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牙损与多维贫困有关:来自哥伦比亚的证据
Mauricio Alberto Cortes-Cely1,2,3, Luis Jorge Hernandez-Florez2, Angelica Castro-Rios4
1Programa de Maestría y Doctorado en Ciencias Médicas, Odontológicas y de la Salud, Universidad Nacional Autónoma de México, Ciudad de México CP 04510, Mexico.
一个家庭的牙损伤与哥伦比亚的多维贫困程度更高有关. 解决口腔健康问题对于解决不平等问题和改善弱势群体的公共卫生战略至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 卫生经济学 卫生经济学
背景情况:
- 牙损是全球重要的公共卫生问题.
- 多维贫困影响了哥伦比亚人口的很大一部分.
- 口腔健康与社会经济地位,特别是贫困之间的关系需要进一步研究.
研究的目的:
- 检查牙损伤与哥伦比亚多维贫困之间的联系.
- 使用来自国家口腔健康调查 (ENSAB IV) 的数据.
- 确定与牙损相关的贫困的具体层面.
主要方法:
- 在哥伦比亚六个地区对20534人进行了横截面分析研究.
- 使用国际牙检测和评估系统 (ICDAS) 评估的牙损伤.
- 多维贫困指数 (MPI) 适用于哥伦比亚;Poisson回归模型用于分析.
主要成果:
- 患有的家庭比没有的家庭有更高的多维贫困率 (59.9%的发病率,46.7%的强度).
- 在虫病和缺乏教育,童工,失业,医疗保险和住房之间发现了重要的关联.
- 证实了MPI与牙存在的积极关联 (IRR = 1.08),女性家庭主管和农村居民也与牙有关.
结论:
- 家庭成员的牙损伤与哥伦比亚的多维贫困有很大关系.
- 口腔健康应该被视为结构性不平等的指标,并纳入社会进步指标.
- 研究结果支持制定公共卫生战略,解决弱势群体口腔健康的社会决定因素.
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