期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2014
卷号：21
期号：3
页码：557-561
DOI：10.5604/12321966.1120601
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction and objective. 34 years ago, children living in rural areas had almost 2 more teeth affected by decay thanthose living in cities. Environmental differences are being reduced along with Poland’s civilization development. The aimof the study is to assess the extent to which the differences in the intensity of caries and oral health behaviours betweenthe urban rural environment have been reduced have been reduced in the past 3 decades.Materials and methods. The data from 9 national surveys of 14,338 children aged 12 years and 5,425 adults aged 35–44who lived in the city and in the countryside were analysed. Mean number of decayed (D), missing (M) and filled (F) teeth(DMFT) was determined during the examination, as well as oral health behaviours.Results. During the past 3 decades, in the statistical 12-year-old Polish child, tooth decay has been reduced from 7.3 to 3.6teeth, and the environmental difference between the town and village children is now almost 5 times smaller. A similar trendis observed in children’s dental behaviours. Improving the oral health status and levelling of the environmental differencesin the population aged 35–44 is much slower than in children.Conclusions. In the last three decades, the level of tooth decay has been reduced by half, but it is still 3 times higher than inother European countries. Environmental differences have been reduced particularly in children. Both the oral health statusand urban/rural environment differences in the intensity of tooth decay may be regarded as one of the many measures ofPoland’s social and civilization development. However, the analysed process is not monotonic; instead, it has some turningpoints
关键词：health inequalities; oral health status; rural/urban environment; oral health behavior
