人口普查通道地理空间分析比较健康的社会决定因素与加利福尼亚老年人的牙损失:一项生态研究
相关实验视频
Updated: Jun 20, 2025
08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Gabriel Tse Feng Chong1,2, Stuart A Gansky1,3,4,5,6
1Division of Oral Epidemiology and Dental Public Health, School of Dentistry, University of California San Francisco (UCSF), San Francisco, California, USA.
Community dentistry and oral epidemiology
|July 20, 2024
概括
较高的邻居劣势和种族隔离与加利福尼亚老年人的牙损失增加有关. 改善健康的社会决定因素 (SDOH) 可以帮助减少这些口腔健康差异.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 口腔健康差异口腔健康差异
背景情况:
- 个人层面的健康社会决定因素 (SDOH) 可能无法完全解释老年人的牙病差异.
- 地区层面的因素,如邻里特点和种族隔离证据调查.
研究的目的:
- 为了检查人口普查通道级SDOH和种族隔离与65岁及以上加利福尼亚成年人的牙周病患率之间的相关性.
主要方法:
- 利用了来自健康地点指数 (HPI),国家癌症研究所,diversitydatakids.org和CDC的PLACES估计数据 (2018 BRFSS) 的数据.
- 采用了皮尔森和斯皮尔曼相关性,多重线性回归,并使用全球莫兰的I统计学评估了地理空间自相关性.
主要成果:
- 较高的区域劣势 (较低的HPI得分) 和在人口普查区增加的种族隔离与较高的牙周病患率有显著的相关性.
- 具体来说,西班牙裔或黑人人口较多的地区显示出与牙科病的正相关性,而以非西班牙裔白人人口为主的地区显示出负相关性.
- 地理空间自相关性对牙科病和HPI分数都显著,表明了空间模式.
结论:
- 邻居层面的劣势和少数民族的种族隔离与老年人牙损失的增加有关.
- 未来的干预措施应侧重于改善社区层面的SDOH,以减轻口腔健康不平等.
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