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二手吸烟和牙损失之间的平均和异质关联
Y Q Chen1, J M Zheng2, Y Z Chen3
1School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical University, Guangzhou, China.
二手烟 (SHS) 暴露与美国成年人显著的牙损失有关. 对于老年人,社会经济地位较低的人以及患有慢性健康状况的人来说,影响更大.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 牙科研究 牙科研究
背景情况:
- 暴露于二手烟 (SHS) 是一个广泛的公共卫生问题.
- 现有的关于SHS和牙损失的研究缺乏人口层面的数据和子组分析.
- 了解SHS对口腔健康的全部影响对于有针对性的干预措施至关重要.
研究的目的:
- 估计SHS暴露对美国成年人牙损失的平均和小组特异性影响.
- 利用先进的因果推理方法,对观测数据进行可靠的分析.
- 为了确定受SHS相关牙损失影响不成比例的特定人群.
主要方法:
- 分析了来自6,019名美国非吸烟成年人的横截面数据 (国家健康和营养检查调查,2009-2018).
- 用于定义SHS暴露的血清丁水平.
- 针对性的最小损失估计 (双重可靠的估计器) 用于关联量化.
- 因果森林方法用于评估异质性和确定子组效应.
主要成果:
- 暴露于SHS与平均减少0.74颗牙有关.
- 暴露于SHS增加了拥有少于20颗牙的概率4.6个百分点.
- 在45岁以上的成年人中观察到更大的牙损失关联,这些人具有较低的社会经济地位,较高的糖摄入量,并发症或极端使用牙线的频率.
结论:
- 暴露于SHS与美国成年人牙损失增加有显著的关联.
- 由于SHS造成的口腔健康负担在脆弱人群中显而易见,包括那些具有社会经济劣势和慢性健康状况的人群.
- 建议将口腔健康纳入烟草控制,并为高风险群体量身定制预防策略.
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