健康和牙周炎的社会决定因素之间的关联:基于人口的研究
Yiyi Li1, Xinyu Zhang1, Yadong Wu1
1Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Guizhou Medical University, Guiyang, China.
BMC public health
|April 14, 2025
概括
健康不良社会决定因素 (SDoH) 与美国成年人牙周炎风险更高有关. 这项研究分析了NHANES数据,以探索这种复杂的关系.
科学领域:
- 公共卫生 公共卫生
- 牙科流行病学 牙科流行病学
- 健康研究的社会决定因素研究
背景情况:
- 社会经济地位和牙周炎之间的联系是复杂的,并未完全理解.
- 健康的社会决定因素 (SDoH) 是美国成年人牙周炎患病率的一个关键因素,但尚未得到充分研究.
研究的目的:
- 调查美国成年人代表样本中各种健康社会决定因素 (SDoH) 和牙周炎之间的关联.
- 使用国家调查数据量化SDoH和牙周炎风险之间的关系.
主要方法:
- 利用了包括10714名参与者在内的2009-2014年国家健康和营养检查调查 (NHANES) 的数据.
- 收集了关于SDoH因素的自我报告数据:就业,收入,粮食安全,教育,获得医疗保健,保险,住房和婚姻状况.
- 使用Eke的2012年标准对牙周炎进行分类,并通过多变量逻辑回归分析了SDoH的相关性.
主要成果:
- 这项研究包括10,714名成年人 (49.37%是男性,50.63%是女性,平均年龄为52.01岁).
- 牙周炎的总体患病率为46.60%,平均SDoH得分为2.64.
- 在SDoH和牙周炎之间发现了统计学上显著的积极关联 (OR=1.28,95% CI:1.24-1.32,P<0.001).
结论:
- 健康的不良社会决定因素与美国成年人群中患牙周炎的风险增加有关.
- 调查结果强调了在旨在预防和管理牙周炎的公共卫生战略中解决SDoH的重要性.
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