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Updated: Jul 7, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
牙医访问行为与死亡率之间的关联:来自NHANESES的全国纵向队列研究
Kehui Xu1, Sai Ma1, Junting Gu1
1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, 710032, Shaanxi, China.
定期去看牙医与较低的死亡风险有关. 不良的牙科护理行为,特别是不经常的牙科诊所,增加了因各种原因,心血管疾病和癌症死亡的风险.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防医学 预防医学
背景情况:
- 对口腔疾病的专业牙科治疗的好处已经确立.
- 牙医诊所对整体健康结果的影响仍然不太清楚.
研究的目的:
- 调查牙医访问行为与全因,心血管疾病和癌症死亡率之间的关联.
- 确定专业牙医的诊所是否提供了口腔健康之外的好处.
主要方法:
- 利用了美国国家健康和营养检查调查 (NHANES) 1999-2004年和2011-2018年的数据.
- 包括36,174名参与者,死亡率随访至2019年12月31日.
- 采用考克斯的比例风险模型来分析牙医访问间隔,访问原因和死亡风险之间的关系.
主要成果:
- 与那些在5年内访问牙医的参与者相比,牙医访问间隔大于5年的参与者对所有原因 (HR1.45),心血管疾病 (HR1.49) 和癌症死亡率 (HR1.53) 的风险明显更高.
- 与检查相比,治疗牙科的访问与较高的死亡风险有关.
- 定期的牙科检查 (TIDV <1年) 与较低的死亡率有关,而治疗访问需要更短的间隔 (TIDV <0.5年).
结论:
- 不频繁的牙科诊所和主要用于治疗的诊所与增加的死亡风险有关.
- 这项研究强调了定期专业牙科护理在促进整体健康和降低死亡率方面的潜力.
- 需要进一步的研究来证实专业牙医访问与死亡率结果之间的联系.
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