Colombia's Armed Conflict and Dental Caries among Adults.

IF 2.9 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Caries Research Pub Date : 2024-07-26 DOI:10.1159/000540602

Meisser Madera, Eduardo Bernabe

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Abstract

Introduction: This study aimed to determine the association between residing in municipalities with armed conflict and dental caries among adults in Colombia.

Methods: Data from 9,194 individuals aged 18-79 years, who participated in the Fourth National Oral Health Survey in 2014, were linked with information on the presence and intensity of the armed conflict experienced in their municipality of residence between 2000 and 2012 (extracted from the Resource Centre for Conflicts Analysis). Dental caries was determined through clinical examinations and summarised using the numbers of decayed teeth (DT), decayed and filled teeth (DFT), and decayed, missing, and filled teeth (DMFT). Two-level negative binomial regression models were fitted, with adults nested within municipalities, to test the association between armed conflict indicators and caries outcomes after adjustment for covariates.

Results: The mean DT, DFT, and DMFT scores were 1.75 (SD = 2.36), 6.03 (SD = 4.53), and 10.27 (SD = 7.11), respectively. Of the 197 municipalities included in the analysis, 12.2% experienced conflict permanently and 18.3% experienced high-intensity conflict. In crude analysis, adults living in municipalities with more presence and intensity of armed conflict had lower DT and DMFT, but not DFT scores. After adjustment for covariates, only the (high) intensity of conflict was associated with lower DT (rate ratio: 0.64; 95% confidence interval [CI]: 0.47-0.87), DFT (RR: 0.82; 95% CI: 0.71-0.95), and DMFT scores (RR: 0.81; 95% CI: 0.74-0.89).

Conclusions: This study found that Colombian adults residing in municipalities with high intensity of conflict had lower levels of untreated disease and caries experience.

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哥伦比亚武装冲突与成人龋齿。

简介：本研究旨在确定哥伦比亚成年人中居住在武装冲突城市与龋齿之间的关系：本研究旨在确定哥伦比亚成年人居住在武装冲突城市与龋齿之间的关系：参加 2014 年第四次全国口腔健康调查的 9194 名 18-79 岁青少年的数据与其居住城市在 2000 年至 2012 年间是否存在武装冲突以及武装冲突的激烈程度相关联（从冲突分析资源中心提取）。龋齿通过临床检查确定，并用龋坏牙齿（DT）、龋坏和填充牙齿（DFT）以及龋坏、缺失和填充牙齿（DMFT）的数量进行汇总。在对协变因素进行调整后，对成人嵌套在城市中的两级负二项回归模型进行了拟合，以检验武装冲突指标与龋病结果之间的关联：DT、DFT和DMFT的平均得分分别为1.75（SD=2.36）、6.03（SD=4.53）和10.27（SD=7.11）。在纳入分析的 197 个城市中，12.2% 的城市长期存在冲突，18.3% 的城市存在高强度冲突。在粗略分析中，生活在武装冲突更多和更激烈的城市的成年人的 DT 和 DMFT 分数较低，但 DFT 分数不低。在对协变量进行调整后，只有（高）冲突强度与较低的 DT（比率比：0.64；95% 置信区间：0.47-0.87）、DFT（RR：0.82；95% CI：0.71-0.95）和 DMFT 分数（RR：0.81；95% CI：0.74-0.89）相关：本研究发现，居住在冲突激烈城市的哥伦比亚成年人未治疗疾病和龋齿的程度较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Caries Research 医学-牙科与口腔外科

CiteScore

6.30

自引率

7.10%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.