Socioeconomic factors that affect international caries levels
Socioeconomic factors that affect international caries levels
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DOI：
10.1034/j.1600-0528.2001.290309.x
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发表时间：
2001-06-01
影响因子：
2.3
通讯作者：
Kiyak, HA
中科院分区：
文献类型：
--
作者：
Diehnelt, DE;Kiyak, HA
卫生政策制定者研究了经济政策和国家社会发展对其人口健康的影响。目的：本研究的目的是调查代表一系列社会和经济条件的 109 个国家的医疗保健支出、社会经济因素和龋齿水平之间的关联，并确定这些因素与不同经济发展水平的龋齿经历之间的关系。方法：根据国民生产总值（高、中、低收入）将国家分为成熟市场经济国家和三组发展中国家。对这些国家的卫生总支出占 GDP 和人均美元的百分比、公共支出和援助流量占卫生总支出的百分比、每 10 万人口的牙医人数、人均食糖消费量以及人口城市化程度进行了比较。我们评估了这些变量与这些国家 12 岁儿童的腐烂、缺失和补牙 (DMFT) 之间的相关性。结果：DMFT 与公共支出、食糖消费和城市化之间的相关性最高。根据发展阶段，不同国家群体在几个变量上出现了高度显着的差异。结论：研究结果表明，在规划防龋政策和计划时，考虑特定国家的发展阶段非常重要。这种因地制宜的方法更有可能成功降低龋齿水平。
Health policy makers have examined the impact of economic policies and a nation's social development on the health of its population. Objectives: The purpose of this research was to investigate the association between health care expenditures, socioeconomic factors, and caries levels in 109 countries representing an array of social and economic conditions, and to determine how such factors are related to caries experience at different levels of economic development. Methods: Countries were divided into established market economies and three groups of developing nations, based on their GNP (high, medium, low income). Total health expenditures as percent GDP and as US dollars per capita, public expenditures and aid flow as percent of total health expenditures, dentists per 100 000 population, per capita sugar consumption, and urbanization of the population were compared among these countries. Correlations between these variables, and decayed, missing and filled teeth (DMFT) of 12-year-olds in these countries were assessed. Results: The highest correlations were found between DMFT and public expenditures, sugar consumption, and urbanization. Highly significant differences emerged across nation groups by stages of development on several variables. Conclusions: The findings suggest that it is important to consider the stage of development of a given country when planning caries prevention policies and programs. Such a contextual approach is more Likely to be successful in reducing caries levels.