Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions and a case study on multilevel strategies to reduce sugar-sweetened beverage intake.
Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions and a case study on multilevel strategies to reduce sugar-sweetened beverage intake.
复制标题
减少阿拉斯加本地儿科口腔健康差异：对口腔健康干预措施的系统评价以及对减少糖粉饮料摄入量的多层次策略的案例研究。
DOI：
10.3402/ijch.v72i0.21066
复制
发表时间：
2013
影响因子：
1.3
通讯作者：
Chi DL
中科院分区：
文献类型：
--
作者：
Chi DL
龋齿是最常见的儿科疾病，在阿拉斯加土著社区有严重的儿科龋齿流行。如果不治疗，龋齿可能会导致疼痛、感染、全身健康问题、住院治疗，在极少数情况下还会死亡，以及旷课、成绩不佳和生活质量低下。在阿拉斯加土著儿科人群中进行了以人群为基础的口腔健康干预措施的程度尚不清楚。对针对18岁以下阿拉斯加原住民儿童的口腔健康干预措施进行系统回顾，并提出旨在减少阿拉斯加原住民儿童含糖饮料(SSB)摄入量的多层次干预策略的案例研究和概念模型。根据系统评价和荟萃分析的首选报告项目(PRISMA)声明，检索Medline、Embase、Web of Science、GoogleScholar和Health Foundation网站(1970-2012年)，检索相关临床试验和评价研究，检索词“阿拉斯加原住民”、“儿童”和“口腔健康”。在Medline、Embase和Web of Science数据库中发现了85项研究，GoogleScholar中有663次点击。共有9种出版物被纳入定性审查。这些出版物描述了3项干预措施，重点是：通过教育家庭和社区减少儿童龋齿；向孕妇提供牙科化疗药物；以及培训中层牙科护理人员。虽然这些方法有可能改善阿拉斯加土著儿童的口腔健康，但在干预的可接受性、覆盖面和可持续性方面存在独特的挑战。对阿拉斯加原住民儿童减少SSB摄入量的多层次策略提出了案例研究和概念模型。很少有口腔健康干预措施在阿拉斯加土著社区进行过测试。以社区为中心的多层次干预是改善阿拉斯加土著儿童口腔和全身健康的有希望的方法。未来的调查人员应评估在阿拉斯加土著社区内实施多层次干预措施和政策的可行性，以此作为减少儿童健康差距的一种方式。
Tooth decay is the most common paediatric disease and there is a serious paediatric tooth decay epidemic in Alaska Native communities. When untreated, tooth decay can lead to pain, infection, systemic health problems, hospitalisations and in rare cases death, as well as school absenteeism, poor grades and low quality-of-life. The extent to which population-based oral health interventions have been conducted in Alaska Native paediatric populations is unknown. To conduct a systematic review of oral health interventions aimed at Alaska Native children below age 18 and to present a case study and conceptual model on multilevel intervention strategies aimed at reducing sugar-sweetened beverage (SSB) intake among Alaska Native children. Based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) Statement, the terms “Alaska Native”, “children” and “oral health” were used to search Medline, Embase, Web of Science, GoogleScholar and health foundation websites (1970–2012) for relevant clinical trials and evaluation studies. Eighty-five studies were found in Medline, Embase and Web of Science databases and there were 663 hits in GoogleScholar. A total of 9 publications were included in the qualitative review. These publications describe 3 interventions that focused on: reducing paediatric tooth decay by educating families and communities; providing dental chemotherapeutics to pregnant women; and training mid-level dental care providers. While these approaches have the potential to improve the oral health of Alaska Native children, there are unique challenges regarding intervention acceptability, reach and sustainability. A case study and conceptual model are presented on multilevel strategies to reduce SSB intake among Alaska Native children. Few oral health interventions have been tested within Alaska Native communities. Community-centred multilevel interventions are promising approaches to improve the oral and systemic health of Alaska Native children. Future investigators should evaluate the feasibility of implementing multilevel interventions and policies within Alaska Native communities as a way to reduce children's health disparities.
登录
查看更多内容
影响因子：
2.9
作者：
Hu, Frank B.;Malik, Vasanti S.
通讯作者：
Malik, Vasanti S.
影响因子：
2.3
作者：
Ismail AI;Ondersma S;Jedele JM;Little RJ;Lepkowski JM
通讯作者：
Lepkowski JM
DOI：
10.1186/1743-8462-4-25
发表时间：
2007-12-09
期刊：
Australia and New Zealand health policy
影响因子：
--
作者：
Armfield, Jason M
通讯作者：
Armfield, Jason M
DOI：
10.14219/jada.archive.2009.0250
发表时间：
2009-06-01
影响因子：
3.9
作者：
Casamassimo, Paul S.;Thikkurissy, Sarat;Maiorini, Elyse
通讯作者：
Maiorini, Elyse
影响因子：
2.3
作者：
Holve, Steve
通讯作者：
Holve, Steve