社会经济地位与永久牙的创伤性牙损伤之间的关联:通过元分析进行系统性审查
Letícia Donato Comim1, Patrícia Kolling Marquezan2, Jessica Klöckner Knorst3
1Department of Restorative Dentistry, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil.
Community dentistry and oral epidemiology
|December 12, 2023
概括
较低社会经济地位 (SES) 的个人面临永久牙创伤性牙损伤 (TDI) 的风险更高. 这一系统性审查强调了较低的SES和增加的TDI流行率之间的显著关联.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 社会经济地位 (SES) 是健康结果的关键决定因素.
- 创伤性牙损伤 (TDI) 是一个重大的公共卫生问题,特别是在永久牙方面.
- 了解SES和TDI之间的联系对于有针对性的预防策略至关重要.
研究的目的:
- 系统地审查关于社会经济地位 (SES) 与创伤性牙损伤 (TDI) 之间的关联的观察研究.
- 综合证据,个人层面的社会经济指标如何与永久牙的TDI相关.
- 进行元分析和子组分析以量化这种关联.
主要方法:
- 在多个数据库 (PubMed,EMBASE,科学网等) 中进行全面的电子搜索. 在2023年2月之前.
- 包括观察性研究评估SES指标和临床检查的永久牙TDI.
- 使用随机效应模型的元分析,基于SES指标,年龄和国家经济分类的子组分析.
主要成果:
- 在元分析中包括了17项观察性研究.
- 较低SES的个体显示TDI发生的可能性增加了17% (PR 1.17;95% CI 1.05-1.30).
- 小组分析表明,家庭收入和中上国家分类对SES-TDI协会产生了重大影响.
结论:
- 较低的社会经济地位与永久牙中创伤性牙损伤的更高患病率显著相关.
- 这些发现强调了解决牙损伤预防工作中的社会经济差异的重要性.
- 针对弱势群体的有针对性的干预措施可能有助于减轻TDI的负担.
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