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Oral Health Assessment by Lay Personnel for Older Adults
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在老年墨西哥成年人中,边缘化和牙损失
A Garcia Perez1, K G Rodríguez González2, J A Rodríguez Chávez3
1Faculty of Higher Studies Iztacala, National Autonomous University of Mexico (UNAM), State of Mexico, Mexico.
Community dental health
|August 29, 2023
概括
较高的边缘化程度与墨西哥老年人的牙损失增加有关. 这凸显了在服务不足的社区需要有针对性的口腔健康干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 牙科公共卫生 牙科公共卫生
背景情况:
- 牙脱落是影响成年人,特别是老年人口腔健康的一个重大问题.
- 社会经济因素,如边缘化,可以不成比例地影响口腔健康结果.
- 了解边缘化和牙脱落之间的关系对于制定公平的健康战略至关重要.
研究的目的:
- 调查墨西哥50岁及以上成年人社区边缘化程度与牙脱落之间的关联.
- 确定与牙损失相关的特定的人口和健康相关因素.
主要方法:
- 一项回顾性横截面研究利用了来自墨西哥不同程度边缘化社区的2098名成年人的数据.
- 使用腐烂,缺失和填充牙指数 (DMFT) 评估了牙损失的患病率.
- 进行了负双项回归分析,以确定与边缘化和其他因素相关的牙损失率比率 (RR).
主要成果:
- 超过62%的参与者经历了牙脱落,在高度和非常高的边缘化社区 (RR=1.19) 的流行率更高.
- 牙损失也与男性 (RR=1.19),年龄较大 (≥70岁,RR=1.77),文盲 (RR=1.60) 和口腔卫生不良 (RR=1.26) 有关.
- 与高度边缘化地区相比,中等边缘化社区的个人牙脱落的风险较低.
结论:
- 高和非常高的边缘化水平与墨西哥老年人的牙损失有显著的关联.
- 显然需要有效的口腔健康策略和改善边缘化人口获得优质牙科服务的机会.
- 解决边缘化问题是防止牙脱落和减少口腔健康差异的关键.
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