儿童和青少年的社会经济地位和使用牙科服务:系统性审查和元分析
相关实验视频
Updated: Sep 10, 2025
10:42
Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
17.3K
Nadeera Senavirathna1, Enamul Kabir2,3, Ayele Mamo Abebe4
1School of Business, University of Southern Queensland, Toowoomba, Australia. nironadee20207@gmail.com.
BMC oral health
|August 26, 2025
概括
具有较高社会经济地位的儿童和青少年使用牙科服务的可能性是两倍. 有针对性的干预措施对于消除障碍和改善低收入群体获得牙科护理至关重要.
科学领域:
- 公共卫生
- 儿童牙科
- 医疗服务研究
背景情况:
- 牙健康是儿童和青少年被忽视的公共卫生领域,
- 社会经济地位 (SES) 是牙科服务利用的一个重要决定因素.
研究的目的:
- 系统地审查和对全球儿童和青少年社会经济地位 (SES) 和牙科服务利用之间的联系进行元分析.
- 通过子组分析确定影响这种关联的因素.
主要方法:
- 按照PRISMA指南进行系统审查和元分析,搜索PubMed,科学网络和Scopus (2000年1月至2024年9月).
- 包括关于SES和儿童牙科服务使用的全球研究,以及关于SES指标,国家收入,保险系统和结果措施的子组分析.
- 使用随机效应模型计算聚合奇数比率 (OR) 和95%置信区间 (CI);进行元回归和灵敏度分析.
主要成果:
- 包括48项研究;高SES的儿童/青少年使用牙科服务的可能性是两倍 (OR=2. 10).
- 与家庭收入 (OR=1.65),父母教育/职业 (OR=3.30) 和资产 (OR=1.47) 发现的重要关联.
- 较高收入国家 (OR=2.57),普遍/资金测试/混合保险系统 (ORs 1.73, 1.70, 1.47) 和最近/预防性护理使用 (ORs 2.21, 2.01) 显示出显著的影响.
结论:
- 低SES与儿童和青少年的牙科服务利用率较低密切相关.
- 针对特定障碍的干预措施对于促进弱势群体平等获得牙科护理至关重要.
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