Nithila A, Bourgeois D, Barmes D E, Murtomaa H
Division of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
Bull World Health Organ. 1998;76(3):237-44.
The global oral health situation of 12-year-old children--decayed, missing, filled teeth (DMFT) index and the percentage of population affected--is described in this article using the latest representative studies for 80 countries included in the WHO Global Oral Data Bank (GODB) between 1986 and 1996. The quantity of information varied considerably: 68% of developed market economies had at least one national data set, compared with 38% of developing countries and 36% of economies in transition. By WHO region, the proportions were as follows: Eastern Mediterranean, 55%; European, 50%; Western Pacific, 48%; African, 39%; South-East Asia, 30%; and the Americas, 26%. Globally, the weighted DMFT index for all data in the GODB is < 3.0%, the WHO/Fédération Dentaire Internationale goal for the year 2000. For the data reviewed in this article, achievement and nonachievement of this goal are discussed, as is the variation in DMFT means and proportions of children affected for various country groupings. There are difficulties in obtaining recent data for many countries, but the article emphasizes the need to maintain and develop the GODB to facilitate the compilation of valid, reliable and comparable data on oral health.
本文利用1986年至1996年间世界卫生组织全球口腔数据库(GODB)中80个国家的最新代表性研究,描述了12岁儿童的全球口腔健康状况——龋失补牙(DMFT)指数以及受影响人口的百分比。信息数量差异很大:68%的发达市场经济体至少有一组国家数据,相比之下,发展中国家为38%,经济转型国家为36%。按世界卫生组织区域划分,比例如下:东地中海地区为55%;欧洲为50%;西太平洋地区为48%;非洲为39%;东南亚为30%;美洲为26%。在全球范围内,GODB中所有数据的加权DMFT指数<3.0%,这是世界卫生组织/国际牙科联合会设定的2000年目标。对于本文所审查的数据,讨论了该目标的实现和未实现情况,以及不同国家组别的DMFT均值和受影响儿童比例的差异。许多国家在获取最新数据方面存在困难,但本文强调需要维护和发展GODB,以促进编制关于口腔健康的有效、可靠和可比数据。