Findings from the 2019 nationally representative oral health survey for adults in Singapore

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Christina P. C. Sim, Yun Hui Lee, Yu Fan Sim, Jennifer Wong, Shean Han Soh, Bee Tin Goh, Choy Yoke Poon, Patrick Finbarr Allen, Kee Seng Chia, Mun Loke Wong
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Abstract

Objectives

The aim of this study was to present key findings from the 2019 national adult oral health survey in Singapore (NAOHS).

Methods

A multi-stage stratified sampling method was used to recruit participants for a representative national adult oral health survey. A total of 12 212 households were randomly selected from the National Database on Dwellings in Singapore. Within each household eligible persons aged ≥65 years were automatically invited to participate while a Kish selection method was used to invite those between 21 and 64 years old. The survey comprised a face-to-face interview questionnaire and a clinical examination which recorded details of tooth loss, DMFT, DMFS and prevalence of periodontal disease according to the CPITN and the US CDC-AAP classifications. Weighted analysis was performed to adjust for oversampling, non-response and post-stratification. Multivariate regression with backward stepwise selection was carried out to identify predictors of chronic periodontal disease and untreated dental caries.

Results

Six hundred and sixty-three participants completed both the questionnaires and the clinical examination. The prevalence of edentulousness was 2.7%. Of participants, 34.8% presented with untreated dental caries with a higher proportion found in those who were aged ≥60 years, of Malay ethnicity, living in 1–2-room public housing and who only visited the dentist when there was a problem. Mean DMFS and DMFT indices were 24.7 and 7.9 respectively. Based on the CDC-AAP classification, the prevalence of moderate–severe chronic periodontitis was 56.9% and increased with age, with a higher proportion in males. Participants with untreated dental caries were more likely to have moderate or severe periodontal disease.

Conclusions

Survey findings showed high prevalence of dental caries and periodontal disease, at 34.8% and 77.6% respectively. A clear socio-economic gradient in the distribution of tooth loss, untreated dental caries and moderate-to-severe periodontitis was observed.

2019 年新加坡全国成年人口腔健康调查的结果。
研究目的本研究旨在介绍 2019 年新加坡全国成人口腔健康调查(NAOHS)的主要结果:方法:采用多阶段分层抽样法,招募具有代表性的全国成人口腔健康调查参与者。从新加坡全国住宅数据库中随机抽取了12 212户家庭。在每个家庭中,年龄≥65 岁的符合条件者会被自动邀请参加调查,而年龄在 21 岁至 64 岁之间的人则采用基什选择法邀请参加调查。调查包括面对面的访谈问卷和临床检查,根据 CPITN 和美国 CDC-AAP 的分类,记录牙齿脱落、DMFT、DMFS 和牙周病患病率的详细情况。对超量抽样、无响应和后分层进行了加权分析调整。采用逆向逐步选择法进行多元回归,以确定慢性牙周病和未经治疗的龋齿的预测因素:有 663 名参与者完成了问卷调查和临床检查。无牙症的发病率为 2.7%。在参与者中,34.8%患有未经治疗的龋齿,其中年龄≥60岁、马来族、居住在1-2个房间的公共住房中以及只在有问题时才去看牙医的人所占比例较高。DMFS和DMFT指数的平均值分别为24.7和7.9。根据美国疾病预防控制中心-AAP的分类,中度-重度慢性牙周炎的患病率为56.9%,并且随着年龄的增长而增加,男性的比例更高。龋齿未得到治疗的参与者更有可能患有中度或重度牙周病:调查结果显示,龋齿和牙周病的患病率较高,分别为 34.8%和 77.6%。在牙齿缺失、未经治疗的龋齿和中度至重度牙周炎的分布方面,发现了明显的社会经济梯度。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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