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学前儿童使用牙科服务:流行率和相关因素
Isabela da Costa Gonçalves1, Valéria Silveira Coelho1, Joana Ramos-Jorge1
1Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent Oral Health, Belo Horizonte, MG, Brazil.
Brazilian oral research
|September 11, 2024
概括
1-3岁的学龄前儿童的牙医访问率很低,尽管有建议. 较高的家庭收入依赖和中度至广泛的牙损伤与这个年龄组的牙科服务使用率增加有关.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
- 口腔卫生流行病学 口腔卫生流行病学
背景情况:
- 全球牙科协会建议在12个月前进行第一次牙科检查.
- 幼儿园 (1-3岁) 儿童对基本牙科服务的使用率较低.
- 了解影响儿童早期牙科护理获取的因素对于公共卫生干预至关重要.
研究的目的:
- 确定1至3岁儿童使用牙科服务的流行率.
- 确定与此年龄组中使用牙科服务相关的社会人口统计学和临床因素.
主要方法:
- 在巴西MG的Diamantina进行了一项横截面研究,对308对儿童和母亲进行了研究.
- 数据收集包括关于社会人口统计学/经济因素和儿童口腔健康的母亲问卷.
- 临床评估包括牙损伤 (ICDAS),创伤,缺陷和粘膜变化,使用千平方和波桑回归分析.
主要成果:
- 只有39.6%的1-3岁儿童使用牙科服务.
- 较高的利用率与每收入的家庭受抚养人数较多有关 (流行率=1.40).
- 中度至广泛的牙损伤 (ICDAS代码3-6),显著增加了牙服务的使用率 (患病率=1.44).
结论:
- 在 1-3 岁的巴西学龄前儿童中,牙科服务的使用率仍然很低.
- 诸如家庭收入依赖度增加和中度/广泛牙的存在等因素与使用率更高有关.
- 需要有针对性的干预措施来改善儿童早期的牙科护理和解决差异.
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