Dental caries experience and use of dental services among preschool children in Ajman, UAE

Dental caries experience and use of dental services among preschool children in Ajman, UAE
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DOI:
10.1111/j.1365-263x.2006.00746.x
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发表时间:
2006-07-01
影响因子:
3.8
通讯作者:
Awad, M.
Awad, M.
中科院分区:
医学3区
文献类型:
--
作者:
Hashim, R.;Thomson, W. M.;Awad, M.

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目标。本研究的目的是评估阿联酋阿杰曼市幼儿乳牙期龋病的患病率和严重程度,并调查其与社会人口学特征和牙科服务使用情况的关系。采用整群抽样的方法,随机选择在公立或私立学校就读的5岁或6岁儿童。龋病的临床检查由一名检查员根据世界卫生组织的标准进行。父母填写了调查问卷,寻求有关社会经济背景和牙科服务利用情况的信息。采用零膨胀负二项(ZINB)回归模型识别龋病经历的危险标记物和危险指标。样本中龋齿患病率高达76.1%。DMF的平均得分为10.2。在年龄较大的儿童和母亲受教育程度较低的男性子女中,龋齿严重程度更高。阿联酋(当地)儿童的龋齿严重程度高于其他儿童。患龋率较高的儿童去看牙医的频率高于单纯去看牙科检查的儿童。阿杰曼幼儿的龋齿患病率和严重程度都很高,社会经济特征和牙齿利用是他们患龋齿的重要决定因素。迫切需要制定针对这些儿童龋齿的治疗和根本原因的口腔保健方案。
Objective. The aim of this study was to estimate the prevalence and severity of dental caries in the primary dentition of young children in Ajman, UAE, and investigate its association with sociodemographic characteristics and use of dental services.Methods. A cluster-sampling approach was used to randomly select children aged 5 or 6 years who were enrolled in public or private schools. Clinical examinations for caries were conducted by a single examiner using World Health Organization criteria. Parents completed questionnaires seeking information on socioeconomic background and dental service utilization. Zero-inflated negative binomial (ZINB) regression modelling was used to identify risk markers and risk indicators for caries experience.Results. The prevalence of dental caries in the sample was high 76.1%. The average dmfs score 10.2. Caries severity was greater among older children and among male children of less educated mothers. Emirati (local) children had higher caries severity than others. Children who had higher level of caries visited the dentist more frequently than other children whose visits were for check-up only.Conclusions. Dental caries prevalence and severity in young children in Ajman are high, and socioeconomic characteristics and dental utilization are important determinants of their dental caries experience. There is an urgent need for oral health programmes targeted at the treatment and underlying causes of dental caries in these children.