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在2022年BRFSS中探索口腔健康差异:农村/城市地位和不良童年经历的影响
Jihee Song1,2, Jeong Nam Kim3
1Florida Department of Children and Families, Tallahassee, Florida, USA.
Journal of public health dentistry
|November 6, 2025
概括
与城市居民相比,农村居民面临更大的口腔健康挑战,包括不充分的牙科诊所和牙损失. 童年不良经历 (ACE) 也对口腔健康产生重大影响,强调需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 牙科流行病学 牙科流行病学
- 健康的社会决定因素
背景情况:
- 在美国,口腔健康差异仍然存在.
- 童年不良经历 (ACE) 与各种健康问题有关.
- 像农村/城市状态这样的地理因素可以影响医疗保健的获取和结果.
研究的目的:
- 调查农村/城市居住,ACE和口腔健康之间的关联.
- 作为关键口腔健康指标,检查不充分的牙科诊所和严重的牙损失.
- 识别面临较低口腔健康结果风险较高的人群.
主要方法:
- 分析了2022年行为风险因素监测系统 (BRFSS) 来自12个州的79571名美国成年人的数据.
- 不充分的牙科诊所的定义是自上次诊所以来>1年;显著的牙损失是由于虫/牙疾病而失去的≥6颗永久牙.
- 应用多变量后勤回归来评估农村/城市状态和ACEs效应,调整社会人口统计.
主要成果:
- 与城市居民相比,农村居民的牙科访问不足 (AOR: 1.17) 和牙损失严重 (AOR: 1.36) 的几率更高.
- 具有4+ACE的个体显示出牙科访问不足和牙显著损失的最高患病率.
- 农村/城市状态和ACE之间没有显著的相互作用,但农村人口的口腔健康状况普遍较差.
结论:
- 农村/城市状态和ACE独立地导致口腔健康差异.
- 农村人口面临更大的口腔健康挑战,需要有针对性的干预措施.
- 在牙科实践中,以创伤为基础的护理和解决地理/心理社会因素至关重要.
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