儿童牙的不平等需要在全身麻醉下拔牙:使用链接的电子健康记录进行纵向研究
Nicola Firman1, Carol Dezateux1, Vanessa Muirhead2
1Wolfson Institute of Population Health, Queen Mary University, London, UK.
BMJ public health
|February 28, 2025
概括
儿童牙腐烂需要在全身麻醉下拔牙 (DGA) 显示出显著的种族和社会经济不平等. 儿童的超重与患DGA的可能性较低有关.
科学领域:
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
- 健康上的不平等 卫生上的不平等
背景情况:
- 在全身麻醉下拔牙 (DGA) 是儿童牙腐烂的严重治疗方法.
- 研究了弱势儿童在DGA中的种族和社会经济不平等.
- 在学龄儿童中检查了DGA和先前超重之间的关联.
研究的目的:
- 根据种族和社会经济地位,识别和量化DGA中的不平等.
- 为了确定超重和经历DGA的可能性之间的关系.
主要方法:
- 在伦敦 (2017-2022) 使用了608,278名儿童 (5-16岁) 的链接电子健康记录 (EHR).
- 根据性别,种族,地区和贫困情况进行调整,以估计DGA的赔率比率 (ORs).
- 通过使用考克斯回归,将电子健康记录与120,985名儿童的学校体重记录联系起来,以根据超重状态估计DGA的危险比率 (HR).
主要成果:
- 0.50%的儿童经历了至少一个DGA.
- 观察到显著的种族不平等,白色爱尔兰人,其他亚洲人,孟加拉人和巴基斯坦人的DGA的可能性更高.
- 超重的儿童 (BMI ≥91个百分点) 在5岁和11岁时不太可能接受DGA.
结论:
- 显著的种族和社会经济不平等存在于童年DGA.
- 需要进一步的研究来了解这些不平等的调解因素.
- 强调需要解决拔牙不平等的更广泛决定因素,并确保平等获得牙科护理.
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