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首页> 美国卫生研究院文献>Frontiers in Public Health >How Much Country Economy Influences ECC Profile in Serbian Children—A Macro-Level Factor Analysis
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How Much Country Economy Influences ECC Profile in Serbian Children—A Macro-Level Factor Analysis

机译：多少国家经济影响塞尔维亚儿童的ECC概况—宏观因素分析

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>Introduction: Serbia has universal health coverage (UHC) for pediatric dental care and similar country distribution for dentists and physicians per 1,000 inhabitants. However, a high prevalence of early childhood caries (ECC) with wide variation across the country was observed in previous studies. This paper aimed to analyze the association between economic and healthcare country macro-level factors with ECC prevalence and treatment.>Method: The outcome variables were ECC prevalence and frequency of untreated ECC in 36- to 71-month-olds. Cross-sectional pathfinder survey on a nationally representative sample of children was conducted in order to obtain data. Independent variables included the following: gross domestic product (GDP), social and health care budget beneficiaries' expenditures, local self-government budget, unemployment rate, population density and density of physicians and dentists. Guided by the WHO's Basic Methods for Oral Health Surveys stratified cluster sample, 17 sites were randomly chosen to obtain adequate distribution of data regarding urban, peri-urban and rural areas in each analyzed statistical territorial unit. The variables were analyzed using the independent t-test or Mann–Whitney U test. A probability value of <0.05 was considered significant.>Results: The final sample included 864 children aged 36 to 71 months. Observed prevalence of ECC was 41.1%. Although no statistically significant difference was found, children with ECC compared to healthy children were living in parts of the country with averages of ≈122€ lower GDP per capita, ≈4€ lower social and health care expenditures per capita, 9 inhabitants per km2 lower population density, almost 7€ per capita lower local self-government budget and a 0.6% higher unemployment rate. Furthermore, although without a statistically significant difference, untreated ECC was associated with ≈302€ lower GDP per capita, ≈12€ lower social and health care expenditures per capita, 34 inhabitants per km2 lower population density, almost 20€ per capita lower local self-government budget and a 1.7% higher unemployment rate.>Conclusions: This study, performed in a nationally representative sample of preschool children, revealed the association of economic macro-level factors with ECC prevalence and its (non-) treatment. Further research on a larger sample is necessary to confirm the results. These findings suggest that most of the public-health efforts regarding prevention and early treatment of ECC should be directed at regions with lower economic performance.
机译：>简介：塞尔维亚的儿童牙科保健覆盖全民医疗保健（UHC），每千名居民中的牙医和医生分布在类似的国家/地区。但是，先前的研究发现，全国范围内儿童龋齿的患病率很高，差异很大。本文旨在分析经济和医疗保健国家宏观水平因素与ECC患病率和治疗之间的关联。>方法：结果变量为ECC患病率和36到71个月未治疗的ECC发生率老年人。为了获得数据，对全国代表性的儿童样本进行了横截面探路者调查。自变量包括以下各项：国内生产总值（GDP），社会和医疗保健预算受益人的支出，地方自治预算，失业率，人口密度以及医师和牙医的密度。在世卫组织口腔健康调查基本方法分层整群样本的指导下，随机选择了17个站点，以获得每个分析统计区域内有关城市，近郊和农村地区的数据的适当分布。使用独立t检验或Mann-Whitney U检验分析变量。 <0.05的概率值被认为是显着的。>结果：最终样本包括864名年龄在36到71个月的儿童。观察到的ECC患病率为41.1％。尽管没有发现统计学上的显着差异，但与健康儿童相比，ECC儿童生活在该国部分地区，人均GDP平均降低≈122€，人均社会和医疗保健支出降低≈4€，每公里9居民sup> 2 人口密度降低，地方自治预算降低人均近7欧元，失业率提高0.6％。此外，尽管没有统计学上的显着差异，但未经处理的ECC会导致人均GDP降低约302€，人均社会和医疗保健支出降低约12€，每km 2 人口密度降低34居民，人均本地自治预算降低近20欧元，失业率提高1.7％。>结论：该研究是在全国代表性的学龄前儿童中进行的，该研究揭示了经济宏观因素的关联ECC患病率及其（非）治疗。为了确定结果，有必要对更大的样本进行进一步的研究。这些发现表明，有关ECC预防和早期治疗的大多数公共卫生工作应针对经济绩效较低的地区。

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