美国的压迫制度与口腔护理服务之间的关系
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Updated: Jul 23, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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J L Bastos1, E Fleming2, D G Haag3
1Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Journal of dental research
|July 19, 2023
概括
结构性压迫在美国显著影响口腔护理的获取. 政府资助的牙科服务可以减轻这些差异,强调普遍牙科护理的需要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 压迫的宏观系统,包括结构性种族主义,性别歧视和收入不平等,交叉影响健康结果.
- 获得口腔护理是整体健康的关键组成部分,但在美国仍然存在差异.
研究的目的:
- 检查压迫和获得口腔护理的交叉系统之间的关系.
- 评估政府资助的牙科服务在多大程度上减轻了这些差异.
主要方法:
- 利用结构性交叉性方法,将个人数据 (美国行为风险因素监测系统,n>300,000) 与压迫指标的州级数据联系起来.
- 采用多层次模型来分析压迫系统与跨种族,性别和贫困交叉点的口腔健康服务获取限制之间的关联.
- 根据州级口腔护理覆盖率进行了分层分析,以评估政府资助的牙科服务的影响.
主要成果:
- 确定的交叉群体,如低收入非西班牙裔黑人个人,面临最高的几率无法获得牙科护理.
- 发现生活在具有高结构性性别歧视和收入不平等交叉的州,使得无法获得牙科服务的几率增加了1.3.
- 证明,政府资助的牙科服务的更广泛提供减弱了结构压迫和口腔保健服务的限制之间的关联.
结论:
- 不平等的结构驱动因素显著限制了获得牙科服务的机会.
- 扩大以包容的方式获得牙科服务的机会对于解决这些差异至关重要.
- 提供全民牙科护理对于抵消结构性不平等并确保公平获取至关重要.
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