Prevalence and severity of dental caries among American Indian and Alaska Native preschool children
Prevalence and severity of dental caries among American Indian and Alaska Native preschool children
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DOI：
10.1111/j.1752-7325.2012.00331.x
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发表时间：
2012-06-01
影响因子：
2.3
通讯作者：
Blahut, Patrick
中科院分区：
文献类型：
--
作者：
Phipps, Kathy R.;Ricks, Timothy L.;Blahut, Patrick
目的：描述印度卫生服务（IHS）口腔健康监测系统和美国印第安人和阿拉斯加原住民（AI/AN）1-5岁儿童的口腔健康状况。方法：IHS/部落网站的分层概率样本被选中。儿童在社区地点接受了训练有素的检查员的筛查，这些地点包括医疗诊所、学前教育、幼儿园和妇女、婴儿和儿童。数据收集仅限于乳牙列，包括存在的牙齿数量加上有空洞病变的牙齿数量，由于蛀牙而拔除的牙齿数量。还获得了使用密封剂的磨牙数量和牙齿护理数据的紧迫性。用SAS（SAS Institute Inc.，卡里，北卡罗来纳州，美国）。样本权重用于根据选择概率产生群体估计值。结果如下：在63个IHS/部落地点共筛查了8，461名12-71个月大的AI/AN儿童，约占IHS同龄用户人口的7%。总体而言，54%的儿童有蛀牙经历，39%的儿童有未经治疗的蛀牙，7%的儿童有乳牙封闭剂，36%的儿童需要早期或紧急牙科护理，6%的儿童需要紧急牙科护理。龋齿、缺失或补牙的平均值为3.5（95%置信区间为3.1-3.9）。龋齿的患病率随着年龄的增长而增加; 21%的1岁儿童和75%的5岁儿童有龋齿史。当按IHS地区分层时，学龄前儿童的口腔健康状况存在实质性差异。结论：结果证实，在美国，由IHS/部落计划服务的AI/AN儿童是龋齿风险最高的种族/民族群体之一。
Objectives: To describe the Indian Health Service (IHS) oral health surveillance system and the oral health status of American Indian and Alaska Native (AI/AN) children aged 1-5 years. Methods: A stratified probability sample of IHS/tribal sites was selected. Children were screened by trained examiners at community-based locations including medical clinics, Head Start, preschools, kindergarten, and Women, Infants, and Children (WIC). Data collection was limited to the primary dentition and included number of teeth present plus number of teeth with cavitated lesions, restorations, and extracted because of decay. Number of molars with sealants and urgency of need for dental care data were also obtained. Statistical analyses were performed with SAS (SAS Institute Inc., Cary, NC, USA). Sample weights were used to produce population estimates based on selection probabilities. Results: A total of 8,461 AI/AN children 12-71 months of age were screened at 63 IHS/tribal sites, approximately 7 percent of the estimated IHS user population of the same age. Overall, 54 percent of the children had decay experience, 39 percent had untreated decay, 7 percent had primary molar sealants, 36 percent needed early or urgent dental care, and 6 percent needed urgent dental care. The mean of decayed, missing, or filled teeth was 3.5 (95 percent confidence interval, 3.1-3.9). The prevalence of decay experience increased with age; 21 percent of 1-year-olds and 75 percent of 5-year-olds had a history of caries. When stratified by IHS area, there were substantial differences in the oral health of preschool children. Conclusions: The results confirm that in the United States, AI/AN children served by IHS/tribal programs are one of the racial/ethnic groups at highest risk of caries.