在泰国的学龄前儿童中,综合性空预防计划的长期有效性使用系统动力学模型
T H Oo1, S Tianviwat2, P Sontamino3
1Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Thailand.
Community dental health
|August 9, 2023
概括
联合监督的牙刷和化漆 (STB+FV) 干预措施显著减少了0-5岁儿童的腔. 这种方法比单独的干预措施更有效地预防幼儿.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生干预措施 公共卫生干预措施
- 卫生经济学建模 卫生经济学建模
背景情况:
- 牙损是儿童早期的一个普遍问题.
- 有效的预防策略对于管理儿科口腔健康至关重要.
- 泰国公共卫生部提供监督牙刷 (STB) 和化漆 (FV) 预防.
研究的目的:
- 为了比较监督牙刷 (STB),化漆 (FV) 和联合STB+FV干预措施的有效性,与0-5岁儿童牙预防的基线情景进行比较.
- 利用系统动态模型 (SDM) 来评估这些公共卫生干预措施.
- 为了确定初级牙的最佳牙预防策略.
主要方法:
- 一个系统动态模型 (SDM) 被开发来模拟和比较四个场景:基准情况,STB,FV,和结合STB+FV.
- 进行了元分析,以确定模型输入单个干预措施的疗效率.
- 该模型评估了与脱落牙的无牙和未经治疗的牙的流行情况相关的结果.
主要成果:
- 结合STB+FV干预显示,与基准病例相比,3岁 (7.5%) 和5岁 (12.8%) 的无虫人群增长最大.
- 相反,STB+FV在3岁 (12.9%) 和5岁 (10.9%) 的未经治疗的叶落虫中显示出最显著的减少.
- 无论是STB和FV干预措施都显示出积极的效果,但与联合方法相比,效果较小,所有无虫病人群的增加都被认为具有临床意义.
结论:
- 在0岁至5岁之间使用的监督牙刷和化漆 (STB+FV) 的组合是减少初级牙 кариес的最有效策略.
- 系统动力学模型 (SDM) 作为"如果"分析的宝贵工具,可以比较公共卫生干预措施以确定最佳政策.
- 实施结合STB+FV干预措施可以显著改善儿科口腔健康结果.
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