从美国公共水系统中去除化物的预计结果
1Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts.
JAMA health forum
|May 30, 2025
概括
停止美国的水化将显著增加牙和医疗保健成本,不成比例地影响弱势儿童. 这项研究强调了社区水化在推水平的持续公共卫生益处.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 社区水的化是美国的一个关键的公共卫生战略.
- 对化物神经毒性的担忧导致对水的化加大了审查.
- 这项研究探讨了停止水化的成本效益和口腔健康影响.
研究的目的:
- 为了评估停止公共水的化在美国的成本效益.
- 确定停止水化与儿童口腔健康结果之间的关联.
- 量化牙变化,质量调整寿命年 (QALYs) 和成本.
主要方法:
- 使用微模拟模型进行成本效益分析.
- 美国国家健康和营养检查调查 (NHANES) (2013-2016) 对0-19岁儿童的口腔健康和水化数据.
- 进行了灵敏度分析,以测试模型的稳定性.
主要成果:
- 停止水化预计将在5年内使牙腐烂的发病率增加7.5%,牙腐烂的发病率增加2540万.
- 这种停止将导致290万个QALY的损失,并在5年内造成98亿美元的成本.
- 牙腐烂的增加将不成比例地影响公共保险和未保险的儿童.
结论:
- 停止公共水的化预计将增加美国的牙和医疗保健成本.
- 该模型表明,在目前推的安全水平下,化水对公共健康有着显著的持续益处.
- 尽管存在神经毒性问题,但在已确定的安全水平下,化水的好处超过了潜在的风险.
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