PERIODONTAL HEALTH STATUS OF THE SANDY BAY FIRST NATION IN MANITOBA, CANADA
PERIODONTAL HEALTH STATUS OF THE SANDY BAY FIRST NATION IN MANITOBA, CANADA
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DOI：
10.3402/ijch.v68i1.18289
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发表时间：
2009-02-01
影响因子：
1.3
通讯作者：
Ghiabi, Edmond
中科院分区：
文献类型：
--
作者：
Brothwell, Doug;Ghiabi, Edmond
目标。确定曼尼托巴沙湾第一民族成年成员牙周健康的分布和决定因素。加拿大。研究设计。基于面对面访谈和口试的横断面研究。对107人进行面对面访谈和口腔检查，评估碎片指数、微积分指数。牙龈指数与临床附着丧失（CAL）。卡方定理，费雪是准确的。采用Mann-Whitney检验和Kruskal-Wallis检验寻找与2个结局变量显著相关的变量：二分类平均CAL （2.5mm）和二分类严重牙周炎。发现与任何一个结果变量显著相关的变量进入逻辑回归分析，以寻找显著的独立影响（P < 0.05）。样本的平均年龄为36.1岁（SD 11.6）。平均CAL为1.44mm （SD为1.14）。18-27岁、28-37岁、38-47岁和48岁及以上受试者的年龄CAL （SD）值分别为1.08（0.69）、1.18（0.97）、2.05（1.57）和2.10（0.95）。分别。在研究的个体中，42.6%患有中度牙周炎，而22.4%患有局部或全身性严重牙周炎。在检验的变量中，刷牙频率（p < 0.05）、牙线（p=0.001）、微积分指数（p=0.001）。牙龈指数（p < 0.05）。年龄（p < 0.05）、糖尿病（p < 0.05）和DMFS （p < 0.05）与平均CAL有显著相关。性别（p < 0.05）。刷牙频率（p < 0.05）、牙石指数（p < 0.005）、年龄（p < 0.005）和DMFS （p < 0.05）与严重牙周炎相关。logistic回归分析发现年龄、刷牙频率和使用牙线对平均牙周炎和严重牙周炎有显著的独立影响。考虑到该人群牙周炎的高患病率。迫切需要扩大以社区为基础的牙科服务。
Objectives. To determine the distribution and determinants of periodontal health in adult members of the Sandy Bay First Nation in Manitoba. Canada.Study design. Cross-sectional study based oil face-to-face interviews and oral examinations.Methods. Face-to-face interviews and oral examinations were performed oil a convenience sample of 107 individuals to assess Debris Index, Calculus Index. Gingival Index and clinical attachment loss (CAL). Chi-square, Fisher's exact. Mann-Whitney and Kruskal-Wallis tests were used to find variables significantly associated with 2 outcome variables: dichotomous mean CAL ( 2.5mm) and dichotomous severe periodontitis. Variables Found to be significantly associated with either of the outcome variables were entered into logistic regression analysis to look for significant independent effects (P < 0.05).Results. The mean age for the sample was 36.1 (SD 11.6). The mean CAL for the group Was 1.44mm (SD 1.14). with age-specific CAL (SD) values of 1.08 (0.69) 1.18 (0.97), 2.05 (1.57) and 2.10 (0.95) for subjects aged 18-27, 28-37, 38-47 and 48 years or above. respectively. Of the individuals Studied, 42.6% suffered from moderate periodontitis, whereas 22.4% Suffered from either localized or generalized severe periodontitis. Of the variables tested, tooth brushing frequency (p < 0.05), flossing (p=0.001), Calculus Index (p=0.001). Gingival Index (p < 0.05). age (p < 0.05) diabetes (p < 0.05) and DMFS (p < 0.05) were found to be significantly associated with mean CAL, whereas. sex (p < 0.05). tooth brushing frequency (p < 0.05), Calculus Index (p < 0.005), age (p < 0.005) and DMFS (p < 0.05) were found to be significantly-associated with severe periodontitis. Age, tooth brushing frequency and flossing, were found to have significant independent effects on mean CAL and severe periodontitis using logistic regression analysis.Conclusions. Considering the high prevalence of periodontitis ill this population. expanded availability of community-based dental services is urgently needed.