成年人 (19-60岁) 牙和社会经济因素:对观察性研究的更新系统审查
Maria Aparecida Gonçalves de Melo Cunha1, Alex Junio Silva da Cruz1, Carolina Martins-Pfeifer2
1Graduate Program in Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil.
International journal of environmental research and public health
|January 28, 2026
概括
牙损不成比例地影响着社会经济地位较低的成年人. 这一系统性审查证实,收入和教育是口腔健康不平等的关键因素,突出了社会政策干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 牙损是一个重要的全球健康问题,具有显著的社会差异.
- 在2012年和2018年的之前的审查中,突出了牙损伤的社会经济因素.
研究的目的:
- 系统地审查和综合最近关于社会经济指标与成年人 (19-60岁) 牙损伤之间的联系的证据.
- 根据先前的系统审查,提供最新的分析.
主要方法:
- 对八个观测研究数据库进行系统搜索 (2017年3月 - 2024年4月).
- 遵守PRISMA 2020指南的要求.
- 独立评审人选择,数据提取和偏见风险评估 (纽卡斯尔-太华尺度).
- 由于22项纳入研究的方法异质性,叙事综合.
主要成果:
- 在社会经济地位和牙经验之间发现了强有力的反向关系.
- 较低的收入,教育和手工/无技能的就业与较高的病率相关.
- 终身分析发现,教育和收入是口腔健康不平等的关键驱动因素,持续的劣势构成最高风险.
结论:
- 成年人 (19-60岁) 的牙损伤与整个生命过程中的社会经济不平等密切相关.
- 有效的策略需要将临床预防与解决结构性社会不平等问题的政策相结合.
- 减少口腔健康差异需要解决更广泛的社会劣势.
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