Maupomé G
Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.
ASDC J Dent Child. 1998 Jul-Aug;65(4):276-85, 230.
Disorganized urbanization in Latin America has led to masses of impoverished people to become squatters in the larger urban areas. Using a community development network in the outskirts of Tijuana, in Northern Mexico, this investigation assessed the dental health situation, aiming to establish the underlying behavioral causes of poor oral health in these slums. Using quantitative and qualitative tools, fifty-six mothers (mean age 30.1 +/- 7.2) with their accompanying children (n = 56; mean age 6.1 +/- 3.3; 46.4 percent female) were interviewed and examined. Dental health was poor and characterized by vast unmet treatment needs in adults and children. 22.2 percent of children under three years of age suffered from Early Childhood Caries, strongly linked to inappropriate patterns of bottle use. Dietary patterns for the overall child population included many cariogenic snacks and beverages. A straightforward model to explain behavioral structures incorporates these findings against the background of living in a highly-deprived environment, whereby the allure of more affordable gratifications for self and family is often translated in the form of tokens such as junk food.
拉丁美洲无规划的城市化进程致使大量贫困人口在较大城市地区沦为棚户区居民。本调查利用墨西哥北部蒂华纳市郊的一个社区发展网络，评估了口腔健康状况，旨在确定这些贫民窟地区口腔健康不佳的潜在行为原因。通过定量和定性工具，对56名母亲（平均年龄30.1±7.2岁）及其随行子女（n = 56；平均年龄6.1±3.3岁；46.4%为女性）进行了访谈和检查。口腔健康状况较差，成人和儿童中大量未满足的治疗需求是其特征。22.2%的三岁以下儿童患有幼儿龋齿，这与不适当的奶瓶使用模式密切相关。总体儿童群体的饮食模式包括许多致龋性零食和饮料。一个解释行为结构的简单模型将这些发现置于生活在极度贫困环境的背景下，在这种环境中，为自己和家人获取更实惠满足感的诱惑往往以垃圾食品等形式表现出来。
