Oral healthcare visits among sexual minority adolescents ages 14–18, 2019, USA

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2022-10-07 DOI:10.1111/jphd.12546

Stacey B. Griner PhD, MPH, RDH, Robert A. Yockey PhD, MS, Caylee N. Forschner BS

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Abstract

Objective

Health disparities persist among sexual minority (SM) adolescents (i.e., bisexual, lesbian/gay) compared to heterosexual adolescents, however, research is limited on oral health. The purpose of this study was to examine reported recency of dental visits by sexual orientation among a national sample of adolescents.

Methods

Data from the 2019 Youth Risk Behavior Surveillance Survey (n = 12,673 adolescents, 14–18 years old) were analyzed. We assessed dental care in the past 12 months or more based on sexual orientation (“lesbian/gay,” “bisexual,” “not sure”). Adjusted, sex-stratified, multinomial logistic regression analyses were used to determine conditional associations.

Results

Bisexual boys (aRR:2.50), “not sure” boys (aRR:3.55), and “not sure” girls (aRR:2.32) were at increased relative risk for not going to the dentist compared to heterosexual adolescents.

Conclusions

Findings indicate gaps in oral healthcare access among SM adolescents, specifically bisexual and not sure youth. Results can be used to increase access to preventive dental care among SM adolescents.

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2019年美国14-18岁性少数群体青少年口腔保健就诊情况

目的:与异性恋青少年相比，性少数(SM)青少年(即双性恋、女同性恋/男同性恋)的健康差距仍然存在，然而，对口腔健康的研究有限。本研究的目的是在全国青少年样本中，根据性取向检查最近的牙科就诊报告。方法对2019年青少年危险行为监测调查(n = 12673名14-18岁青少年)数据进行分析。我们根据性取向(“女同性恋/男同性恋”、“双性恋”、“不确定”)对过去12个月或更长时间的牙齿护理进行了评估。采用调整、性别分层、多项逻辑回归分析来确定条件关联。结果与异性恋青少年相比，双性恋男孩(aRR:2.50)、“不确定”男孩(aRR:3.55)和“不确定”女孩(aRR:2.32)不去看牙医的相对风险增加。结论:调查结果表明SM青少年，特别是双性恋和不确定青少年在口腔保健获取方面存在差距。结果可用于增加SM青少年获得预防性牙科保健的机会。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.