水化作为减少口腔健康不平等的人口战略:使用机器学习进行高维效应异质性分析
Yusuke Matsuyama1, Diep H Ha2, Sakura Kiuchi1,2,3,4
1Department of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyo, Tokyo, Japan.
International journal of epidemiology
|July 1, 2025
概括
水的化有效地减少了儿童的牙损伤. 这种人口健康战略为来自较低社会经济背景的儿童提供了更大的好处,解决了健康不平等问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 牙健康 牙健康
背景情况:
- 牙损是一个全球性的健康问题,不成比例地影响着某些人群.
- 水化是一种经过验证的牙损伤预防策略,但其对健康不平等的影响尚未完全理解.
研究的目的:
- 调查化水对预防澳大利亚儿童牙损伤的影响的异质性.
- 分析社会经济和人口因素如何影响化水的好处.
主要方法:
- 来自澳大利亚17,517名儿童 (5-14岁) 的全国代表性研究数据的分析.
- 使用双重可靠的估计和因果森林算法来评估平均处理效应和条件平均处理效应 (CATE).
- 整合了47名儿童的人口,社会经济和家长因素,以评估影响异质性.
主要成果:
- 水化与减少 -0.9 牙损伤事件有关.
- 观察到益处的显著差异,中位数CATE为-0.9.9.
- 来自较低社会经济背景的儿童,包括单亲家庭,受过学校教育的低收入家庭,与较高社会经济群体相比,经历了更大的虫减少.
结论:
- 水的化与儿童牙腐烂率的降低有关.
- 化水的好处在弱势群体中更为明显,这表明它在减少口腔健康不平等方面发挥了作用.
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