Is there an Appalachian disparity in dental caries in Pennsylvania schoolchildren?
Is there an Appalachian disparity in dental caries in Pennsylvania schoolchildren?
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DOI：
10.1111/cdoe.12135
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发表时间：
2015-02-01
影响因子：
2.3
通讯作者：
Weyant, Robert J.
中科院分区：
文献类型：
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作者：
Polk, Deborah E.;Kim, Sunghee;Weyant, Robert J.
ObjectivesTo determine whether there is a Appalachian disparity in caries prevalence or extent in children living in Pennsylvania.MethodsWe conducted a cross-sectional clinical assessment of caries in a sample representing 1st，3rd，9th，and 11th grade students across Pennsylvania.我们使用logistic回归和零膨胀负二项回归控制年龄，以检查居住在阿巴拉契亚县与乳牙和恒牙的龋病患病率和程度的关联。结果与居住在阿巴拉契亚以外的儿童相比，居住在阿巴拉契亚的儿童更多的dft >0（OR=1.37，95%CI =1.07-1.76），DMFT >0者多（OR=1.32，95%CI =1.06-1.64）。此外，与生活在阿巴拉契亚以外的儿童相比，生活在阿巴拉契亚的儿童有一个更大的小学，但不是永久性的龋齿程度（IRR=1.10，95%CI =1.01-1.19）。没有一个差异是由年龄缓和。这表明，寻找阿巴拉契亚差异的机制或机制应该集中在小学开始之前和开始时发生的风险因素的差异暴露上。
ObjectivesTo determine whether there is an Appalachian disparity in caries prevalence or extent in children living in Pennsylvania.MethodsWe conducted a cross-sectional clinical assessment of caries in a sample representing 1st, 3rd, 9th, and 11th grade students across Pennsylvania. We used logistic regression and zero-inflated negative binomial regression controlling for age to examine the association of residence in an Appalachian county with caries prevalence and extent in the primary and permanent dentitions.ResultsCompared with children living outside Appalachia, more children living in Appalachia had a dft >0 (OR=1.37, 95% CI=1.07-1.76) and more had a DMFT >0 (OR=1.32, 95% CI=1.06-1.64). In addition, compared with children living outside Appalachia, children living in Appalachia had a greater primary but not permanent caries extent (IRR=1.10, 95% CI=1.01-1.19).ConclusionsWe found Appalachian disparities in caries prevalence in both the primary and permanent dentitions and an Appalachian disparity in caries extent in the primary dentition. None of the disparities was moderated by age. This suggests that the search for the mechanism or mechanisms for the Appalachian disparities should focus on differential exposures to risk factors occurring prior to and at the start of elementary school.