提供全牙假肢的种族不平等:公共服务可以减少不平等吗?
Rafael Aiello Bomfim1, Edson Hilan Gomes de Lucena2, Yuri Wanderley Cavalcanti2
1Federal University of Mato Grosso do Sul, Campo Grande, Brazil. aiello.rafael@gmail.com.
Clinical oral investigations
|December 22, 2023
概括
在巴西,获得完整的牙假体是有限的,种族不平等有利于白人人口. 拥有更多口腔健康团队和更高比例黑人个体的市政当局显示差异增加.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 获得完整的牙假体对于口腔健康和生活质量至关重要.
- 在获得和提供医疗保健方面存在的种族差异是一个重大的全球性问题.
- 口腔卫生政策旨在减少不平等,但其有效性需要持续评估.
研究的目的:
- 检查完整牙假肢的可用性与巴西市镇黑人人口比例之间的关联.
- 评估口腔卫生政策对提供完整牙假肢的影响.
- 为了确定巴西市政府内获得牙科假肢的种族不平等.
主要方法:
- 生态研究利用2017-2021年所有巴西市政当局的数据.
- 分析了按种族分层的完整假牙的交付情况.
- 计算了种族不平等指标,并使用了逻辑和线性回归模型.
主要成果:
- 在49.2%的市镇,提供了完整的假肢.
- 在拥有20%至80%黑人人口,牙科专科中心 (DSC) 和更多口腔健康团队 (OHT) 的城市,可用性更高.
- 种族不平等有利于白人人口7.7个百分点,在有更多OHT或>80%黑人人口的地区不平等性增加.
结论:
- 尽管在拥有DSC和更多OHT的市政当局获得了改善,但在完全假牙交付方面种族不平等仍然存在.
- 初级和二级医疗保健服务可能会无意中加剧这些不平等.
- 政策制定者必须监测医疗保健中的种族差异,解决黑人人口未满足的需求,特别是在需要高的地区.
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