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澳大利亚成年人牙科治疗的纵向轨迹
G Kaur1, T King2, A Karahalios1
1Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Journal of dental research
|March 12, 2025
概括
牙医出勤模式在一生中发生变化,在年轻成年期显著下降. 了解这些生命周期的轨迹对于制定有效的预防性牙科护理政策至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于公共卫生政策来说,了解牙医出勤的生命周期轨迹至关重要.
- 之前的研究还没有完全探索牙科访问的年龄和基于时间的模式.
- 生命历程方法提供了对影响医疗保健寻求行为的发展和结构因素的见解.
研究的目的:
- 为了确定澳大利亚成年人牙医出诊的不同年龄和时间轨迹.
- 分析生命阶段和社会因素对牙医访问模式的影响.
- 为有针对性的预防性牙科医疗保健策略提供信息.
主要方法:
- 基于小组的轨迹建模应用于来自澳大利亚家庭,收入和劳动力动力学 (HILDA) 研究的纵向数据.
- 对15-64岁个体的年龄轨迹分析,使用2009年,2013年和2017年的数据.
- 分析2009-2017年劳动年龄成人 (24-54岁) 的时间轨迹,并根据社会特征进行描述性分析.
主要成果:
- 确定了两个年龄轨迹:"最频繁" (75.1%) 和"不频繁下降" (24.9%).
- 在近四分之一的人口中,在15至20岁之间频繁出勤的显著下降发生.
- 发现了四个时间轨迹:"始终频繁" (37.8%),"始终不频繁" (8.9%),"增加出席率" (22.2%),和"减少出席率" (31%).
- 在这些出席轨迹中观察到社会不平等.
结论:
- 牙医出勤表现出明显的生活过程模式,在年轻成年期出现关键衰退期.
- 预防性健康政策必须考虑生活阶段的动态和牙医出诊的社会决定因素.
- 需要有针对性的干预措施来解决不断下降和持续的牙医出勤行为.
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