Y Aravena-Rivas, M J Monsalves, G Espinoza-Espinoza, A Weitz, B Hernández, J Castillo, C Zaror
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引用次数: 0
Abstract
Objectives: Inequalities have been reported between high, middle and low socioeconomic position (SEP) children. However, the effect of contextual and individual SEP on existing inequalities among socioeconomically deprived children varies between local contexts. The aim of this study was to assess the impact of contextual and individual SEP on individual caries experience among socioeconomically deprived children in Chile.
Methods: Cross-sectional multilevel analysis of data from the 2015 electronic register of the National Board of School Aid and Scholarships (JUNAEB) of Chile. The contextual variables were the municipality Human Development Index (HDI) and rurality index. Individual variables included gender, living in extreme poverty and school grade. Multilevel negative binomial models assessed their impact on DMFT/dmft.
Results: 112,429 children in 255 municipalities were included. Overall, contextual SEP (HDI) was not associated with caries experience in the primary or permanent dentition. Individual SEP (living in extreme poverty) was associated with caries experience in both dentitions. The proportion of children living in extreme poverty with caries experience in the primary teeth was 17% higher than children not living in extreme poverty (PR 1.17; 95% CI 1.15-1.19), while for children with permanent teeth it was 9% higher (PR 1.09; 95% CI 1.08-1.11).
Conclusion: These findings could support the development of health strategies focused on individual SEP to efficiently reduce oral health inequalities among socioeconomically deprived children.
目的:高、中、低社会经济地位(SEP)儿童之间存在不平等现象。然而，环境和个体SEP对社会经济贫困儿童存在的不平等的影响因地区而异。本研究的目的是评估环境和个体SEP对智利社会经济贫困儿童个体龋病经历的影响。方法:对智利国家学校资助和奖学金委员会(JUNAEB) 2015年电子注册数据进行横断面多层次分析。背景变量为城市人类发展指数(HDI)和乡村指数。个体变量包括性别、极端贫困生活和学校等级。多水平负二项模型评估了它们对DMFT/ DMFT的影响。结果:包括255个城市的112,429名儿童。总体而言，背景SEP (HDI)与乳牙或恒牙的龋病经历无关。个体SEP(生活在极端贫困中)与两个牙齿的龋齿经历有关。生活在极端贫困中的儿童有乳牙龋齿经历的比例比非生活在极端贫困中的儿童高17%(比例比1.17;95% CI 1.15-1.19)，而有恒牙的儿童则高出9% (PR 1.09;95% ci 1.08-1.11)。结论:这些研究结果可为制定以个体SEP为重点的健康策略提供支持，以有效减少社会经济贫困儿童的口腔健康不平等。
期刊介绍：
The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society.
The discipline covers a wide range and includes such topics as:
-oral epidemiology-
oral health services research-
preventive dentistry - especially in relation to communities-
oral health education and promotion-
clinical research - with particular emphasis on the care of special groups-
behavioural sciences related to dentistry-
decision theory-
quality of life-
risk analysis-
ethics and oral health economics-
quality assessment.
The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.
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