Update on Disparities in Oral Health and Access to Dental Care for America's Children
Update on Disparities in Oral Health and Access to Dental Care for America's Children
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DOI：
10.1016/j.acap.2009.09.010
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发表时间：
2009-11-01
影响因子：
3.1
通讯作者：
Chinn, Courtney H.
中科院分区：
文献类型：
--
作者：
Edelstein, Burton L.;Chinn, Courtney H.
此贡献更新了自 2000 年《美国口腔健康：卫生局局长报告》发布以来有关儿童口腔健康和牙科护理的联邦调查结果。龋齿患病率持续居高不下，影响了 40% 的 2 至 11 岁儿童，贫困和低收入儿童以及少数种族/族裔承担了更大的疾病和未经治疗的疾病负担。幼儿的龋齿率有所上升（1999-2004 年期间，2 至 5 岁儿童的龋齿率增至 28%），而大多数其他年龄段的龋齿率则保持不变。随着儿童数量的增加，龋齿和未经治疗的龋齿总量也随之增加。美国儿童看牙医的比例略有增加（从 1996 年到 2004 年从 42% 增加到 45%），其中增幅最大的是新加入国家儿童健康保险计划 (SCHIP) 的儿童。年龄、家庭收入、种族/民族和看护者教育程度继续证明看牙医的差异。家长关于儿童口腔健康和牙科保健的报告与这些发现相似，并且还揭示了有特殊医疗保健需求的儿童中未满足的牙科需求更高。口腔健康和牙科护理方面基于种族和收入的差异一直持续到青春期和成年初期。与过去一样，在收入差距和人口趋势不断扩大的影响下，这些差距预计将会加剧。
This contribution updates federal survey findings on children's oral health and dental care since release of Oral Health in America: A Report of the Surgeon General in 2000. Dental caries experience continued at high levels, impacting 40% of all children aged 2 to 11 years, with greater disease and untreated disease burden borne by poor and low-income children and racial/ethnic minorities. Caries rates increased for young children (to 28% of 2- to 5-year-olds in the period 1999-2004) and remained flat for most other ages. The total volume of caries and untreated caries increased as the numbers of children increased. The proportion of US children with a dental visit increased modestly (from 42% to 45% between 1996 and 2004), with the greatest increases occurring among children newly covered by the State Children's Health Insurance Program (SCHIP).Disparities in dental visits continued to be evidenced by age, family income, race/ethnicity, and caregiver education. Parental reports of children's oral health and dental care parallel these findings and also reveal higher unmet dental needs among children with special health care needs. Racial- and income-based disparities in both oral health and dental care continue into adolescence and young adulthood. These disparities can, as in the past, be expected to exacerbate under the forces of growing income disparities and demographic trends.