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不理想的口腔健康,多病症和获得牙科护理的机会
L Limo1,2, K Nicholson2, S Stranges2,3,4,5,6
1Dentistry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
JDR clinical and translational research
|November 19, 2024
概括
低于最佳的口腔健康与多病症 (MM) 有关. 改善牙科护理的准入可能有助于缓解中年和老年加拿大人口腔健康不佳的MM.
科学领域:
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
- 牙科公共卫生 牙科公共卫生
背景情况:
- 新兴研究表明,口腔健康不良与多病症 (MM) 之间存在联系,多种慢性疾病的同时发生.
- 关于改善牙科护理准入是否可以减少口腔健康不理想的个体的MM,存在争议.
研究的目的:
- 评估口腔健康低于最佳状态和MM之间的联系.
- 要确定获得牙科护理是否会改变这种关联.
主要方法:
- 来自加拿大老龄化纵向研究 (CLSA) 的44,815名加拿大成年人 (45-84岁) 的横截面分析.
- 口腔健康指标包括牙,自我报告的口腔健康 (SROH) 和其他口腔健康问题.
- MM定义为2+种慢性疾病 (癌症,心血管,呼吸系统,糖尿病,精神疾病).
- 牙科护理获取变量:最近的牙科诊所,牙科保险和成本障碍.
- 强大的波桑回归模型用于估计关联和相互作用效应.
主要成果:
- 低于最佳的口腔健康指标与MM有显著的关联 (例如,牙 PR 1.17;SROH PR 1.44).
- 口腔健康不良和MM之间的关联在牙科访问较少,没有牙科保险和护理成本障碍的人群中更为强烈.
结论:
- 获得牙科护理的障碍可能会加剧口腔健康和MM之间的关联.
- 改善牙科护理准入的政策可能有助于缓解中年和老年加拿大人口腔健康不佳的MM.
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