儿童群体获得预防性牙科服务的种族差异:二次数据分析
Affan Ghaffari1, Russell F Bradbury, Jeffrey Harman
1Author Affiliation: Behavioral Sciences and Social Medicine Department, College of Medicine, Florida State University, Tallahassee, Florida (Dr Ghaffari, Bradbury, and Dr Harman).
Family & community health
|January 8, 2025
概括
在预防性牙科护理方面,黑人儿童的种族差异仍然存在,他们获得基本服务的几率较低. 西班牙裔儿童在许多预防性治疗中使用率与白人儿童相似.
科学领域:
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
- 健康差异 在健康上的差异
背景情况:
- 预防性牙科护理对于减轻牙损伤至关重要.
- 在获得和使用预防性牙科服务方面存在种族差异.
- 了解这些差异是改善儿童口腔健康平等的关键.
研究的目的:
- 调查美国儿童预防性口腔手术中的种族差异.
- 特别是将黑人和西班牙裔儿童与白人儿童进行比较.
主要方法:
- 利用汇集的医疗支出小组调查数据 (2018-2021年).
- 分析了预防性牙科服务的使用情况 (检查,X射线,清洁,密封剂,化物处理).
- 基于种族的比较使用率:白人,黑人和西班牙裔儿童.
主要成果:
- 与白人儿童相比,西班牙裔儿童在接受X射线,密封剂和化物治疗方面没有显著差异.
- 与白人儿童相比,黑人儿童接受口腔检查,X射线和化物治疗的几率明显较低.
- P值表明了这些差异的统计意义 (P < .001对于某些服务的西班牙裔/白人比较,P < .01对于黑人/白人比较).
结论:
- 在西班牙裔儿童使用预防性牙科服务方面取得了显著进展.
- 对于黑人儿童来说,在预防性护理获取方面仍然存在持久的差异.
- 需要进一步的研究来解决导致这些差异的结构性,社会文化和其他因素.
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