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Updated: May 15, 2025

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倾向性,启用性和需要因素与美国工作年龄成年人口腔健康护理利用之间的关联
McKing I Amedari1, Adejare Jay Atanda2, Ifeoma K Amedari3
1John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA. mamedari@umc.edu.
BMC oral health
|April 8, 2025
概括
与费用相关的牙科护理延误影响20.2%的成年人,吸烟和缺乏保险是关键因素. 整合医疗和牙科护理可以改善患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 牙科公共卫生 牙科公共卫生
- 健康差异 在健康上的差异
背景情况:
- 牙医诊所的费用延迟是口腔健康护理的一个重大障碍.
- 这些延迟导致了不良的口腔健康结果,并增加了紧急服务的使用率.
- 了解影响这些延迟的因素对于公共卫生干预至关重要.
研究的目的:
- 调查易感性,启用性和需要因素以及口腔健康护理中与成本相关的延迟之间的联系.
- 确定美国成年人推迟去看牙医的预测因素.
- 为改善获得牙科护理的策略提供信息.
主要方法:
- 来自2022年全国健康访谈调查 (N=17,513) 对美国18-64岁成年人的二次数据的分析.
- 使用多变量后勤回归来建模与成本相关的延迟口腔保健和推迟牙科诊所的费用.
- 研究人员检查了诱导因素 (如吸烟),促成因素 (如保险状况) 和需要因素 (如并发症).
主要成果:
- 与成本相关的延迟口腔保健的患病率为20.2%;延迟的牙医访问是36.4%.
- 吸烟 (OR=1.47),缺乏医疗保险 (OR=2.96) 和难以参与社交活动 (OR=1.59) 是延迟护理的重要预测因素.
- 促成因素,特别是缺乏医疗保险和延迟医疗护理,强烈预测推迟牙科访问.
结论:
- 吸烟,缺乏保险和社会困难等个人因素独立地与延迟的牙科护理有关.
- 延迟牙科诊所和卫生服务缺口 (HSDs) 之间的强烈关联凸显了医疗和牙科护理整合的需要.
- 倡导综合护理模式可以促进以患者为中心的口腔卫生服务.
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