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社区枪支暴力和牙科护理使用在中年成人期
Alexander Testa1, Luis Mijares2, Daniel Semenza3,4
1Department of Management, Policy & Community Health, University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA. alexander.testa@uth.tmc.edu.
概括
社区枪支暴力的暴露与较低的牙科护理使用有关. 邻里枪击事件显著降低了成年人寻求牙科护理的几率,突出了公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 牙科公共卫生 牙科公共卫生
背景情况:
- 之前的研究表明,家庭暴力对获得牙科护理有负面影响.
- 社区层面的枪支暴力对牙科护理使用的影响仍未得到充分研究.
研究的目的:
- 调查成年人接触社区枪支暴力和使用牙科护理之间的联系.
- 为了确定邻里枪击事件是否会影响个人寻求牙科护理的可能性.
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,第五波 (2016-2018) 的数据.
- 将调查数据与美国100个主要城市的美国暴力项目 (American Violence Project) 的人口普查区域枪击数据联系起来.
- 采用了1925名成年受访者 (33-42岁) 的后勤回归模型,调整了社会人口统计学,以前的牙科使用和上下文因素.
主要成果:
- 居住在有多次枪击 (2+) 的人口普查区的成年人显示,过去一年使用牙科护理的几率明显较低 (OR=0.625).
- 在对个人和社区层面的混因素进行调整后,这种关联仍然存在.
- 暴露在邻里枪支暴力中,独立地与减少牙科护理利用有关.
结论:
- 研究结果表明,接触邻里枪支暴力是对牙科护理使用的重大威.
- 公共卫生和牙科护理计划应将社区暴力视为影响医疗护理的因素.
- 旨在增加牙科护理利用率的干预措施可能需要解决邻居暴力的影响.
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