青少年获得牙科护理的多层次决定因素:使用健康差异框架进行范围审查
Rubelisa C G de Oliveira1, Sarah Shafik1, Hassan Khalid1
1University at Buffalo (SUNY), NY, USA.
概括
改善青少年获得牙科护理的方法需要解决个人,社会和系统因素. 关键战略包括学校诊所,公共保险和政策改革,以减少口腔健康差异.
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
- 牙科公共卫生 牙科公共卫生
背景情况:
- 青少年的口腔健康对整体健康至关重要.
- 青少年 (10-19岁) 获得牙科护理受到多个决定因素的影响.
- 健康差异会影响这个年龄段的口腔健康结果.
研究的目的:
- 对青少年获得牙科护理的障碍和促进因素进行范围审查.
- 利用多层次的健康差异框架来分析决定因素.
- 确定研究缺口,并提出改善访问的策略.
主要方法:
- 根据阿克西和奥马利和乔安娜·布里格斯研究所的方法论进行范围审查.
- 搜索了6个数据库和灰色文献 (2011年至今) 的英语语言研究.
- 在个人,人际,社区和社会层面分类数据;包括58项研究.
主要成果:
- 常见的障碍:牙焦虑,少数群体地位,父母教育程度低,收入有限,地理差异,保险不稳定,提供者短缺.
- 主要促进者:公共保险,学校诊所,文化定制教育,照顾者建模,社区参与.
- 识别了使用ecomap的多层预测因素和研究差距.
结论:
- 青少年的牙接入是由行为,社会和系统决定因素的交叉形成的.
- 在基础设施,健康教育和政策方面的协调努力对于减少口腔健康差异至关重要.
- 多层次的生态地图为改善青少年口腔健康的可行策略提供了基础.
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