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临床严重肥胖患者的牙科服务利用率差:一个被忽视的问题,需要解决方案
Zanab Malik1,2, Woosung Sohn1, Shanika Nanayakkara1
1Faculty of Medicine and Health, The University of Sydney School of Dentistry, Surry Hills, New South Wales, Australia.
Clinical obesity
|June 22, 2023
概括
严重肥胖的个体往往无法获得牙科护理,牙科焦虑很高. 他们的体重指数 (BMI) 与这些问题没有相关性,但牙科焦虑对牙科利用产生了负面影响.
科学领域:
- 口腔健康 口腔健康
- 肥胖医学 肥胖医学
- 公共卫生 公共卫生
背景情况:
- 关于严重肥胖个体体质量指数 (BMI),牙科服务利用率和整体健康结果之间的关系的数据有限.
- 严重肥胖的患者经常面临复杂的健康挑战,可能会影响他们的口腔健康和获得护理.
研究的目的:
- 在临床严重肥胖的成年人中调查牙科服务的使用率,牙科焦虑和与口腔健康相关的生活质量 (OHRQoL).
- 在这个队列中探索BMI,牙利用率,牙焦虑,OHRQoL,一般福祉和心理健康之间的相关性.
主要方法:
- 进行了一项横截面调查,对参加医院肥胖服务的成年患者进行了调查.
- 收集的数据包括牙科使用模式,牙科焦虑,OHRQoL和一般健康/心理健康查.
- 从参与者的医疗记录中获得了一般健康数据.
主要成果:
- 大多数参与者 (61.7%) 已经一年多没有去看牙医了,53.1%只在需要时去看牙医.
- 近30%的人报告牙科焦虑很高,与全国平均水平相比,参与者报告OHRQoL较低.
- 体重指数与牙科利用率,焦虑,OHRQoL,福祉或心理健康没有显著的相关性. 牙科焦虑与牙科利用有负相关性.
结论:
- 严重肥胖的成年人表现出牙科服务利用率低,OHRQoL低,牙科焦虑度高.
- 这一患者群经常经历医疗并发症,一般健康状况低,精神健康不佳,可能会使牙科管理复杂化.
- 需要进一步的研究,以了解和解决口腔卫生保健在这个人群中的障碍.
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