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ブラジルの高齢者における歯科サービスの利用における社会経済的不平等に関連する要因:オアハカ・ブリンダー分解分析
Fabíola Bof de Andrade1, José Leopoldo Ferreira Antunes2, Alexandra Crispim Boing3
1Fundação Oswaldo Cruz, Fiocruz, Instituto René Rachou, Av. Augusto de Lima, 1715, Barro Preto, Belo Horizonte, Minas Gerais, 30190-002, Brazil. fabiola.bof@fiocruz.br.
BMC oral health
|September 1, 2025
まとめ
高齢者の社会経済的地位は 歯科サービスの利用に大きく影響します 歯の数はこれらの不平等の 主な要因であり,次に食事の困難と農村での居住が挙げられます.
科学分野:
- 公衆衛生
- 歯科公衆衛生
- 医療サービス研究
背景:
- 歯科医療の利用率が低い高齢者は 世界的に多く見られ 脆弱な集団では顕著な差異がある.
- 既存の文献には,高齢者の歯科サービスへのアクセスにおける不平等を促す特定の要因に関するギャップがあります.
- この研究では ブラジル人の高齢者の間での 最近の予防的な歯科治療の格差を調査しています
研究 の 目的:
- ブラジルにおける高齢者の最近の予防的な歯科サービス利用における社会経済的不平等を評価する.
- これらの社会経済的不平等に寄与する要因を特定し,定量化する.
主な方法:
- 2019年のブラジル国民健康調査の横断分析.
- 依存変数: 1年以内に最近および予防的に使用した歯科サービス
- 教育と家庭の収入によって評価された社会経済的地位; オアハカ-ブリンダー分解を用いて分析された多数の人口統計,健康,口腔健康要因.
主要な成果:
- 教育や収入が低い人は 最近の予防的な歯科治療の利用が減った.
- 残っている歯の数は不平等を説明する最も重要な要因でした (30.6~51.8%).
- 食事の難しさと農村での生活も 歯科医療へのアクセスにおける格差を大きくした.
結論:
- 高齢者の間での歯科サービス利用の社会経済的不平等は,歯の数によって大きく影響されます.
- 人口統計や 口腔の健康状態や 医療制度の要因も この格差に大きく影響しています
- 高齢者の歯科医療へのアクセスにおける不平等を減らすには 歯の健康問題に対処することが重要です
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