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首页> 外文期刊>Journal of public health management and practice: JPHMP >The importance of substate surveillance in detection of geographic oral health inequalities in a small state
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The importance of substate surveillance in detection of geographic oral health inequalities in a small state

机译：子州监视在检测小州地理口腔健康不平等方面的重要性

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CONTEXT: Considering that 42% of children and adolescents and 91% of dentate adults experience dental caries, oral disease is a public health problem. Although the population's oral health is improving, certain subgroups remain at increased risk for dental disease. OBJECTIVE: To assess the oral health status at the substate level and explore the possibility of geographic oral health inequalities in New Hampshire while building upon existing surveillance data sets. DESIGN: We used the Third Grade Oral Health and NH Behavioral Risk Factor Surveillance System surveys. We ensured the availability of substate level data and compared county/region specific estimates. SETTING: New Hampshire. PARTICIPANTS: Adults and third-grade students in public schools. MAIN OUTCOME MEASURES: The prevalence of dental caries, untreated caries, and dental sealants among children; and the insurance status, utilization of dental services, and edentulism among adults. RESULTS: Of the 10 counties, the northernmost Coos County had consistently worse outcomes when compared with other counties. Only 64% of adult Coos County residents reported a dental visit in the past year; of these, 66% reported dental cleaning. Among adults 65 years and older, 29% were edentulous. In comparison with the state overall, these estimates were 76%, 77%, and 19%, respectively. Coos County third-grade students had the highest prevalence of dental caries experience (64% compared with 44% in New Hampshire) and untreated caries (31% compared with 12%), and only 24% had dental sealants (state prevalence is 60%). CONCLUSIONS: Overall oral health status in our state is favorable and comparable with the nation, yet significant geographic inequalities exist among children and adults. The oral health status of disparate groups can be improved using tailored interventions such as community water fluoridation or expansion of school-based dental sealant programs. Surveillance at the substate level is an essential part of the planning, targeting, and progress monitoring.
机译：背景：考虑到42％的儿童和青少年以及91％的牙齿成年人患有龋齿，口腔疾病是一个公共卫生问题。尽管该人群的口腔健康状况有所改善，但某些亚组患牙病的风险仍然较高。目的：在现有监测数据集的基础上，评估亚州一级的口腔健康状况，并探讨新罕布什尔州口腔健康不平等的可能性。设计：我们使用了三年级口腔健康和NH行为危险因素监视系统调查。我们确保了亚州级数据的可用性，并比较了县/地区的具体估算。地点：新罕布什尔州。参加者：公立学校的成年人和三年级学生。主要观察指标：儿童龋齿，未经治疗的龋齿和密封胶的患病率;以及成年人的保险地位，牙科服务的使用和牙科保健。结果：在10个县中，最北端的Coos县与其他县相比，结果一直较差。在过去的一年中，只有64％的库斯县成年居民报告了看牙医的情况;其中66％的人报告了牙齿清洁。在65岁及以上的成年人中，有29％是无牙的。与州整体相比，这些估计分别为76％，77％和19％。库斯县三年级学生的龋齿患病率最高（64％，而在新罕布什尔州则为44％）和未接受治疗的龋齿（31％，则为12％），只有24％的人有牙齿密封剂（州患病率为60％） ）。结论：我们州的总体口腔健康状况良好，与美国相当，但是儿童和成人之间存在明显的地域不平等现象。可以使用量身定制的干预措施，例如社区水氟化法或扩大基于学校的牙科密封剂计划，可以改善不同群体的口腔健康状况。州一级的监视是计划，目标确定和进度监视的重要组成部分。

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