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Updated: Jan 8, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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在50岁及以上的欧洲人中,口腔健康支出灾难性
1Section for Oral Health, Heidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.
Journal of dental research
|December 17, 2025
概括
灾难性口腔健康支出 (COHE) 影响了欧洲超过2.27%的老年人,根据国家,年龄和性别有很大的差异. 这些自付费用凸显了老年人获得负担得起的牙科护理的不平等.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 老年学是一门学科.
背景情况:
- 获得负担得起的口腔卫生保健对普及医疗覆盖至关重要.
- 牙科护理的自付费用带来了挑战,尤其是对老年人来说.
- 关于50岁及以上个体的灾难性口腔健康支出 (COHE) 的数据有限.
研究的目的:
- 确定12个欧洲国家的50岁以上个体中COHE的患病率和变异.
- 分析国家,地区和人口因素对COHE的影响.
主要方法:
- 利用了来自欧洲健康,老龄化和退休调查 (SHARE) 第七波的50岁以上的77,261名参与者的数据.
- 定义COHE为超过家庭基本支出 (食品,住房,公用事业) 净支出40%的口袋外牙科支出.
- 使用描述和回归分析来评估COHE的变化.
主要成果:
- 平均而言,在接受调查的欧洲国家,超过2.27%的参与者经历了COHE.
- 西班牙报告COHE患病率最高 (10.95%),而瑞典患病率最低 (0.12%).
- 年龄较大 (≥70岁) 和女性性别与COHE的可能性显著增加有关.
结论:
- 这项研究是首次量化欧洲老年人中的COHE,揭示了显著的差异.
- 口腔保健费用不成比例地影响着老年人,基于性别,年龄和地点存在显著的不平等.
- 调查结果强调,需要采取政策干预措施,确保老年人口平等获得负担得起的口腔卫生保健.
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