Greene P, Chisick M C
Pediatric Dentistry, Fort Stewart, GA 31314, USA.
Mil Med. 1995 Jun;160(6):290-3.
This paper compares oral health status and presence of untreated, decayed primary teeth in 42 confirmed cases of child abuse with 822 non-abused controls. The 864 children (ages 3-11) came from military families at one Army installation. We assessed oral health status using the dfs (decayed and filled surfaces) index and derived presence of untreated, decayed teeth from the decayed and unfilled component of each child's dfs score. Using logistic regression, we determined the influence of abuse status and other sociodemographic characteristics on both outcome measures. Results show that abuse status does not contribute to differences in oral health status, but it does contribute to differences in presence of untreated, decayed primary teeth. Abused children with sponsors assigned to noncombat units are 5.2 times more likely to have untreated, decayed primary teeth than other children. These results suggest that military child abuse intervention efforts should include referral for dental care plus the need to target younger children from families with non-combatant sponsors.
本文比较了42例确诊为受虐儿童与822名非受虐对照儿童的口腔健康状况以及未治疗的龋齿乳牙情况。这864名儿童（年龄在3至11岁之间）来自一个陆军基地的军人家庭。我们使用dfs（龋坏和充填面）指数评估口腔健康状况，并从每个儿童dfs评分的龋坏且未充填部分得出未治疗的龋牙情况。通过逻辑回归分析，我们确定了虐待状况和其他社会人口学特征对这两个结果指标的影响。结果表明，虐待状况对口腔健康状况的差异没有影响，但确实导致了未治疗的龋齿乳牙情况的差异。被分配到非战斗单位的受虐儿童有未治疗的龋齿乳牙的可能性是其他儿童的5.2倍。这些结果表明，军事儿童虐待干预措施应包括转介牙科护理，以及需要针对有非战斗人员赞助者家庭中的年幼儿童。
