智力和发育障碍的印度农村儿童对牙科服务的使用和看法
Philcy Philip1,2, Mathew Lim3, Gregory Armstrong4,5
1Nossal Institute for Global Health, University of Melbourne, Melbourne, Australia. philipp@student.unimelb.edu.au.
概括
印度农村的智力和发育障碍 (IDD) 儿童的牙医访问和对护理的感知需求很低. 缺乏信息,临床的近距离和护理质量会影响这群弱势群体的服务利用率.
科学领域:
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
- 关于残疾人的研究.
背景情况:
- 获得牙科护理对整体健康至关重要,特别是对于智力和发育障碍 (IDD) 的儿童.
- 农村人口,特别是残疾人,往往面临着严重的障碍,无法获得医疗保健.
- 了解影响这些特定人口群体使用牙科服务的因素对于有针对性的干预至关重要.
研究的目的:
- 调查影响印度农村IDD儿童和青少年牙科访问的因素.
- 探索这个人群中对牙科护理的感知需求.
- 确定印度农村环境中牙科服务利用的障碍和促进因素.
主要方法:
- 一项涉及160名印度农村IDD儿童护理人员的横截面研究.
- 护理人员填写了有关影响牙医访问和感知护理需求的因素的问卷.
- 统变逻辑回归分析被用来确定牙科访问的几率和感知需要.
主要成果:
- 只有23%的参与者报告牙科诊所,29%的人认为需要牙科护理.
- 显著影响牙医访问的因素包括残疾类型,儿童年龄,口腔护理信息的可用性,护理人员对口腔健康的看法,以及靠近牙科诊所的距离.
- 类似的变量影响了感知需求,护理人员对口腔健康和护理质量的感知也发挥了作用.
结论:
- 印度农村的IDD儿童和青少年中,牙医的访问和对护理的感知需求特别低.
- 限制使用牙科服务的关键因素包括信息不足,牙科诊所的距离,以及对护理质量的认知.
- 解决这些障碍的有针对性的战略是必要的,以改善这个人群的口腔健康结果.
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