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英国成年人功能牙的种族不平等:多层次分析
H Alhejaili1, E K Delgado-Angulo1,2
1Dental Public Health Group, Faculty of Dentistry, Oral & Craniofacial Sciences, Kings College London, UK.
Community dental health
|November 13, 2024
概括
黑人成年人面临非功能性牙的更高风险,无论他们的社会经济地位或行为如何. 需要有针对性的干预措施来解决这些口腔健康差异.
科学领域:
- 口腔健康差异口腔健康差异
- 公共卫生研究 公共卫生研究
- 健康的社会经济决定因素
背景情况:
- 在全球范围内,口腔健康的种族差异仍然存在.
- 社会经济因素和区域剥夺已知影响牙健康.
- 了解这些影响对于有针对性的公共卫生干预至关重要.
研究的目的:
- 调查社会经济因素,地区贫困和行为对功能牙的种族差异的贡献.
- 分析伦敦东部不同种族群体的口腔健康不平等情况.
- 应用多层次建模来确定非功能牙的关键决定因素.
主要方法:
- 利用了来自东伦敦9个族群的1898名成年人 (16-65岁) 社区健康调查的数据.
- 通过监督问卷收集有关人口统计,社会经济指标,牙科行为和区域剥夺 (IMD 2007) 的信息.
- 功能性牙定义为所有6个前方和至少4个后方的闭口接触.
主要成果:
- 多层次的后勤回归显示,黑人非洲人比白人英国人有75%的可能性,黑人加勒比人比白人英国人有77%的可能性有非功能性牙,即使在完全调整后.
- 高龄和缺乏教育程度也与更高的非功能牙的可能性有显著的关联.
- 这些发现突出了口腔健康结果的种族差异,独立于测量的个人和区域级因素.
结论:
- 黑人成年人表现出非功能性牙的显著增加风险,无论社会人口统计学特征,口腔健康行为或区域级剥夺.
- 这项研究强调了需要健康公平战略,如相称的普遍主义,以有效地减少这些观察到的口腔健康差距.
- 解决导致这些差异的系统因素对于改善少数民族人口口腔健康结果至关重要.
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