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社会流动性对成年人牙损失的差异影响: 1982年佩洛塔斯出生队列研究
Sarah Arangurem Karam1,2, Helena Silveira Schuch1, Flávio Fernando Demarco1,3
1Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas, Brazil.
Community dentistry and oral epidemiology
|May 23, 2024
概括
社会流动性和种族显著影响牙损失. 黑人/棕色人群的牙损失较高,特别是那些从未贫穷的人,这表明口腔健康结果的种族不平等.
科学领域:
- 口腔卫生流行病学 口腔卫生流行病学
- 健康的社会决定因素
- 健康差异研究 研究健康差异研究
背景情况:
- 社会经济地位 (SEP) 和种族是影响健康结果的关键因素.
- 对于公共卫生干预来说,了解牙损失中社会流动性和种族的相互作用至关重要.
研究的目的:
- 调查社会流动性与成年人牙脱落之间的关联.
- 为了确定种族是否改变社会流动性和牙损失之间的关系.
主要方法:
- 利用了1982年佩洛塔斯出生队列研究的数据,追踪了541人到31岁.
- 根据出生和30岁的SEP进行分类的社会流动性 (从来没有穷人,向上流动,向下流动,总是穷人).
- 评估了31岁因牙而导致的牙损失患病率,使用日志双项回归分析种族作为效果修饰因素.
主要成果:
- 整体牙损失发生率为50.8%.
- 与白人相比",从未贫穷"组中的黑人/棕色人群牙脱落的患病率比白人高31%.
- 相互作用分析表明,种族和社会流动性对牙损失的联合影响低于预期.
结论:
- 下降的社会流动性和黑色/棕色与更高的牙损失患病率有关.
- 观察到显著的种族不平等,从未经历过贫困的黑人/棕色人群表现出比白人对手更普遍的牙脱落.
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