年轻青少年的贫困动态和牙状况
Gisselle Carbajal Rodriguez1,2, Agatha W van Meijeren-van Lunteren1,2, Eppo B Wolvius1,2
1The Generation R Study Group, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Community dentistry and oral epidemiology
|October 11, 2024
概括
儿童时期的贫困,特别是出生时或间歇性贫困,增加了青少年牙变的风险. 一个下降的贫困轨迹显示了最强的关联与更腐烂的牙.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿科牙科 儿科牙科
背景情况:
- 社会经济地位是已知的健康结果的决定因素.
- 贫困时间和持续时间对青少年牙健康的影响需要进一步研究.
研究的目的:
- 检查贫困时间,积累和轨迹与青少年牙损伤之间的关联.
- 应用生命过程理论来理解社会经济地位和口腔健康之间的关系.
主要方法:
- 利用了来自R世代研究的数据,这是荷兰2653名儿童的前性队列.
- 通过家庭收入和组成来评估贫困,从怀孕到13岁.
- 在13岁时使用腐烂,缺失和填充牙指数测量牙损伤,并使用障碍负二项模型和贫困轨迹的潜阶级增长分析 (LCGA) 分析.
主要成果:
- 出生时的贫困和间歇性贫困显著与更高的牙损伤几率和平均牙数量的增加有关.
- LCGA确定了四个贫困轨迹,所有这些都与牙损伤有关.
- "下降流动性"贫困轨迹显示,与牙损伤的关联最强,牙腐烂的平均数量更高.
结论:
- 早期和持续的贫困,以及下降的社会经济流动性,与青少年牙变的增加有关.
- 生活过程模型突出了社会经济因素对青少年口腔健康的影响.
- 建议采取旨在改善贫困儿童社会经济条件的政策干预措施,以减轻牙损伤.
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