粮食不安全是否与牙腐烂有关?
1Dental Public Health, School of Dental Sciences, Newcastle University, Newcastle upon Tyne, NE2 4BW, UK. richard.holmes@ncl.ac.uk.
Evidence-based dentistry
|January 5, 2024
概括
粮食不安全与牙腐烂的可能性更高有关. 面临粮食不安全的个体比获得足够食物的人更容易患牙.
科学领域:
- 公共卫生 公共卫生
- 牙科流行病学 牙科流行病学
- 健康的社会经济决定因素
背景情况:
- 粮食不安全是健康的社会经济决定因素,越来越多地认识到它对整体福祉的影响.
- 牙损仍然是全球重要的公共卫生问题,影响着各种人口统计学群体.
研究的目的:
- 系统地审查和综合现有关于粮食不安全和牙损伤之间的联系的证据.
- 通过元分析量化粮食不安全和牙损伤的流行或发病率之间的关系.
主要方法:
- 在八个电子数据库 (PubMed,Scopus,Web of Science等) 进行了全面的文献搜索. 在2022年8月之前.
- 包括观察性研究 (横截面,病例控制,队列),检查粮食不安全和牙损伤之间的联系,没有语言或日期限制.
- 数据提取和元分析是由两个独立的审稿人进行的,他们使用随机效应模型来组合效应指标,例如赔率比率.
主要成果:
- 定性综合包括14项研究,定量元分析包括7项研究,共有150,546名参与者.
- 分析显示,食物不安全的个体明显更容易患牙损伤 (OR = 1.62;95% CI,1.01-2.60;P = 0.045).
- 使用二进制数据的进一步分析证实,粮食不安全与出现牙损伤的可能性更高有关 (OR = 1.66; 95% CI, 1.36-2.02; P < 0.0001).
结论:
- 这些发现表明,经历粮食不安全和牙的风险增加之间存在强烈的关联.
- 这凸显了解决粮食不安全问题作为导致口腔健康差异的一个因素的迫切需要.
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