Glasgow nursery-based caries experience, before and after a community development-based oral health programme's implementation.
Glasgow nursery-based caries experience, before and after a community development-based oral health programme's implementation.
复制标题
格拉斯哥托儿所基于社区发展的口腔健康计划实施前后的龋齿经验。
DOI：
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发表时间：
2004
影响因子：
1.7
通讯作者：
Kenneth W. Stephen
中科院分区：
文献类型：
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作者：
Y. Blair;L. M. D. Macpherson;D. Mccall;A. McMahon;Kenneth W. Stephen
目标
通过对该地区两个社会经济最贫困社区的基于社区的口腔健康促进计划进行生态研究，制定和评估可能改善苏格兰大格拉斯哥地区的牙齿健康并减少 5 岁前儿童口腔健康不平等的基于 NHS 的策略。
基础研究设计
在一个严重贫困的社区进行了初步的基于卫生服务的口腔健康需求评估（OHNA）后，与多学科合作网络一起启动了与文化相关的牙齿健康促进干预措施。监测牙齿健康的生态研究涉及 G22（试点）和 G33 邮政编码地区 36-59 个月幼儿的横断面龋齿流行病学，基线（1995/96）、两年后（1997/98）和四年（1999/00）。这些地区具有相似的社会经济地位（SES），即严重的社会剥夺。
结果
试点初期，试点地区36-47个月和48-59个月年龄组的平均dmft评分分别为3.9（95% CI 2.8±5.1）和5.9（95% CI 5.1-6.8），无龋儿童比例分别为38%和17%。四年期间，公共卫生计划试点地区 36-47 个月婴儿的平均 dmft 降低了 46%，48-59 个月婴儿的平均 dmft 降低了 37%；无龋儿童比例分别增至51%和40%。在该计划的前两年，G33（比较）地区 36-47 个月和 48-59 个月大的婴儿的平均 dmft 有所增加。然而，两年后，在推出类似的基于社区发展的防龋项目后，这一趋势发生了显着逆转。
结论
虽然无法归因因果关系，但一项旨在促进居住在格拉斯哥两个社会经济弱势地区的学前儿童牙齿健康的社区发展计划与这些学前人群牙齿健康的显着改善有关。
OBJECTIVE
To develop and evaluate NHS-based strategies likely to improve dental health and reduce inequalities in pre-5-year-old's oral health in Greater Glasgow, Scotland, by ecological study of community-based oral health promotion programmes in two of the area's most socio-economically deprived communities.
BASIC RESEARCH DESIGN
Following an initial health service-based Oral Health Needs Assessment (OHNA) in a severely deprived community, culturally relevant dental health promotion interventions were initiated with multidisciplinary collaborative networks. Ecological studies to monitor dental health involved cross-sectional caries epidemiology of nursery children aged 36-59 months at baseline (1995/96), after two (1997/98) and four years (1999/00), in the G22 (pilot) and G33 post code areas. These areas had similar socio-economic status (SES), i.e. severe social deprivation.
RESULTS
At the outset, mean dmft scores in the pilot area for the age groups 36-47 months and 48-59 months were respectively 3.9 (95% CI 2.8 5.1) and 5.9 (95% CI 5.1-6.8), with the proportions of caries-free children being 38% and 17%, respectively. Reductions in mean dmft of 46% for the 36-47 month-olds and 37% for the 48-59 month-olds occurred in the pilot public health programme area over the four-year period; the proportions of caries-free children increased to 51% and 40%, respectively. During the first two years of the programme, increases in the mean dmft of 36-47 month- and 48-59 month-olds in the G33 (comparator) area were recorded. However, this trend was reversed significantly two years later following the introduction of a similar community development-based caries-prevention programme.
CONCLUSION
While not being able to attribute causation, a programme of community development to promote the dental health of pre-school children residing in two socio-economically disadvantaged areas of Glasgow was associated with significant improvements in the dental health of these pre-school populations.