伊努特人群中牙损伤的历史:遗传影响和"距离效应"
Julie Kabous1, Rémi Esclassan2,3, Emmanuelle Noirrit-Esclassan3,4
1Équipe de Médecine Evolutive, EVOLSAN faculté de chirurgie dentaire, Université Toulouse III, Toulouse, France.
International journal of circumpolar health
|August 29, 2023
概括
伊努伊特人群体在全球表现出牙损伤率最高的情况,这是最近的一个现象. 这表明生物文化因素,而不仅仅是距离,推动了这种口腔健康危机.
科学领域:
- 口腔卫生流行病学 口腔卫生流行病学
- 生物文化人类学
背景情况:
- 牙损是一个重要的全球健康问题,不成比例地影响北美土著人口,特别是因纽特人.
- 传统的解释指出,高病率的原因是地理偏远,社会经济地位低,文化距离 (健康素养) 高.
研究的目的:
- 调查"距离效应"假设,解释因纽特人群中高脏病发病率.
- 探索是否人口特异性特征,而不是一般的土著因素,有助于病率升高.
- 检查因纽特人群中虫病流行病的历史趋势.
主要方法:
- 在高收入国家的土著人口中对空患病率数据的文献综述.
- 几个世纪以来,因纽特人群体的病流行趋势的历史分析.
主要成果:
- 与其他土著群体和一般人口相比,因纽特人群体的牙损伤患病率更高.
- 从历史上看,在1950年之前,因纽特人群体对虫几乎具有免疫力.
- 目前因纽特人群中牙损伤的高发病率是最近的发展.
结论:
- 伊努伊特人群体中高病发病率是最近的不适应,不仅仅是由地理或文化距离解释的.
- 特定的生物文化因素需要调查,以了解因纽特社区当前的口腔健康差异.
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