出版社:Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia
摘要:Objetivo Describir la prevalencia y severidad de la caries en niños del colegio John F. Kennedy de Cartagena de Indias y su relación con factores familiares. Métodos Estudio descriptivo transversal, en 243 estudiantes. Se evaluó la prevalencia de caries dental mediante el índice COP-D y ceo-d, la severidad mediante los criterios ICDAS II 2005 y para las variables familiares se diligenció un cuestionario que incluía el APGAR familiar para medir funcionalidad familiar. Se realizó el análisis mediante estadísticas descriptivas y la significancia de las relaciones entre variables se evaluaron mediante la prueba X2. Resultados La prevalencia de caries fue de 51 % (IC 95 %; 45-59), el 38 % (IC 95 %; 31- 44) de los padres habían accedido a la secundaria incompleta, el 44 %(IC 95 %;39-54) vivían en unión libre, 47 %(IC 95 %; 40-53) en estrato socioeconómico bajo, el 53 % (IC 95 %; 47-57) en familias nucleares, 47 % (IC 95 %;41-53) reciben ingresos menores a un salario mínimo, 66 % (IC 95 %; 58-70) afiliadas al sistema de salud y el 59 % (IC 95 %: 52-66) viven en familias disfuncionales. A través del análisis bivariado solo se encontró significancia estadística al relacionar el nivel de escolaridad de secundaria incompleta del padre con la presencia de caries dental (p=0,04). Conclusiones La mayoría de las variables si bien no mostraron significancia estadística para explicar la presencia de la caries dental, aportan indicadores de importancia epidemiológica, lo cual permitiría tomar decisiones desde la salud pública.
其他摘要:Objective Describing the prevalence and severity of caries in schoolchildren attending the John F. Kennedy school in Cartagena and its relationship to family factors. Methods This was a cross-sectional descriptive study of 243 students. Dental caries prevalence was evaluated by DMFT and ceo-d index; caries severity was measured by using ICDAS II 2005 criteria and family variables were ascertained by filling out a questionnaire that included the Family APGAR (adaptation, partnership, growth, affection and resolve) for measuring family functioning. Descriptive statistics were used when analysing relationships and the Chi-square test was used for variables. Results Caries prevalence was 51 % (45-95 59 %CI). It was shown that 38 % (31-44 95 %CI) of parents had reached secondary school (but not completed it), 44 % (39-54 95 %CI) were living with a partner, 47 % (40-53 95 %CI) had low socioeconomic status, 53 % (47-57 95 %CI) were living in nuclear families, 47 % (41-53 95 %CI) were receiving less than minimum wage income, 66 % (58-70 95 %CI) were affiliated to the government health system and 59 % (52-66 95 %CI) were living in dysfunctional families. Bivariate analysis only revealed statistical significance regarding the fathers incomplete secondary schooling and the presence of dental caries (p=0.04). Conclusions Even though most variables showed no statistical significance regarding explaining the presence of dental caries, they did provide epidemiologically important indicators which would facilitate decisions being made from a public health standpoint.
关键词:Caries dental;medicina familiar y comunitaria;preescolar