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Updated: Jan 10, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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在老年成年期之前的监禁和牙科保险轨迹
A Testa1, L Mijares1, D B Jackson2
1Department of Management, Policy and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.
JDR clinical and translational research
|November 27, 2025
概括
以前被监禁的老年人面临着更大的挑战,保持一致的牙科保险. 这凸显了改善这一群体获得牙科护理覆盖的必要性.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 以前的监禁是健康的重要社会决定因素.
- 了解长期健康保险轨迹对于老年人来说至关重要.
- 获得牙科保险对于晚年整体健康和福祉至关重要.
研究的目的:
- 检查老年人监禁史和牙科保险覆盖模式之间的关系.
- 为了确定牙科保险在老年成人中随着时间的推移而形成的不同轨迹.
- 评估先前监禁对这些牙医保险轨迹的影响.
主要方法:
- 来自健康和退休调查 (2012-2020) 的全国代表性样本 (n=6,383) 的分析.
- 利用基于组的轨迹建模来识别牙医保险模式.
- 采用多项逻辑回归来将先前的监禁与轨迹组成员关系.
主要成果:
- 确定了四种牙科保险轨迹:持续性 (30.0%),间歇性高 (16.4%),间歇性低 (20.4%),没有保险 (33.3%).
- 以前被监禁的人更有可能经历间歇性低 (RRR=2.31) 和没有牙科保险 (RRR=1.51).
- 在对共变量进行调整后,先前的监禁仍然与间歇性低牙科保险相关 (RRR=1.48).
结论:
- 曾被监禁的老年人不太可能保持一致的牙科保险覆盖.
- 需要进一步的研究来了解潜在的原因,并制定有针对性的政策和方案干预措施.
- 调查结果可以为牙科提供者,政策制定者和卫生计划提供信息,以提高以前被监禁的个人获得牙科护理的机会.
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