阶级和殖民的交叉点:加拿大的土著人民获得牙科护理
Nasir Z Bashir1, Gustavo G Nascimento2
1MRC Biostatistics Unit, University of Cambridge, Cambridge, UK.
Community dentistry and oral epidemiology
|February 28, 2026
概括
原住民地位和社会经济因素对牙科护理的获得有重大影响,集中了不良结果的风险. 虽然这些因素至关重要,但在本研究中,它们之间的超附加性相互作用并没有很明显.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 不平等的医疗保健机会有助于土著人民之间的健康差异.
- 了解影响牙科护理获取的交叉因素对于解决这些差异至关重要.
研究的目的:
- 调查牙科护理获得的不平等情况.
- 检查教育程度,家庭收入和土著身份对牙科护理准入的综合影响.
主要方法:
- 利用了2017-2018年加拿大社区健康调查的数据.
- 对18个交叉层进行了多层次分析.
- 评估了牙医的出席,只有紧急情况的访问,以及与成本相关的避免.
主要成果:
- 跨越交叉层次观察到牙科护理获取的显著异质性.
- 教育程度,家庭收入和土著身份解释了在获取机会方面存在很大差异.
- 交叉身份影响了牙科诊所的几率,只有紧急情况的出席率和与成本相关的避免率.
结论:
- 原住民地位和社会经济地位是牙科护理机会不佳的关键决定因素.
- 有限的证据表明,这些社会经济和土著因素在牙科护理获取方面之间存在超附加性相互作用.
相关概念视频
Teeth
1.9K
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
1.9K
Tooth Anatomy
2.4K
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
2.4K
Barriers to Effective Communication II
5.2K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.2K
Interdisciplinary Care: The Health Care Team-II
2.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.4K
Interdisciplinary Care: The Health Care Team-I
2.8K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.8K
The Colonization of Land
38.2K
Changes in the environment of the early Earth drove the evolution of organisms. As prokaryotic organisms in the oceans began to photosynthesize, they produced oxygen. Eventually, oxygen saturated the oceans and entered the air, resulting in an increase in atmospheric oxygen concentration, known as the oxygen revolution approximately 2.3 billion years ago. Therefore, organisms that could use oxygen for cellular respiration had an advantage. More than 1.5 years ago, eukaryotic cells and...
38.2K


