在以前被监禁的老年人中,牙科保险状况
Alexander Testa1, Rafael Samper-Ternent, Dylan B Jackson
1Department of Management, Policy, and Community Health, University of Texas Health Science Center at Houston, Houston, TX (Drs Testa, and Samper-Ternent); Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (Dr Jackson); Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada (Dr Ganson); Department of Biostatistics & Data Science, University of Texas Health Science Center at Houston, Houston, TX (Dr Maroufy); Department of Pediatrics, University of California, San Francisco, San Francisco, CA (Dr Nagata); and Department of General Practice and Dental Public Health, School of Dentistry, University of Texas Health Science Center at Houston, Houston, TX (Dr Neumann).
以前被监禁的老年人面临着牙医保险覆盖的巨大差异. 收入与贫困比率在很大程度上解释了这一差距,突出了对负担得起的牙科护理政策的需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 牙科公共卫生 牙科公共卫生
背景情况:
- 与普通人群相比,以前被监禁的人表现出较差的口腔健康和减少牙科护理的机会.
- 之前被监禁对牙科保险覆盖差异的影响仍未得到充分研究.
- 曾被监禁的老年人是面临独特医疗保健挑战的脆弱群体.
研究的目的:
- 调查老年人中先前监禁和牙科保险覆盖范围之间的联系.
- 确定收入与贫困比率在这种关系中的调解作用.
- 为改善以前被监禁人口获得牙科护理的政策建议提供信息.
主要方法:
- 用健康和退休研究 (n=11,638) 的数据进行分析.
- 采用多重后勤回归来评估牙科保险覆盖率.
- 应用Karlson-Holm-Breen方法来量化收入与贫困比率的调解效应.
主要成果:
- 以前被监禁的老年人拥有牙科保险的可能性明显低 (OR=0.745,CI=0.608-0.912).
- 在控制收入与贫困比率后,这种关联失去了统计意义.
- 收入与贫困比率解释了约45%的先前监禁和牙科保险覆盖之间的联系.
结论:
- 收入与贫困的比率是先前监禁和牙科保险覆盖之间的关系的重要调解者.
- 调查结果强调了旨在扩大以前被监禁的老年人负担得起的牙科保险选择的政策的迫切需要.
- 解决社会经济因素对于减少口腔健康差异至关重要.
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