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社会脆弱性指数和儿童牙损伤:一项探索性研究
J Pellegrom1, K Pickett2, G Kostbade3
1Department of Pediatric Dentistry, Children's Hospital Colorado, Aurora, Colorado, USA.
JDR clinical and translational research
|October 9, 2024
概括
在社会脆弱地区的儿童面临更高的牙损风险. 这项研究将社会脆弱性与儿科牙医诊所病诊断的可能性增加联系在一起,强调了有针对性的公共卫生政策的必要性.
科学领域:
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
- 社会流行病学 社会流行病学
背景情况:
- 健康的社会决定因素对健康结果产生重大影响.
- 社会脆弱性指数 (SVI) 量化了基于地区的社会脆弱性.
- 了解社会脆弱性与儿科牙损伤之间的联系对于有针对性的干预至关重要.
研究的目的:
- 评估社会脆弱性指数 (SVI) 与儿科人口下皮结局之间的关联.
- 为了确定居住在社会脆弱性较高的地区的儿童是否表现出牙损伤率的增加.
- 为弱势群体制定公共卫生战略提供信息.
主要方法:
- 在2020年访问牙科诊所的9,201名儿童 (0-18岁) 的回顾性横截面研究.
- 利用疾病控制中心的社会脆弱性指数 (SVI) 数据和电子牙科记录.
- 经过对年龄,性别,种族和种族进行调整后勤回归分析,以评估SVI和病诊断之间的关联.
主要成果:
- 与没有 (59.1) 相比,被诊断患有脏的儿童的SVI百分位数 (62.0) 的平均值更高.
- 在SVI百分位数上升10个点与脏病诊断的可能性增加2.7%相关.
- 高SVI百分位组 (51-75和>75) 的儿童与最低组 (≤25) 相比,明显更有可能被诊断为.
结论:
- 居住在社会脆弱地区的儿科患者更有可能被诊断为牙损伤.
- 社会脆弱性是与儿童牙相关的重要因素.
- 研究结果支持制定有针对性的政策,以解决弱势群体的健康差异.
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