群1中最高（占人口的44.7 - 53.2%）。
CABA各市之间的社会不平等与口腔健康需求方面的高度不平等存在统计学关联。
