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患有医疗复杂性的儿童的口腔健康差异
Kristina E Malik1, Sharon Scarbro2, Justin Yu3
1Department of Pediatrics (KE Malik and JA Feinstein), Adult and Child Center for Outcomes Research & Delivery Science (ACCORDS), University of Colorado and Children's Hospital Colorado, Aurora, Colo.
Academic pediatrics
|August 3, 2024
概括
患有医疗复杂性的儿童面临更高的口腔健康问题,五分之一的儿童遇到牙问题. 医疗复杂性,而不仅仅是社会经济因素,与更糟糕的牙状况有关,突出了针对性牙科护理干预的需要.
科学领域:
- 儿科健康 儿科健康
- 口腔健康 口腔健康
- 公共卫生 公共卫生
背景情况:
- 患有医疗复杂性 (CMC) 的儿童有严重的疾病和残疾,增加他们患口腔健康不良结果的风险.
- 需要特殊医疗护理的儿童 (CSHCN) 通常表现出高率的牙问题,包括牙腔.
- 口腔健康是CSHCN和CMC的整体福祉不可或缺的一部分.
研究的目的:
- 为了比较CMC和更广泛的CSHCN人口之间的口腔健康状况.
- 根据医学复杂性,识别口腔健康结果的差异.
- 为改善弱势儿科群体牙科护理的策略提供信息.
主要方法:
- 使用2016-17年全国儿童健康调查数据进行横截面分析.
- 使用验证的算法识别CMC和CSHCN.
- 组间口腔健康状况和牙科服务使用情况的比较,多变量逻辑回归调整为共变量.
主要成果:
- 在CSHCN队列中,CMC占6% (n=16,178).
- 在CMC中,公平/差牙状况的患病率显著更高 (19%与9%相比;P<0.001).
- 经过调整后的分析证实了医疗复杂性是牙状况良好/不良的预测因素 (aOR:1.54;95% CI:1.01-2.34),尽管腔和预防性服务使用没有显著差异.
结论:
- 尽管预防性牙科服务的使用率很高,但大约20%的CMC口腔健康状况不佳.
- 医疗复杂性独立地与较差的牙科状况相关,即使考虑到社会经济因素.
- 对可修改目标的进一步研究对于优化CMC的牙科护理和健康结果至关重要.
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