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什么因素影响难民的牙科护理服务?
Stefan Serban1, David I Conway2
1School of Medicine, Dentistry, and Nursing, University of Glasgow, Glasgow, UK. Stefan.Serban@glasgow.ac.uk.
Evidence-based dentistry
|January 5, 2024
概括
难民获得牙科护理受到人口统计,社会经济地位和英语水平等个人因素的影响. 需要对难民口腔健康的更广泛的启用和情境影响进行更多的研究.
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
- 牙科公共卫生 牙科公共卫生
背景情况:
- 获得牙科护理是全球难民人口面临的重大挑战.
- 了解影响牙科护理获取的因素对于改善难民口腔健康结果至关重要.
- 现有的文献强调需要对这个主题进行全面的审查.
研究的目的:
- 系统地审查和综合有关影响难民获得牙科护理服务的因素的证据.
- 确定影响难民使用牙科护理的个人层面,支持因素和情境因素.
主要方法:
- 在四个电子数据库中进行了系统的文献搜索:MEDLINE,Embase,Web of Science和PsycINFO.
- 包括2022年2月之前发表的定量观察或干预研究,不限制日期,语言或地区.
- 研究选择和数据提取涉及两位作者进行独立审查,第三位作者解决分歧.
主要成果:
- 九项研究符合资格标准,大多数被评为相当高质量的研究.
- 结果表明,人口特征,社会经济地位和英语语言能力是影响难民获得牙科护理的关键因素.
- 审查指出数据中存在显著的异质性,需要进行叙事综合.
结论:
- 个人层面的因素似乎使难民倾向于或阻止他们获得牙科护理.
- 有限证据表明,启用因素和背景因素对难民获得牙科护理的影响是有限的.
- 建议进行进一步的研究,以探索影响难民群体使用牙科服务的更广泛因素.
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