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在社区居住的美国成年人中,残疾类型和未经治疗的牙腐烂之间的关联
Ishita Singh1, Xiaobai Li2, Timothy J Iafolla3
1Dental Public Health Research Fellow at the National Institute of Dental, Oral and Craniofacial Research (NIDCR), National Institutes of Health (NIH), Bethesda, Maryland, USA.
Journal of public health dentistry
|September 10, 2024
概括
患有多重残疾的个体有较高的未经治疗的牙腐烂率. 然而,特定的残疾类型与衰老没有联系,健康和社会因素是关键预测因素.
科学领域:
- 公共卫生 公共卫生
- 牙科公共卫生 牙科公共卫生
- 关于残疾人的研究.
背景情况:
- 残疾人经历不成比例地更糟糕的口腔健康结果,包括更高的未经治疗的牙腐烂率.
- 了解不同类型的残疾和口腔健康之间的关系对于有针对性的干预至关重要.
研究的目的:
- 研究美国成年人未经治疗的牙与各种类型的残疾 (认知,身体,情感,感官) 之间的关联.
- 在残疾人中确定未经治疗的衰变的关键预测因素.
主要方法:
- 从2015-2018年国家健康和营养检查调查中对7084名美国成年人的横截面分析.
- 利用调查加权的多变量后勤回归来评估残疾状况和未经治疗的衰变之间的关联,调整社会人口统计学,行为和健康因素.
主要成果:
- 与没有任何残疾的人相比,三种或更多残疾的人中未经治疗的病的患病率是34.5%和13.2%的两倍以上.
- 缺乏功能性牙是未经治疗的最强的预测因素 (aOR:2.97).
- 其他重要的预测因素包括年龄较小,非西班牙裔黑人种族/种族,低收入,慢性疾病,不经常去看牙医和吸烟.
结论:
- 在社区居住的美国成年人中,在特定类型的残疾 (认知,身体,情感,感官) 和未经治疗的衰退之间没有发现显著的关联.
- 与健康相关的,社会和行为因素是未经治疗的的主要决定因素.
- 需要进一步的研究来探索残疾特征和牙损伤之间的细微关系.
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