AN ORAL HEALTH SURVEY OF HEAD-START CHILDREN IN ALASKA - ORAL HEALTH-STATUS, TREATMENT NEEDS, AND COST OF TREATMENT

AN ORAL HEALTH SURVEY OF HEAD-START CHILDREN IN ALASKA - ORAL HEALTH-STATUS, TREATMENT NEEDS, AND COST OF TREATMENT
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DOI:
10.1111/j.1752-7325.1992.tb02249.x
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发表时间:
1992-12-01
影响因子:
2.3
通讯作者:
PHIPPS, KR
PHIPPS, KR
中科院分区:
医学4区
文献类型:
--
作者:
JONES, DB;SCHLIFE, CM;PHIPPS, KR

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本研究的目的是获得信息的口腔健康状况,治疗需求,并在阿拉斯加州的头开始儿童的治疗费用。 代表该州五个地区的20个社区被选中参加。 这项研究包括三个不同的部分:龋齿状况检查,社会人口调查问卷,和治疗需求检查。 共有544名3至5岁的儿童接受了检查。 平均dmft和dmfs评分分别为3.91和8.73。 当按种族分层时,阿拉斯加土著儿童的平均dmft和dmfs分数显着较高。 当按居住社区分层时,居住在农村社区的儿童龋齿患病率高于城市儿童。 总样本的45%需要牙科修复治疗,不包括检查,X光片和预防服务。 农村儿童需要照料的比例远远高于城市儿童(59%比27%)。 平均每个城市儿童需要治疗0.7颗牙齿,而每个农村儿童需要治疗2.8颗牙齿。 当考虑到包括镇静和运输费用在内的所有治疗因素时,参加阿拉斯加领先计划的1,475名儿童的潜在治疗费用为601624美元。
The purpose of this study was to obtain information on the oral health status, treatment needs, and cost of treatment for Head Start children in Alaska. Twenty communities, representing five regions within the state, were selected for participation. The study consisted of three distinct parts: a caries status exam, a sociodemographic questionnaire, and a treatment needs examination. A total of 544 children between three and five years old were examined. The mean dmft and dmfs scores were 3.91 and 8.73, respectively. When stratified by race, the Alaska Native children had significantly higher mean dmft and dmfs scores. When stratified by community of residence, those children residing in the rural communities had higher rates of dental caries than the urban children. Forty-five percent of the total sample was in need of dental restorative treatment, excluding examinations, radiographs, and preventive services. The proportion of rural children needing care was much higher than the urban children (59% vs 27%). On average, each urban child needed treatment on 0.7 teeth, while each rural child needed treatment on 2.8 teeth. When all treatment factors including sedation and transportation costs are considered, the potential cost of treatment for the 1,475 children enrolled in the Alaska Head Start programs was $601,624.