Verrips G H, Kalsbeek H, Eijkman M A
Department of Community Dental Health and Epidemiology, TNO Institute of Preventive Health Care, Leiden, The Netherlands.
Community Dent Oral Epidemiol. 1993 Aug;21(4):209-14. doi: 10.1111/j.1600-0528.1993.tb00758.x.
The aim of this study was to assess differences in dental health between socioeconomic and ethnic groups in a cohort of 5-yr-old children born in 1982 and in a cohort of 11-yr-old children born in 1976. A further aim was to evaluate the putative role of dental behaviors as intervening factors between ethnicity and maternal education on the one hand and caries experience on the other. A secondary analysis was performed on data collected in a study monitoring the oral health of youths covered by public health insurance (Ziekenfonds) in the Netherlands. The results showed both ethnicity and maternal education to be indicators of caries risk in the primary dentition. For caries in the permanent dentition, only maternal education could be identified as a risk indicator. Dental behaviors were related to caries experience as well as to ethnicity and maternal education, though the evidence for the role of these dental behaviors as intervening factors was weak. It is concluded that the validity and reliability of the behavioral measurements might be questionable and that the mechanism underlying the differences in caries experience between the various groups is still little understood.
本研究的目的是评估1982年出生的5岁儿童队列以及1976年出生的11岁儿童队列中社会经济群体与种族群体之间的牙齿健康差异。另一个目的是评估牙齿行为作为种族与母亲教育之间的干预因素以及作为另一方面龋齿经历的假定作用。对荷兰一项监测公共医疗保险（Ziekenfonds）覆盖的青少年口腔健康的研究中收集的数据进行了二次分析。结果表明，种族和母亲教育都是乳牙列龋齿风险的指标。对于恒牙列龋齿，只有母亲教育可被确定为风险指标。牙齿行为与龋齿经历以及种族和母亲教育都有关联，不过这些牙齿行为作为干预因素的作用证据薄弱。得出的结论是，行为测量的有效性和可靠性可能存在疑问，而且不同群体之间龋齿经历差异的潜在机制仍鲜为人知。
