Inequalities in Indigenous Oral Health: Findings from Australia, New Zealand, and Canada
Inequalities in Indigenous Oral Health: Findings from Australia, New Zealand, and Canada
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DOI：
10.1177/0022034516658233
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发表时间：
2016-11-01
影响因子：
7.6
通讯作者：
Kaufman, J. S.
中科院分区：
文献类型：
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作者：
Jamieson, L. M.;Elani, H.;Kaufman, J. S.
目的是比较澳大利亚、加拿大和新西兰土著相关的牙科疾病经历和自评口腔健康不平等患病率的绝对差异。数据来源于澳大利亚（2004年至2006年）、加拿大（2007年至2009年）和新西兰（2009年）的国家口腔健康调查。参与者年龄为18岁。作者通过估计绝对患病率差异及其相应的95%置信区间（95%CI）来测量年龄和性别调整的不平等。临床测量包括未经治疗的龋齿、缺牙和补牙的患病率;自我报告的测量包括自我评价的口腔健康状况一般或较差的患病率。土著人处于不利地位的总体格局在所有国家都相似。经调整的患病率差异的汇总估计值如下：16.5（95% CI：11.1 - 21.9）对于龋齿（所有国家合并），18.2（95% CI：12.5至24.0）缺失的牙齿，0.8（95% CI：-1.9至3.5）填充的牙齿，和17.5（95% CI：11.3至23.6）的一般/较差的自我评价的口腔健康。I-2估计值对于每种结果都很小：龋齿、缺失和填充牙为0.0%，自评口腔健康状况一般/较差为11.6%。无论在哪个国家，与非土著人相比，土著人有更多未经治疗的龋齿和缺牙，已修复的牙齿较少（加拿大除外），报告自我口腔健康状况一般/差的比例较高。3个国家之间没有明显差异。
The objective was to compare absolute differences in the prevalence of Indigenous-related inequalities in dental disease experience and self-rated oral health in Australia, Canada, and New Zealand. Data were sourced from national oral health surveys in Australia (2004 to 2006), Canada (2007 to 2009), and New Zealand (2009). Participants were aged 18 y. The authors measured age- and sex-adjusted inequalities by estimating absolute prevalence differences and their corresponding 95% confidence intervals (95% CIs). Clinical measures included the prevalence of untreated decayed teeth, missing teeth, and filled teeth; self-reported measures included the prevalence of fair or poor self-rated oral health. The overall pattern of Indigenous disadvantage was similar across all countries. The summary estimates for the adjusted prevalence differences were as follows: 16.5 (95% CI: 11.1 to 21.9) for decayed teeth (all countries combined), 18.2 (95% CI: 12.5 to 24.0) for missing teeth, 0.8 (95% CI: -1.9 to 3.5) for filled teeth, and 17.5 (95% CI: 11.3 to 23.6) for fair/poor self-rated oral health. The I-2 estimates were small for each outcome: 0.0% for decayed, missing, and filled teeth and 11.6% for fair/poor self-rated oral health. Irrespective of country, when compared with their non-Indigenous counterparts, Indigenous persons had more untreated dental caries and missing teeth, fewer teeth that had been restored (with the exception of Canada), and a higher proportion reporting fair/poor self-rated oral health. There were no discernible differences among the 3 countries.