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澳大利亚原住民儿童的早期干预:一个交叉随机试验

X Ju¹, M N Mittinty², L Smithers³

¹Australian Research Centre for Population Oral Health, Adelaide Dental School, the University of Adelaide, South Australia, Australia.

JDR clinical and translational research

|August 24, 2023

概括

早期儿童 (ECC) 的干预显著减少了澳大利亚原住民儿童的牙腐烂. 婴儿牙谈话计划证明了预防ECC的立即和持久益处.

科学领域:

公共卫生公共卫生
儿科牙科儿科牙科
预防医学预防医学

背景情况:

幼儿牙 (ECC) 是成年牙的重要预测因素.
原住民儿童,特别是澳大利亚原住民儿童,比非原住民儿童有更高的ECC率.
有效的干预措施对于解决土著人口口腔健康差异至关重要.

研究的目的:

评估"婴儿牙谈话"干预措施在澳大利亚土著儿童中预防幼儿 (ECC) 的有效性.
为了确定立即干预对延迟干预对牙损伤患病率的影响.
为文化上适当的ECC预防策略提供证据.

主要方法:

一项随机对照试验,涉及南澳大利亚448名孕妇及其土著儿童.
参与者被分配到即时干预 (II) 或延迟干预 (DI) 组.
干预包括母亲的牙护理,化漆,激励面试和预期指导,结果以24个月,36个月和60个月的腐烂,缺失和填充牙 (dmft) 来衡量.

主要成果:

与延迟组相比,即时干预组的平均dmft在所有随访点上始终较低.
这项干预表明,牙经验 (dmft) 的发生率减少了84%.
回归分析证实了ECC干预的显著预防效果,经过对共变量进行调整.

结论:

"婴儿牙谈话"的干预有效地减少了澳大利亚原住民儿童的幼儿牙 (ECC).
该研究强调了及时ECC干预的直接和长期好处.
研究结果支持卫生专业人员和政策制定者实施这种文化上适当的干预措施,以改善口腔健康结果.

关键词:

在ECC ECC中,我们可以看到.原住民原住民的原住民有关RCT的RCT是什么已经腐烂了,已经腐烂了.缺失的牙和填充的牙 (dmft)

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