Impact of school sealant programs on oral health among youth and identification of potential barriers to implementation.
Impact of school sealant programs on oral health among youth and identification of potential barriers to implementation.
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学校密封剂计划对青少年口腔健康的影响以及确定实施的潜在障碍。
DOI：
10.1016/j.adaj.2022.05.011
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发表时间：
2022-10
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
学校密封剂计划（SSP）增加了缺乏口腔保健的儿童的密封剂流行率。然而，小岛屿服务项目的利用严重不足。从2013年到2018年，疾病控制和预防中心资助了18个州在高需求学校开展SSP活动（≥50%的免费和降价膳食计划参与）。从2019年到2020年，作者评估了SSP在减少龋齿方面的影响以及各州如何扩大SSP。作者还讨论了扩张的潜在障碍。对于目标1，作者使用已发表的方法和SSP基线筛查和1年保持数据来估计归因于SSP的9年内避免的龋齿。对于目标2，作者使用了国家对在线调查，电话采访和年度行政报告的回应。使用16个州18.6%的高需求学校的62，750名儿童的数据，作者估计每年有7.5%的健康，未密封的磨牙在没有密封剂的情况下会发生龋齿，放置4个密封剂可以防止1个磨牙发生龋齿。14个州报告说，SSP在高需求学校扩大。SSP扩展的2个最常见的障碍是资金水平和要求牙医在评估或密封剂放置时在场的政策。作者发现，SSP通常为龋齿风险升高和龋齿减少的儿童提供服务。此外，作者确定了资金水平和管理牙科医生监督的政策可能是SSP扩展的障碍。增加SSP患病率可以减少龋齿。进一步研究本研究中确定的SSP实施的潜在障碍，可以为SSP的长期可持续性提供关键信息。
School sealant programs (SSPs) increase sealant prevalence among children lacking access to oral health care. SSPs, however, are substantially underused. From 2013 through 2018, the Centers for Disease Control and Prevention funded 18 states for SSP activities in high-need schools (≥50% free and reduced-price meal program participation). From 2019 through 2020, the authors assessed SSPs’ impact in reducing caries and how states expanded SSPs. The authors also discuss potential barriers to expansion. For Aim 1, the authors used a published methodology and SSP baseline screening and 1-year retention data to estimate averted caries over 9 years attributable to SSPs. For Aim 2, the authors used state responses to an online survey, phone interviews, and annual administrative reports. Using data for 62,750 children attending 18.6% of high-need schools in 16 states, the authors estimated that 7.5% of sound, unsealed molars would develop caries annually without sealants and placing 4 sealants would prevent caries in 1 molar. Fourteen states reported SSP expansion in high-need schools. The 2 most frequently reported barriers to SSP expansion were levels of funding and policies requiring dentists to be present at assessment or sealant placement. The authors found that SSPs typically served children at elevated caries risk and reduced caries. In addition, the authors identified funding levels and policies governing supervision of dental hygienists as possible barriers to SSP expansion. Increasing SSP prevalence could reduce caries. Further research on potential barriers to SSP implementation identified in this study could provide critical information for long-term SSP sustainability.
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影响因子：
33.9
作者：
Griffin, Susan O.;Wei, Liang;Espinoza, Lorena
通讯作者：
Espinoza, Lorena
DOI：
10.14219/jada.archive.2009.0190
发表时间：
2009-04-01
影响因子：
3.9
作者：
Griffin, Susan O.;Gray, Shellle Kolavic;Gooch, Barbara F.
通讯作者：
Gooch, Barbara F.
DOI：
10.14219/jada.archive.2008.0155
发表时间：
2008-03-01
影响因子：
3.9
作者：
Beauchamp, Jean;Caufield, Page W.;Frantsve-Hawley, Julie
通讯作者：
Frantsve-Hawley, Julie
DOI：
10.1080/13595220152601792
发表时间：
2001-01-01
期刊：
Journal of epidemiology and biostatistics
影响因子：
--
作者：
Virtanen, J I
通讯作者：
Virtanen, J I
影响因子：
5.1
作者：
Agaku, Israel T.;Olutola, Bukola G.;Vardavas, Constantine I.
通讯作者：
Vardavas, Constantine I.