早期生活暴力受害和牙科护理使用从青春期到成年期
Alexander Testa1, Luis Mijares1, Dylan B Jackson2
1Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Community dentistry and oral epidemiology
|August 5, 2025
概括
早期的暴力受害与整个成年期不规则的牙科护理使用有关. 创伤知情护理可以改善暴力幸存者获得牙科的机会.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 牙科流行病学 牙科流行病学
背景情况:
- 早期的暴力受害者是重大的公共卫生问题.
- 了解其对健康行为的长期影响,如使用牙科护理,至关重要.
研究的目的:
- 调查青少年暴力受害和从青春期到中年成人期的牙科护理利用轨迹之间的联系.
主要方法:
- 利用了来自青少年到成人健康 (添加健康) 国家纵向研究的数据.
- 基于雇员群体的轨迹建模 (GBTM) 以确定牙科护理使用模式.
- 使用多项逻辑回归来分析受害和轨迹组之间的关系,控制共变量.
主要成果:
- 确定了四种不同的牙科护理轨迹:高使用 (22.8%),间歇性减少使用 (38.6%),间歇性增加使用 (21.8%),和低使用 (16.9%).
- 与高牙护理使用相比,青少年暴力受害与属于间歇性牙护理使用和低牙护理使用轨迹的风险更高.
结论:
- 早期的暴力受害者是减少和不规则的牙科护理使用寿命的预测因素.
- 建议以创伤为基础的护理为重点的干预措施,以提高牙科护理的准入,并减少受害者幸存者的差距.
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