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Psychosocial Determinants of Poor Dental Attendance Among Young Mexican-Identifying Adults in California 加利福尼亚州墨西哥裔年轻成年人牙科就诊率低的社会心理决定因素》（Psychosocial Determinants of Poor Dental Attendance Among Young Mexican-Identifying Adults in California）。
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-12-15 DOI: 10.1111/cdoe.13021
Aachal Devi, Lourdes S. Martinez, Donna Kritz-Silverstein, Jerel P. Calzo, David R. Strong, Kristin S. Hoeft, Tracy L. Finlayson

Objective

Engagement in preventive dental care is a complex health behaviour and is determined by multiple factors. The study aimed to understand the association of psychosocial determinants with poor dental attendance.

Methods

Survey data from 333 Mexican-identifying adults in California aged 21–40-year were analysed. Poor dental attendance was a composite of time since last dental visit and reason for visit. Responses of ‘more than 1 year ago’ for last dental visit, or ‘something was wrong, bothering or hurting/emergency dental problem’ as the reason for last dental visit were categorised as poor dental attendance. Psychosocial determinants including dental anxiety assessed using the Modified Dental Anxiety Scale, participant reported quality of provider interactions, and perceived social support were assessed. Logistic regression analyses examined associations after accounting for covariates.

Results

Over half (58%) had poor dental attendance. Among those with poor dental attendance, 22% had high dental anxiety, 41% perceived low quality of dental explanation, and 48% reported provider occasionally/never checked patient understanding. Participants with high anxiety had twice the odds of poor dental attendance (OR = 2.07, 95% CI = 1.01–4.22) than those with low dental anxiety. Additionally, those reporting that providers did not explain oral health status or treatments well had two times higher odds of poor dental attendance than those reporting adequate explanation (OR = 2.06, 95% CI = 1.11–3.83). Checking patient understanding or perceived social support was not significantly associated with dental attendance.

Conclusion

Dental anxiety and poor provider interactions affect use of dental services. Interventions targeting dental staff should prioritise enhancing communication skills and checking patient understanding to improve their dental attendance.

目的：参与预防性牙科保健是一种复杂的健康行为，由多种因素决定。这项研究的目的是了解心理社会因素与糟糕的看牙率之间的关系。方法：对加州333名年龄在21-40岁的墨西哥裔成年人的调查数据进行分析。不良的牙科服务是由上次看牙的时间和看牙的原因组成的。最后一次看牙的原因如回答“超过一年以前”，或回答“牙齿有问题、困扰或疼痛/紧急问题”，均属不常看牙。心理社会决定因素包括使用改良牙科焦虑量表评估牙科焦虑，参与者报告的提供者互动质量和感知的社会支持进行评估。逻辑回归分析在考虑协变量后检验了相关性。结果：超过一半（58%）的患者就诊情况不佳。在就诊率较低的患者中，22%的人有高度的牙科焦虑，41%的人认为牙科解释质量低，48%的人报告提供者偶尔或从未检查过患者的理解程度。高度焦虑的受试者出现牙科护理不良的几率是低焦虑患者的两倍（OR = 2.07, 95% CI = 1.01-4.22）。此外，那些报告提供者没有很好地解释口腔健康状况或治疗的人比报告解释充分的人有两倍的几率出现不良的牙科护理（or = 2.06, 95% CI = 1.11-3.83）。检查病人的理解或感知到的社会支持与看牙医没有显著的关系。结论：牙科焦虑和提供者不良互动影响牙科服务的使用。针对牙科工作人员的干预措施应优先加强沟通技巧和检查病人的理解，以提高他们的牙科就诊率。
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引用次数: 0
Process Evaluation of a Secondary School-Based Digital Behaviour Change Intervention to Improve Toothbrushing: The BRIGHT Randomised Controlled Trial 以中学为基础的数字行为改变干预措施改善刷牙情况的过程评估：BRIGHT 随机对照试验。
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-11-25 DOI: 10.1111/cdoe.13019
Sarab El-Yousfi, Nicola Innes, Ian Kellar, Caroline Fairhurst, Hannah Ainsworth, Ivor Chestnutt, Peter Day, Donna Dey, Sue Pavitt, Mark Robertson, Katie Whiteside, Zoe Marshman

Objectives

The aim was to conduct a process evaluation of a multicomponent behaviour change intervention to reduce dental caries in secondary school children in the UK. The intervention was evaluated in the BRIGHT randomised controlled trial which investigated clinical and cost-effectiveness. The trial involved 4680 participants from 42 schools with a follow-up period of 2.5 years. Schools with an above-average proportion of free school meal (FSM) eligibility, an indicator of low household income, were recruited. The intervention, an oral health classroom-based session (CBS) delivered by school staff and twice-daily text messages aimed to improve toothbrushing frequency with fluoride toothpaste.

Methods

Key components of process evaluations were examined: Implementation (fidelity, dose delivered, adaptations and reach), mechanisms of impact (acceptability and dose received) and influential contextual factors. Data collection ran alongside that of the outcome evaluation. Mixed-methods data collection comprised pupil self-reported questionnaires, staff feedback questionnaires, CBS and text message delivery logs and semi-structured interviews/focus groups with school staff and pupils. Quantitative data were summarised descriptively, while framework analysis was applied to the qualitative data.

Results

The intervention was generally implemented as intended, albeit with some schools not confirming CBS delivery and a technical problem resulting in text messages being stopped prematurely. Some adaptations to the CBS were made by school staff. In terms of reach, 21.9% (n = 1025) of participants were FSM-eligible. At baseline, 77.6% (n = 3631) of randomised participants reported brushing at least twice daily with no difference over time in the social cognitive determinants of toothbrushing behaviour. The intervention was generally found to be acceptable with varying levels of participant responsiveness reported. The actual dose received was unclear; some schools did not provide a CBS attendance register, and some participants reported blocking or muting the text messages.

Conclusions

This evaluation raises the question of whether the intervention dose and quality of delivery were sufficient to support the required behaviour change mechanisms. Moreover, a high proportion of participants brushed twice daily at baseline; this also calls into question the intervention's ability to bring about significant ch

目的：目的是对一项旨在减少英国中学生龋齿的多成分行为改变干预措施进行过程评估。该干预措施在 BRIGHT 随机对照试验中进行了评估，该试验调查了临床和成本效益。该试验有来自 42 所学校的 4680 名参与者参加，跟踪期为 2.5 年。试验招募了免费校餐（FSM）资格比例高于平均水平的学校（FSM是家庭收入较低的一个指标）。干预措施是由学校教职员工开展的口腔健康课堂教学（CBS）和每天两次的短信，旨在提高使用含氟牙膏刷牙的频率：方法：研究了过程评估的主要内容：方法：研究了过程评估的主要内容：实施（保真度、提供的剂量、适应性和到达率）、影响机制（可接受性和收到的剂量）以及有影响的环境因素。数据收集与结果评估同时进行。混合方法的数据收集包括学生自我报告问卷、教职员工反馈问卷、CBS 和短信发送记录，以及与学校教职员工和学生的半结构化访谈/焦点小组。对定量数据进行了描述性总结，对定性数据进行了框架分析：干预措施总体上按预期实施，尽管有些学校没有确认 CBS 的发送，而且技术问题导致短信过早停止。学校教职员工对 CBS 做了一些调整。就覆盖范围而言，21.9%（n = 1025）的参与者符合家庭支助服务资格。在基线阶段，77.6%（n = 3631）的随机参与者表示每天至少刷牙两次，刷牙行为的社会认知决定因素在不同时期没有差异。人们普遍认为干预措施是可以接受的，但参与者的反应程度各不相同。实际收到的剂量并不清楚；一些学校没有提供 CBS 出勤登记册，一些参与者报告说他们屏蔽了短信或将短信静音：这项评估提出了一个问题：干预措施的剂量和实施质量是否足以支持所需的行为改变机制。此外，有很高比例的参与者在基线时每天刷牙两次；这也让人怀疑干预措施能否带来显著的改变。试验结果并不支持在学校环境中实施由两部分组成的干预措施（社区健康服务和短信）。不过，由于口腔健康是普通健康学校课程的一部分，BRIGHT CBS可以在英国的课程中采用，因为它是与年轻人共同开发的，学生和老师都能接受：试验注册：ISRCTN 编号：12139369。
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引用次数: 0
Long-Term Oral Health Effects of Traumatic Events Among World Trade Center Health Registry Enrolees, 2003–2020 2003-2020 年世贸中心健康登记参与者创伤事件对口腔健康的长期影响。
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-11-24 DOI: 10.1111/cdoe.13020
Aderonke A. Akinkugbe, Vishal Midya, Michael A. Crane, Dina T. Garcia, Uraina S. Clark, Rosalind J. Wright

Objectives

Posttraumatic stress disorder (PTSD) is a disabling mental health condition arising from experiencing serious traumatic events. This study investigated if PTSD secondary to the World Trade Center terrorist attack on 11 September 2001 (9/11) is associated with self-reported doctor's diagnosis of periodontitis and count of missing teeth.

Methods

Data from the World Trade Center Health Registry, 2003–2020 (n = 20 826) were used to prospectively examine the rate of periodontitis and cross-sectionally the odds of missing teeth among enrolees with/without PTSD post-9/11 using a modified Poisson regression and generalised logit model, respectively, adjusted for covariates.

Results

Approximately 17% reported a doctor's diagnosis of PTSD post-9/11 and 7.4% a doctor's diagnosis of periodontitis. There were 355 new cases of periodontitis (incidence rate = 7.6 per 1000 person-years) among those with PTSD and a rate of 4.3 per 1000 person-years among those without PTSD. The covariate-adjusted rate ratio for periodontitis comparing those with and without PTSD = 1.52 (95% CI: 1.33, 1.74). The adjusted odds ratio (OR) (95% CI) comparing those with and without PTSD were, respectively, OR = 1.15 (95% CI: 1.05, 1.25) and OR = 1.41 (95% CI: 1.09, 1.83) for missing 1–5 teeth and all teeth missing, respectively, as compared to no missing teeth.

Conclusions

PTSD post-9/11 appears to be associated with poorer oral health outcomes, underscoring the far-reaching consequences of traumatic events on oral health.

目的：创伤后应激障碍（PTSD）是一种因经历严重创伤事件而导致的致残性精神疾病。本研究调查了因 2001 年 9 月 11 日世贸中心恐怖袭击（911）而继发的创伤后应激障碍是否与医生自我报告的牙周炎诊断和牙齿缺失数量有关：方法：利用世贸中心健康登记处 2003-2020 年的数据（n = 20 826），分别采用改良泊松回归和广义对数模型，对 9/11 事件后患有/未患有创伤后应激障碍的受试者的牙周炎发病率和缺牙几率进行前瞻性研究，并对协变量进行调整：约有 17% 的人在 9/11 事件后经医生诊断患有创伤后应激障碍，7.4% 的人经医生诊断患有牙周炎。在患有创伤后应激障碍的人群中，有 355 例牙周炎新病例（发病率=每千人年 7.6 例），而在未患有创伤后应激障碍的人群中，发病率为每千人年 4.3 例。有创伤后应激障碍和没有创伤后应激障碍的患者相比，经过协变量调整后的牙周炎发病率比为 1.52（95% CI：1.33，1.74）。与没有牙齿缺失相比，有创伤后应激障碍和没有创伤后应激障碍的患者缺失1-5颗牙齿和全部牙齿的调整后几率比（OR）（95% CI）分别为OR = 1.15（95% CI：1.05，1.25）和OR = 1.41（95% CI：1.09，1.83）：结论：9/11 事件后创伤后应激障碍似乎与较差的口腔健康结果有关，这突出表明创伤事件对口腔健康的影响是深远的。
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引用次数: 0
Reviewer list 2024 2024 年审稿人名单
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-11-14 DOI: 10.1111/cdoe.13017
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引用次数: 0
Hospital Dental Admissions and Caries Experience Among Children With Neurodevelopmental Disabilities: A Population-Based Record Linkage Cohort Study 神经发育障碍儿童的入院牙科治疗和龋病经历：以人口为基础的记录关联队列研究》（Population-Based Record Linkage Cohort Study）。
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-11-12 DOI: 10.1111/cdoe.13018
Philip J. Schluter, Nicholas Bowden, Joanne Dacombe, Laurie McLay, Martin Lee

Background

Within Aotearoa | New Zealand, rates of largely preventable severe caries and dental hospitalisations among children are increasing and inequalities exist. However, little population-based empirical evidence exists describing this oral health burden among children with neurodevelopmental disabilities (NDDs). This study aimed to estimate and compare the rates of dental hospital admissions in a near-national population of children aged ≤ 14 years with attention-deficit hyperactivity disorder, autism, intellectual disability or any NDD after accounting for key confounding variables. Caries status for these children was derived from an oral health screening at 4 years and also examined.

Methods

The cohort were children who had their B4 School Check (B4SC) national health screening assessment undertaken between 1 January 2011 and 31 December 2018 and followed until 1 January 2020 (the study end date). Linked administrative databases, which include NDD indication and dental hospital records, were utilised. Dental hospital admissions were assessed using unadjusted and adjusted Cox proportional hazard regression models treating NDD as a discrete time-varying covariate. Caries status at 4 years of age was investigated cross-sectionally and the area under the receiver operating characteristic curve used to assess predictive accuracy.

Results

The eligible sample included 433 569 children (48.6% female) with a mean age of 9.3 years at the study end date. Overall, 16 359 (3.8%) children had at least one NDD indication and 38 574 (8.9%) had at least one dental hospitalisation. In adjusted analyses, the hazard ratio of dental hospitalisation admissions was 3.40 (95% CI: 3.22–3.60) for children indicated with any NDD compared to their non-NDD counterparts. At 4 years of age B4SC screening, 465 (17.6%) children out of 2640 indicated with any NDD had visible caries compared to 61 026 (14.3%) from 427 254 children without NDD indication (prevalence ratio = 1.24 [95% CI: 1.14–1.35]). However, the area under the receiver operating characteristic curve for this association was 0.52 (95% CI: 0.51–0.52), suggesting negligible predictive capacity.

Conclusion

Children with NDDs in Aotearoa, New Zealand suffer from substantial oral health inequities. Targeted preventive strategies and adaptation to primary oral health services are needed to meet the needs of neurodiverse children and redress this substantial inequity. However, targeting children with NDDs at the B4SC is unlikely to mitigate these oral heal

背景：在新西兰奥特亚罗瓦（Aotearoa | New Zealand），儿童中基本上可以预防的严重龋齿和牙科住院率正在上升，并且存在不平等现象。然而，很少有基于人口的经验证据来描述神经发育障碍儿童（NDDs）的口腔健康负担。本研究旨在估算和比较近全国范围内 14 岁以下患有注意力缺陷多动障碍、自闭症、智力障碍或任何 NDD 的儿童的牙科住院率，并考虑了主要的混杂变量。这些儿童的龋齿状况是通过 4 岁时的口腔健康检查得出的，同时也对这些儿童的龋齿状况进行了检查：研究对象为在 2011 年 1 月 1 日至 2018 年 12 月 31 日期间接受过 B4 School Check (B4SC) 全国健康筛查评估的儿童，并随访至 2020 年 1 月 1 日（研究结束日期）。研究利用了关联的行政数据库，其中包括国家牙科诊断指示和牙科医院记录。牙科医院入院情况采用未经调整和调整的 Cox 比例危险回归模型进行评估，将 NDD 视为离散的时变协变量。对 4 岁时的龋齿状况进行了横截面调查，并使用接收器操作特征曲线下的面积来评估预测的准确性：合格样本包括 433 569 名儿童（48.6% 为女性），研究结束时的平均年龄为 9.3 岁。总体而言，16 359 名儿童（3.8%）至少有一项 NDD 适应症，38 574 名儿童（8.9%）至少有一次牙科住院治疗。在调整分析中，与非 NDD 儿童相比，有任何 NDD 指征的儿童牙科住院风险比为 3.40（95% CI：3.22-3.60）。在 4 岁时的 B4SC 筛查中，2640 名有任何 NDD 指征的儿童中有 465 名（17.6%）患有可见龋，而 427 254 名无 NDD 指征的儿童中有 61026 名（14.3%）患有可见龋（患病率比 = 1.24 [95% CI：1.14-1.35]）。然而，这一关联的接收器操作特征曲线下面积为 0.52（95% CI：0.51-0.52），表明预测能力微乎其微：结论：新西兰奥特亚罗瓦地区的非传染性疾病儿童在口腔健康方面存在严重的不平等。需要制定有针对性的预防策略并调整初级口腔保健服务，以满足神经多样性儿童的需求，纠正这种严重的不公平现象。然而，在 B4SC 针对患有 NDD 的儿童不太可能减轻这些口腔健康不平等现象。
{"title":"Hospital Dental Admissions and Caries Experience Among Children With Neurodevelopmental Disabilities: A Population-Based Record Linkage Cohort Study","authors":"Philip J. Schluter,&nbsp;Nicholas Bowden,&nbsp;Joanne Dacombe,&nbsp;Laurie McLay,&nbsp;Martin Lee","doi":"10.1111/cdoe.13018","DOIUrl":"10.1111/cdoe.13018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Within Aotearoa | New Zealand, rates of largely preventable severe caries and dental hospitalisations among children are increasing and inequalities exist. However, little population-based empirical evidence exists describing this oral health burden among children with neurodevelopmental disabilities (NDDs). This study aimed to estimate and compare the rates of dental hospital admissions in a near-national population of children aged ≤ 14 years with attention-deficit hyperactivity disorder, autism, intellectual disability or any NDD after accounting for key confounding variables. Caries status for these children was derived from an oral health screening at 4 years and also examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The cohort were children who had their B4 School Check (B4SC) national health screening assessment undertaken between 1 January 2011 and 31 December 2018 and followed until 1 January 2020 (the study end date). Linked administrative databases, which include NDD indication and dental hospital records, were utilised. Dental hospital admissions were assessed using unadjusted and adjusted Cox proportional hazard regression models treating NDD as a discrete time-varying covariate. Caries status at 4 years of age was investigated cross-sectionally and the area under the receiver operating characteristic curve used to assess predictive accuracy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The eligible sample included 433 569 children (48.6% female) with a mean age of 9.3 years at the study end date. Overall, 16 359 (3.8%) children had at least one NDD indication and 38 574 (8.9%) had at least one dental hospitalisation. In adjusted analyses, the hazard ratio of dental hospitalisation admissions was 3.40 (95% CI: 3.22–3.60) for children indicated with any NDD compared to their non-NDD counterparts. At 4 years of age B4SC screening, 465 (17.6%) children out of 2640 indicated with any NDD had visible caries compared to 61 026 (14.3%) from 427 254 children without NDD indication (prevalence ratio = 1.24 [95% CI: 1.14–1.35]). However, the area under the receiver operating characteristic curve for this association was 0.52 (95% CI: 0.51–0.52), suggesting negligible predictive capacity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Children with NDDs in Aotearoa, New Zealand suffer from substantial oral health inequities. Targeted preventive strategies and adaptation to primary oral health services are needed to meet the needs of neurodiverse children and redress this substantial inequity. However, targeting children with NDDs at the B4SC is unlikely to mitigate these oral heal","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 2","pages":"160-169"},"PeriodicalIF":1.8,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examination of dental utilization of newly resettled adult refugees in Washington state enrolled in dental medicaid program 对华盛顿州新安置的参加牙科医疗补助计划的成年难民的牙科使用情况进行调查。
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-11-04 DOI: 10.1111/cdoe.13007
Ana Lucia Seminario, Sogole Tabatabaiepur, Yan Wang, Christopher Okunseri, Darien J. Weatherspoon, Frank Roberts

Objective

To assess dental utilization of resettled adult refugees in Washington (WA) state and the demographic factors associated with dental utilization.

Methods

Data were collected between January 1, 2015, and December 31, 2015 for newly arrived adult refugees (>21 years) enrolled in Washington State dental Medicaid program. Three state agencies provided enrollment and claims data that included demographic information as well as number and types of dental claims, and time to first dental claim for the newly resettled adult refugee population.

Results

A total of 1294 adult refugees resettled in WA State in 2015. Approximately, 67% were aged 21–39 years and 32.4% White race and 93.9% without any disability. Over half (57%) of adult refugees had at least one dental claim within 12 months, and the median time to first dental utilization was 4.1 months [IQR:2.4–6.8]. Black refugees had a 74% greater chance of a first dental claim within 12 months of resettlement compared to White refugees (p < .001), and people from countries with high volume of refugees also had a 31% greater chance than those from countries with low volume of refugees (p = .005).

Conclusions

Over half of all the adult refugees resettled in WA utilized dental services within 12 months of arrival. Understanding the mosaic of demographic backgrounds of newly resettled refugees in any given state will improve early utilization of dental care needs and therefore improve their oral health.

目的评估在华盛顿州（Washington，WA）重新安置的成年难民的牙科使用情况以及与牙科使用相关的人口因素：数据收集时间为 2015 年 1 月 1 日至 2015 年 12 月 31 日，对象为加入华盛顿州牙科医疗补助计划的新到成年难民（21 岁以上）。三个州政府机构提供了注册和索赔数据，其中包括人口统计信息、牙科索赔的数量和类型，以及新安置成年难民首次牙科索赔的时间：2015年，共有1294名成年难民在西澳大利亚州重新定居。约67%的难民年龄在21-39岁之间，32.4%为白人，93.9%无任何残疾。超过一半（57%）的成年难民在12个月内至少有过一次牙科索赔，首次使用牙科服务的中位时间为4.1个月[IQR:2.4-6.8]。与白人难民相比，黑人难民在重新安置后的 12 个月内首次申请牙科治疗的几率要高出 74%（p 结论）：在西澳大利亚州定居的所有成年难民中，有一半以上在抵达后的12个月内使用过牙科服务。了解任何一个州新安置难民的人口背景，都将提高他们对牙科保健需求的早期利用率，从而改善他们的口腔健康。
{"title":"Examination of dental utilization of newly resettled adult refugees in Washington state enrolled in dental medicaid program","authors":"Ana Lucia Seminario,&nbsp;Sogole Tabatabaiepur,&nbsp;Yan Wang,&nbsp;Christopher Okunseri,&nbsp;Darien J. Weatherspoon,&nbsp;Frank Roberts","doi":"10.1111/cdoe.13007","DOIUrl":"10.1111/cdoe.13007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess dental utilization of resettled adult refugees in Washington (WA) state and the demographic factors associated with dental utilization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected between January 1, 2015, and December 31, 2015 for newly arrived adult refugees (&gt;21 years) enrolled in Washington State dental Medicaid program. Three state agencies provided enrollment and claims data that included demographic information as well as number and types of dental claims, and time to first dental claim for the newly resettled adult refugee population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1294 adult refugees resettled in WA State in 2015. Approximately, 67% were aged 21–39 years and 32.4% White race and 93.9% without any disability. Over half (57%) of adult refugees had at least one dental claim within 12 months, and the median time to first dental utilization was 4.1 months [IQR:2.4–6.8]. Black refugees had a 74% greater chance of a first dental claim within 12 months of resettlement compared to White refugees (<i>p</i> &lt; .001), and people from countries with high volume of refugees also had a 31% greater chance than those from countries with low volume of refugees (<i>p</i> = .005).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Over half of all the adult refugees resettled in WA utilized dental services within 12 months of arrival. Understanding the mosaic of demographic backgrounds of newly resettled refugees in any given state will improve early utilization of dental care needs and therefore improve their oral health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 1","pages":"58-68"},"PeriodicalIF":1.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Nationality in Childhood Caries in Qatar 国籍在卡塔尔儿童龋齿中的作用。
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-10-30 DOI: 10.1111/cdoe.13010
Andrew John Spencer, Asmaa Othman AlKhtib, Mohamed Sultan Al Darwish, Hasaan Gassim Saad Mohame, Tintu Mathew, Ghanim Ali Al Mannai, Mohammed Al Thani, Mariam Abdulmalik, Johann de Vries, Loc Giang Do, Sergio Chrisopoulos
<div> <section> <p>Childhood primary dentition caries prevalence and experience is higher among Qatari than non-Qatari nationality children in Qatar but only this bivariate association has been described.</p> </section> <section> <h3> Objectives</h3> <p>There were two objectives. First, to understand the variation of primary dentition caries among 4- to 8-year-old children in Qatar across nationality classified into four groups, and second, to explore whether the association persisted in the presence of socio-demographic and behavioural indicators.</p> </section> <section> <h3> Methods</h3> <p>The study used data from the Qatar Child Oral Health Survey 2017 (QCOHS 2017). Detailed information was collected through a parental dual-language questionnaire and an oral epidemiological examination conducted by calibrated dentist examiners. Children in 20 kindergartens and 40 schools across Qatar were recruited. Data were weighted to represent the Qatar child population.</p> </section> <section> <h3> Results</h3> <p>Overall, 1154 children aged 4–8 years old (48.9% female, 51.1% male) participated. Qatari children made up 26.3%, Non-Qatari (N-Q) Arabic children 44.2% N-Q Indian sub-continent 16.4% and N-Q Other 13.1%. There were no significant differences by nationality for age or sex, but differences existed for kindergarten/school type and parents' highest level of education. Among behavioural indicators, Qatari and N-Q Arabic children began toothbrushing later, and more N-Q Other children brushed 2+ times a day and had made a check-up visit in the last 12 months. More Qatari children were in the highest tertial for sugar intake and drank bottled water with no fluoride. All N-Q children had a significantly lower prevalence and experience of caries. The means ratio (95% CI) for N-Q Arabic (0.78; 0.65–0.94), Indian (0.58; 0.46–0.72) and other children (0.61; 0.42–0.88) were all significant against Qatari nationality children. Multivariable models showed an attenuation of the association with caries with the means ratio for N-Q Arabic (0.92; 0.73–1.16), Indian (0.79; 0.57–1.11) and other children (0.94; 0.61–1.44) being non-significant compared to Qatari nationality children. The variables which were significantly associated with caries were parental education, toothbrushing frequency, sugar intake and check-up visiting in the last 12 months in the multivariable models.</p> </section> <section> <h3> Conclusions</h3> <p>Primary dentition caries in children resident in Qatar differed by nat
在卡塔尔，卡塔尔籍儿童比非卡塔尔籍儿童的初级龋齿患病率和患病经历更高，但仅描述了这种二元关联：有两个目标。首先，了解卡塔尔 4 至 8 岁儿童在不同国籍（分为四组）之间的初级龋齿差异；其次，探讨在存在社会人口和行为指标的情况下，这种关联是否持续存在：研究使用了 2017 年卡塔尔儿童口腔健康调查（QCOHS 2017）的数据。详细资料是通过家长双语问卷和经校准的牙医检查员进行的口腔流行病学检查收集的。招募了卡塔尔全国 20 所幼儿园和 40 所学校的儿童。数据经过加权处理，以代表卡塔尔儿童人口：共有 1154 名 4-8 岁的儿童（48.9% 为女性，51.1% 为男性）参加了此次调查。卡塔尔儿童占 26.3%，非卡塔尔（N-Q）阿拉伯儿童占 44.2%，非卡塔尔（N-Q）印度次大陆儿童占 16.4%，非卡塔尔（N-Q）其他儿童占 13.1%。不同国籍的儿童在年龄和性别方面没有明显差异，但在幼儿园/学校类型和父母的最高教育水平方面存在差异。在行为指标方面，卡塔尔儿童和N-Q阿拉伯儿童开始刷牙的时间较晚，而更多的N-Q其他儿童每天刷牙2次以上，并在过去12个月中进行过检查。更多的卡塔尔儿童糖摄入量处于最高三分位，并饮用不含氟的瓶装水。所有北卡塔尔儿童的患龋率和患龋经历都明显较低。与卡塔尔籍儿童相比，N-Q 阿拉伯儿童（0.78；0.65-0.94）、印度儿童（0.58；0.46-0.72）和其他儿童（0.61；0.42-0.88）的均值比（95% CI）均显著降低。多变量模型显示，与卡塔尔籍儿童相比，N-Q 阿拉伯语（0.92；0.73-1.16）、印度语（0.79；0.57-1.11）和其他儿童（0.94；0.61-1.44）的均值比与龋齿的相关性减弱。在多变量模型中，与龋齿明显相关的变量是父母教育程度、刷牙频率、糖摄入量和过去 12 个月中的就诊情况：结论：居住在卡塔尔的儿童的初级牙齿龋齿情况因国籍而异。在存在社会人口和行为变量的情况下，初级牙齿龋齿与国籍的关系明显减弱且不显著，这表明这些变量作为改善卡塔尔儿童初级牙齿龋齿患病率和经历的途径非常重要。
{"title":"The Role of Nationality in Childhood Caries in Qatar","authors":"Andrew John Spencer,&nbsp;Asmaa Othman AlKhtib,&nbsp;Mohamed Sultan Al Darwish,&nbsp;Hasaan Gassim Saad Mohame,&nbsp;Tintu Mathew,&nbsp;Ghanim Ali Al Mannai,&nbsp;Mohammed Al Thani,&nbsp;Mariam Abdulmalik,&nbsp;Johann de Vries,&nbsp;Loc Giang Do,&nbsp;Sergio Chrisopoulos","doi":"10.1111/cdoe.13010","DOIUrl":"10.1111/cdoe.13010","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;Childhood primary dentition caries prevalence and experience is higher among Qatari than non-Qatari nationality children in Qatar but only this bivariate association has been described.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;There were two objectives. First, to understand the variation of primary dentition caries among 4- to 8-year-old children in Qatar across nationality classified into four groups, and second, to explore whether the association persisted in the presence of socio-demographic and behavioural indicators.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study used data from the Qatar Child Oral Health Survey 2017 (QCOHS 2017). Detailed information was collected through a parental dual-language questionnaire and an oral epidemiological examination conducted by calibrated dentist examiners. Children in 20 kindergartens and 40 schools across Qatar were recruited. Data were weighted to represent the Qatar child population.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Overall, 1154 children aged 4–8 years old (48.9% female, 51.1% male) participated. Qatari children made up 26.3%, Non-Qatari (N-Q) Arabic children 44.2% N-Q Indian sub-continent 16.4% and N-Q Other 13.1%. There were no significant differences by nationality for age or sex, but differences existed for kindergarten/school type and parents' highest level of education. Among behavioural indicators, Qatari and N-Q Arabic children began toothbrushing later, and more N-Q Other children brushed 2+ times a day and had made a check-up visit in the last 12 months. More Qatari children were in the highest tertial for sugar intake and drank bottled water with no fluoride. All N-Q children had a significantly lower prevalence and experience of caries. The means ratio (95% CI) for N-Q Arabic (0.78; 0.65–0.94), Indian (0.58; 0.46–0.72) and other children (0.61; 0.42–0.88) were all significant against Qatari nationality children. Multivariable models showed an attenuation of the association with caries with the means ratio for N-Q Arabic (0.92; 0.73–1.16), Indian (0.79; 0.57–1.11) and other children (0.94; 0.61–1.44) being non-significant compared to Qatari nationality children. The variables which were significantly associated with caries were parental education, toothbrushing frequency, sugar intake and check-up visiting in the last 12 months in the multivariable models.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Primary dentition caries in children resident in Qatar differed by nat","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 1","pages":"106-116"},"PeriodicalIF":1.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating Disparities in Dental Health—A Transit-Based Investigation of Access to Dental Care in Virginia 牙科保健中的差异导航--基于弗吉尼亚州牙科保健的公交调查。
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-10-30 DOI: 10.1111/cdoe.13015
Junghwan Kim, Shashank Karki, Tegwyn Brickhouse, Marko Vujicic, Kamyar Nasseh, Changzhen Wang, Mengxi Zhang

Objective

To identify vulnerable areas and populations with limited access to dental care in Virginia, the study aimed (1) to calculate travel time and accessibility scores to dental care in Virginia using a transit-based accessibility model for all dental clinics and dental clinics participating in the Medicaid dental program and (2) to estimate factors associated with accessibility to dental clinics participating in the Medicaid dental program in Virginia.

Methods

The study used building footprints as origins of transit trips to dental care services (or destinations). The study then computed transit-based origin–destination travel time matrices based on the detailed trip information, including in-vehicle and out-of-vehicle travel time. Accessibility scores were calculated by counting the number of dental clinics that can be reached within 60 min. Regression analysis was used to measure factors associated with accessibility scores to dental clinics participating in Medicaid.

Results

Residents in smaller regions spent longer travel time to dental clinics by public transit compared with those who resided in larger regions. Medicaid participants also faced longer travel time compared with the general population. Residents spent more than three-fourths of the time waiting for public transit and walking to clinics regardless of where they live and what type of insurance they have. Associations between sociodemographic factors and accessibility scores to dental clinics participating in the Medicaid dental program varied across regions.

Conclusions

Disparities in dental care accessibility exist depending on the size of regions and Medicaid participation in Virginia. The disparities in transit-based access to dental clinics and a disproportionate amount of time spent waiting for public transit and walking to dental clinics could be improved through tailored interventions taking into account the sociodemographic and geographic characteristics of each region.

目标：为确定弗吉尼亚州牙科保健服务有限的脆弱地区和人群，该研究旨在：（1）使用基于交通的可达性模型，计算弗吉尼亚州所有牙科诊所和参与医疗补助牙科项目的牙科诊所的旅行时间和牙科保健服务可达性得分；（2）估计与弗吉尼亚州参与医疗补助牙科项目的牙科诊所可达性相关的因素：方法：该研究使用建筑物足迹作为前往牙科保健服务（或目的地）的公交出行的起点。然后，研究根据详细的行程信息，包括车内和车外的旅行时间，计算出基于交通的起点-终点旅行时间矩阵。通过计算 60 分钟内可到达的牙科诊所数量，计算出了可达性得分。回归分析用于衡量与参与医疗补助计划的牙科诊所可及性得分相关的因素：结果：与居住在较大地区的居民相比，居住在较小地区的居民乘坐公共交通前往牙科诊所所花费的时间更长。与普通居民相比，医疗补助计划的参与者也需要花费更长的旅行时间。无论居民居住在哪里，也无论他们拥有哪种保险，他们都要花费四分之三以上的时间等待公共交通或步行前往诊所。不同地区的社会人口因素与参与医疗补助牙科项目的牙科诊所可及性得分之间的关系各不相同：在弗吉尼亚州，牙科保健可及性方面存在着差异，这取决于地区的大小和医疗补助计划的参与情况。考虑到各地区的社会人口和地理特征，可以通过量身定制的干预措施来改善牙科诊所交通可达性方面的差异，以及花在等待公共交通和步行前往牙科诊所上的过多时间。
{"title":"Navigating Disparities in Dental Health—A Transit-Based Investigation of Access to Dental Care in Virginia","authors":"Junghwan Kim,&nbsp;Shashank Karki,&nbsp;Tegwyn Brickhouse,&nbsp;Marko Vujicic,&nbsp;Kamyar Nasseh,&nbsp;Changzhen Wang,&nbsp;Mengxi Zhang","doi":"10.1111/cdoe.13015","DOIUrl":"10.1111/cdoe.13015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify vulnerable areas and populations with limited access to dental care in Virginia, the study aimed (1) to calculate travel time and accessibility scores to dental care in Virginia using a transit-based accessibility model for all dental clinics and dental clinics participating in the Medicaid dental program and (2) to estimate factors associated with accessibility to dental clinics participating in the Medicaid dental program in Virginia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study used building footprints as origins of transit trips to dental care services (or destinations). The study then computed transit-based origin–destination travel time matrices based on the detailed trip information, including in-vehicle and out-of-vehicle travel time. Accessibility scores were calculated by counting the number of dental clinics that can be reached within 60 min. Regression analysis was used to measure factors associated with accessibility scores to dental clinics participating in Medicaid.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Residents in smaller regions spent longer travel time to dental clinics by public transit compared with those who resided in larger regions. Medicaid participants also faced longer travel time compared with the general population. Residents spent more than three-fourths of the time waiting for public transit and walking to clinics regardless of where they live and what type of insurance they have. Associations between sociodemographic factors and accessibility scores to dental clinics participating in the Medicaid dental program varied across regions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Disparities in dental care accessibility exist depending on the size of regions and Medicaid participation in Virginia. The disparities in transit-based access to dental clinics and a disproportionate amount of time spent waiting for public transit and walking to dental clinics could be improved through tailored interventions taking into account the sociodemographic and geographic characteristics of each region.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 1","pages":"117-124"},"PeriodicalIF":1.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social Relationships and Tooth Loss in Adults Aged 60 Years and Older: A Systematic Review and Meta-Analysis 60 岁及以上成年人的社会关系与牙齿脱落：系统回顾与元分析》。
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-10-22 DOI: 10.1111/cdoe.13011
Eiko Yoshida-Kohno, Kenji Fueki, Amal A. Wanigatunga, Thomas K. M. Cudjoe, Jun Aida

Objective

To systematically assess current evidence on the extent to which social relationships are associated with tooth loss in adults aged 60 years and older.

Methods

A systematic literature search was conducted on PubMed, Embase, Web of Science, CINAHL and The Cochrane Library databases to identify relevant studies published from 1966 up to March 2024. Cross-sectional or cohort studies investigating the association between structural, functional and/or combined (structural and functional) components of social relationships and the number of remaining teeth or edentulism among community-dwelling or institutionalised older adults were included. Data were extracted on participants' and study characteristics, including study design, the type of measures used to assess social relationships (structural, functional, and combined), outcome measures and association estimates. The quality of the studies was assessed using the Newcastle-Ottawa Scale (NOS) for cohort studies and the adapted NOS for cross-sectional studies. The reported association between social relationships and the number of remaining teeth or edentulism was summarised using meta-analysis with robust variance estimation.

Results

Twenty studies were included in the review and 12 studies (125 553 participants) in the meta-analysis. Across the 12 studies, the average odds ratio (95% confidence interval) was 1.15 (1.01–1.32), indicating a 15% higher likelihood of having a lower number of teeth or edentulism for those with weaker social relationships. The GRADE certainty of the body of evidence was low.

Conclusions

Weak social relationships were associated with a lower number of teeth or edentulism in older adults. Our findings may inform potential public health approaches that target and modify social relationships to prevent and address older adults' oral diseases. Still, the directionality and the underlying mechanisms connecting social relationships and tooth loss need to be further explored by longitudinal studies with follow-up long enough for oral health outcomes or changes in social relationships to occur.

Trial Registration

Protocol Registration: PROSPERO (CRD42023417845)

目的系统评估当前关于社会关系与 60 岁及以上成年人牙齿脱落相关程度的证据：在 PubMed、Embase、Web of Science、CINAHL 和 Cochrane Library 数据库中进行系统性文献检索，以确定从 1966 年至 2024 年 3 月期间发表的相关研究。研究对象包括调查社会关系的结构性、功能性和/或组合性（结构性和功能性）成分与社区居住或机构养老的老年人剩余牙齿数量或牙齿缺失之间关系的横断面或队列研究。研究人员提取了有关参与者和研究特征的数据，包括研究设计、用于评估社会关系的测量类型（结构性、功能性和组合性）、结果测量和关联估计值。对队列研究采用纽卡斯尔-渥太华量表（Newcastle-Ottawa Scale，NOS）对横断面研究采用改编的 NOS 对研究质量进行评估。采用荟萃分析法和稳健方差估计法总结了所报告的社会关系与剩余牙齿数量或缺牙之间的关系：20 项研究被纳入综述，12 项研究（125 553 名参与者）被纳入荟萃分析。在这 12 项研究中，平均几率比（95% 置信区间）为 1.15 (1.01-1.32)，这表明社会关系较弱的人拥有较少牙齿或牙齿缺损的可能性要高出 15%。证据体的 GRADE 确定性较低：社会关系薄弱与老年人牙齿数量较少或牙齿缺损有关。我们的研究结果可能会为针对和改变社会关系的潜在公共卫生方法提供信息，以预防和解决老年人的口腔疾病。尽管如此，社会关系与牙齿脱落之间的方向性和内在机制仍需通过纵向研究进一步探讨，随访时间要足够长，以便出现口腔健康结果或社会关系的变化：协议注册：prospero（CRD42023417845）。
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引用次数: 0
A Data-Driven Approach Identifies Subtypes of Caries From Dental Charting 从牙科图表中识别龋齿亚型的数据驱动方法
IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Community dentistry and oral epidemiology
Pub Date : 2024-10-22 DOI: 10.1111/cdoe.13014
Simon Haworth, Lisa Kastenbom, Peter Persson, Niklas Fries, Anders Esberg, Daniel Jönsson, Ingegerd Johansson

Objectives

The objectives were to: (i) assess the accuracy of dental data for adults obtained from the Swedish Quality Register on Caries and Periodontitis (SKaPa); (ii) explore whether Latent Class Analysis (LCA) can identify groups of people based on caries data; and (iii) characterise the dental, medical and behavioural characteristics of people in the LCA-derived classes.

Methods

Caries data from the SKaPa register were compared with clinical data collected by five experienced dentists in a nested subgroup of the Malmö Offspring Study (MOS), namely the Malmö Offspring Dental Study (MODS) (n = 724) for validation. Dental data from SKaPa were then used to classify 61 984 adult participants of the Västerbotten Intervention Programme (VIP) into five classes using LCA and DMFS-based quintile ranking, respectively. Dental status (including caries progression over 5 years), medical, anthropometric and behavioural characteristics were compared between the groups. Analyses were replicated in 2767 adults in the MOS.

Results

DMFS-scores and number of teeth recorded within −2 to +2 years showed excellent agreement between the SKaPa and reference data with intra-class correlations > 0.90. The five LCA classes differed in mean DMFS from 10.0 to 94.4. There were strong associations between LCA class and health, and health and behavioural measures respectively, including some associations that were not detected using DMFS-ranked quintile groups. LCA class was associated with incremental change in DMFS, DFS, and number of teeth. The results in the MOS cohort were consistent with the results in the VIP cohort.

Conclusions

Dental data for adults from the SKaPa registry were considered accurate within 2 years of recording. The LCA approach can classify participants into caries subtypes based on dental charting. These groups differ in health and behavioural characteristics and future caries increment. The LCA approach may capture some information that is missing from DMFS-ranked quintile groups, but is also heavily influenced by total DMFS, meaning that applying LCA in cumulative, highly age-determined diseases, such as caries, is a challenge.

目标：目的是(i)评估从瑞典龋病和牙周炎质量登记册（SKaPa）中获得的成人牙科数据的准确性；(ii)探讨潜在类别分析（LCA）是否能根据龋病数据确定人群；(iii)描述 LCA 衍生类别中人群的牙科、医疗和行为特征：将 SKaPa 登记册中的龋齿数据与马尔默后代研究（MOS）嵌套子组，即马尔默后代牙科研究（MODS）（n = 724）中由五位经验丰富的牙医收集的临床数据进行比较，以进行验证。然后，利用SKaPa的牙科数据，采用LCA和基于DMFS的五分法排名，将韦斯特博滕干预计划（VIP）的61 984名成年参与者分为五个等级。比较了各组之间的牙齿状况（包括 5 年的龋病进展）、医疗、人体测量和行为特征。分析结果在 2767 名 MOS 成人中进行了重复：DMFS分数和-2至+2年内记录的牙齿数量显示，SKaPa和参考数据之间的一致性非常好，类内相关性大于0.90。五个 LCA 等级的平均 DMFS 差异从 10.0 到 94.4 不等。LCA 等级分别与健康状况、健康状况和行为指标之间存在很强的相关性，其中一些相关性在使用 DMFS 五分位数分组时无法检测到。LCA等级与DMFS、DFS和牙齿数量的增量变化相关。MOS队列的结果与VIP队列的结果一致：SKaPa登记册中的成人牙科数据在记录后两年内被认为是准确的。LCA方法可根据牙科图表将参与者分为龋齿亚型。这些群体在健康和行为特征以及未来龋齿增量方面存在差异。LCA方法可以捕捉到DMFS五分位组别中缺失的一些信息，但也深受DMFS总量的影响，这意味着将LCA应用于累积性、高度年龄决定性疾病（如龋齿）是一项挑战。
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