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未满足的牙科护理需求和报告的原因:残疾和没有残疾的成年人之间的比较
Huabin Luo1, Melissa Stancil2, Mark E Moss3
1Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC, United States.
Frontiers in oral health
|October 20, 2025
概括
残疾成年人面临着更大的未满足的牙科护理需求,通常是由于成本和保险问题. 针对性干预,如牙科保险和移动诊所,对这一群体至关重要.
科学领域:
- 公共卫生 公共卫生
- 牙健康政策 牙健康政策
- 健康差异 在健康上的差异
背景情况:
- 获得牙科护理是一个重要的公共卫生问题.
- 残疾状况通常与较差的健康结果和进入障碍有关.
研究的目的:
- 调查残疾和没有残疾的成年人之间未得到满足的牙科护理需求的差异.
- 确定残疾成年人无法获得必要的牙科护理的主要原因.
主要方法:
- 2015-2018年国家健康和营养检查调查 (NHANES) 数据的分析.
- 包括11,288名20岁以上的成年人.
- 逻辑回归用于评估残疾状况与未满足的牙科护理需求之间的关联.
主要成果:
- 任何残疾的成年人几乎有两倍可能有未满足的牙科需求 (AOR=1.99).
- 观察到剂量-反应关系:更多的残疾与更高的未满足需求的可能性相关.
- 未满足需求的主要原因是成本和缺乏保险覆盖.
结论:
- 患有残疾的成年人经历的牙科需求未得到满足的比率显著更高.
- 建议采取政策干预措施,包括扩大牙科保险和移动牙科服务,以改善这一群体的获取.
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