Journal of public health dentistry最新文献_第2页

Head and Neck Examinations Among Patients Presenting to HRSA-Funded Health Centers in the United States 在美国hrsa资助的健康中心就诊的患者头颈部检查。

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-06-23 DOI: 10.1111/jphd.70001

Leah I. Leinbach

Objective

Health centers funded by the Health Resources and Services Administration (HRSA) are a safety net for people who may not be able to access care elsewhere. Patients eligible for care at these facilities share some of the same risk factors for developing head and neck cancer. The objective of this study is to examine the prevalence of head and neck cancer examinations among patients of HRSA-funded health centers.

Methods

This is an analysis of the cross-sectional 2022 Health Center Patient Survey (HCPS). Self-reported data from this survey of patients of health centers regarding receipt of head and neck examinations is summarized, with results stratified by sociodemographic, behavioral, and health-related factors.

Results

Four thousand four hundred and fourteen unweighted patients (20,693,940 weighted) participated in the HCPS, 69.5% of whom answered questions about a head and neck exam. Of these, 9.9% of patients reported a history of a head and neck exam (HNE). Patients from minoritized racial/ethnic groups were less likely to report an HNE compared to White, non-Hispanic patients. Patients with Medicare, Medicaid, and lower incomes were also less likely to report an HNE compared to patients with private insurance and incomes above $50,000 per year. A dental exam anywhere within the last year was associated with a report of an HNE.

Conclusions

Disparities in reported HNEs were observed by patient race/ethnicity, medical payor, income, and recency of dental visit among patients of US health centers. Health centers may be uniquely positioned to explore and generate evidence regarding HNEs that could inform changes in practice.

目标：由卫生资源和服务管理局（HRSA）资助的卫生中心为那些可能无法在其他地方获得医疗服务的人提供了一个安全网。有资格在这些机构接受治疗的患者有一些患头颈癌的相同风险因素。本研究的目的是调查hrsa资助的卫生中心患者头颈癌检查的流行程度。方法：对2022年健康中心患者调查（HCPS）进行横断面分析。本研究总结了在医疗中心接受头颈部检查的患者的自我报告数据，并根据社会人口统计学、行为和健康相关因素对结果进行了分层。结果：44,414名未称重患者（20,693,940名称重患者）参加了HCPS，其中69.5%的患者回答了有关头颈部检查的问题。其中，9.9%的患者报告有头颈部检查（HNE）史。与白人、非西班牙裔患者相比，少数种族/民族患者报告HNE的可能性较小。与拥有私人保险和年收入超过5万美元的患者相比，拥有医疗保险、医疗补助和收入较低的患者报告HNE的可能性也较小。去年任何地方的牙科检查都与HNE报告有关。结论：在美国卫生中心的患者中，根据患者的种族/民族、医疗付款人、收入和最近的牙科就诊次数观察到报告的HNEs的差异。保健中心可能处于独特的地位，可以探索和产生有关国家健康状况的证据，从而为实践中的变化提供信息。

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引用次数: 0

Racial/Ethnic Differences in the Joint Effect of Edentulism and Diabetes on All-Cause Mortality Risks: A 12-Year Prospective Cohort Analysis 一项为期12年的前瞻性队列分析：牙髓病和糖尿病对全因死亡风险共同影响的种族/民族差异

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-06-17 DOI: 10.1111/jphd.70000

Xiang Qi, Chenxin Tan, Huabin Luo, Brenda L. Plassman, Frank A. Sloan, Angela R. Kamer, Mark D. Schwartz, Bei Wu

Objectives

Edentulism and diabetes mellitus (DM) are frequently seen among older adults. However, the joint effect of edentulism and DM on mortality was understudied. We aim to examine the joint effect of edentulism and DM on all-cause mortality and to what extent the joint effect varies by race/ethnicity.

Methods

Analysis of US Health and Retirement Study (HRS) data (2006–2018) included 11,813 non-Hispanic Whites, 2216 non-Hispanic Blacks, and 1337 Hispanics aged ≥ 50 years old. Mortality data came from the National Death Index or HRS surveys. Edentulism was self-reported and DM was determined by self-reported diagnosis, medication use, or glycosylated hemoglobin. Cox proportional-hazard models with inverse probability treatment weighting were applied.

Results

During mean follow-up of 9.6 years, 2874 Whites, 703 Blacks, and 441 Hispanics died. DM was associated with higher mortality across all groups (Whites: HR = 1.43, 95% CI = 1.25–1.64; Blacks: HR = 1.62, 95% CI = 1.28–2.04; Hispanics: HR = 1.46, 95% CI = 1.07–1.99). However, edentulism predicted higher mortality only in Whites (HR = 1.65, 95% CI = 1.51–1.80). Having both conditions showed highest mortality risk in all groups (Whites: HR = 2.31, 95% CI = 1.56–3.42; Blacks: HR = 1.94, 95% CI = 1.45–2.59; Hispanics: HR = 1.77, 95% CI = 1.16–2.70), with a significant additive interaction observed only in Whites (relative excess risk due to interaction = 0.22, p < 0.05).

Conclusions

DM and edentulism pose an additive risk for mortality in Whites, and there are racial/ethnic differences in edentulism-related mortality.

目的：牙髓病和糖尿病（DM）在老年人中很常见。然而，对全牙磨牙和糖尿病对死亡率的共同影响尚未得到充分研究。我们的目的是检查登牙和糖尿病对全因死亡率的共同影响，以及这种共同影响在多大程度上因种族/民族而异。方法：分析美国健康与退休研究（HRS）数据（2006-2018），包括11,813名非西班牙裔白人，2216名非西班牙裔黑人和1337名年龄≥50岁的西班牙裔。死亡率数据来自国家死亡指数或HRS调查。牙髓症是自我报告的，糖尿病是通过自我报告的诊断、药物使用或糖化血红蛋白来确定的。采用逆概率处理加权的Cox比例风险模型。结果：在平均9.6年的随访中，2874名白人、703名黑人和441名西班牙裔死亡。在所有组中，糖尿病与较高的死亡率相关(白人：HR = 1.43, 95% CI = 1.25-1.64；黑人：HR = 1.62, 95% CI = 1.28-2.04；西班牙裔：HR = 1.46, 95% CI = 1.07-1.99)。然而，只有白人患牙补牙症的死亡率较高（HR = 1.65, 95% CI = 1.51-1.80）。同时患有这两种疾病的所有组的死亡风险最高(白人：HR = 2.31, 95% CI = 1.56-3.42；黑人：HR = 1.94, 95% CI = 1.45-2.59；西班牙裔：HR = 1.77, 95% CI = 1.16-2.70)，仅在白人中观察到显著的加性相互作用（由于相互作用而产生的相对超额风险= 0.22,p）。结论：糖尿病和牙髓病对白人的死亡率构成加性风险，牙髓病相关的死亡率存在种族/民族差异。

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引用次数: 0

Barriers and Facilitators to Providing Preventive Dental Care for Young Children in Dental Settings 在牙科机构为幼儿提供预防性牙科保健的障碍和促进因素。

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-06-17 DOI: 10.1111/jphd.12678

Sarah L. Goff, Charlotte F. Gilson, Marisa DaCosta, Erin DeCou, Ashley M. Kranz

Objectives

This qualitative study aimed to understand dental professionals' perspectives and practices regarding preventive dental care for very young children and preventive oral health services (POHS) provided outside of dental practices.

Methods

Semi-structured interviews were conducted on Zoom with a purposive sample of dental professionals in Massachusetts between December 12, 2022, and June 15, 2023, until theoretical saturation was reached. The Consolidated Framework for Implementation Research was the study's conceptual framework. Applying Charmaz's approach to grounded theory, transcripts were coded line-by-line in an iterative process, using memos and axial coding to identify themes.

Results

Twenty-eight interviews were conducted with general dentists (n = 18), pediatric dentists (n = 5), registered dental hygienists (n = 3), a dental assistant (n = 1), and a dental administrator (n = 1). Major themes included: (1) facilitators and barriers to providing preventive dental care for children under 3 years old; (2) perceptions of POHS delivery outside of dental practices and care coordination; (3) public policies potentially impacting the provision of preventive dental care for young children; and (4) potential levers for change to improve receipt of recommended preventive dental services. Sub-themes included training, concerns about the quality of care in non-dental sites, public insurance barriers, and increasing joint dental-medical curriculum programs.

Conclusions

Potentially modifiable barriers were identified at provider, practice, and policy levels. Further research is needed regarding the financial impacts of public insurance reimbursement rates, the potential role of bias in access to preventive dental services, and the effects of systematic accountability for performance on quality and equity measures related to preventive dental care.

目的：本质性研究旨在了解牙科专业人员对幼儿预防性牙齿护理和牙科诊所外提供的预防性口腔健康服务（POHS）的看法和做法。方法：从2022年12月12日至2023年6月15日，在Zoom上对马萨诸塞州的牙科专业人员进行半结构化访谈，直到达到理论饱和。《执行研究综合框架》是这项研究的概念框架。将Charmaz的方法应用于基础理论，在迭代过程中逐行编码转录本，使用备忘录和轴向编码来确定主题。结果：对28名普通牙医（n = 18）、儿科牙医（n = 5）、注册牙科保健员（n = 3）、牙科助理（n = 1）和牙科管理员（n = 1）进行了访谈。主要主题包括：(1)为3岁以下儿童提供预防性牙科保健的促进因素和障碍；(2)对POHS在牙科实践和护理协调之外提供的认知；(3)可能影响幼儿预防性牙科保健的公共政策；(4)潜在的杠杆变化，以提高收到建议的预防性牙科服务。次级主题包括培训、对非牙科场所护理质量的关注、公共保险障碍以及增加联合牙科医学课程计划。结论：在提供者、实践和政策层面确定了潜在的可修改障碍。需要进一步研究公共保险报销率的财务影响，偏见在获得预防性牙科服务方面的潜在作用，以及与预防性牙科护理相关的质量和公平措施的系统绩效问责制的影响。

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引用次数: 0

Perceptions and Experiences With a Virtual Dental Home Teledentistry Program Among Community Health Center and Long-Term Care Facility Staff: A Qualitative Study 社区卫生中心和长期护理机构工作人员对虚拟牙科家庭远程牙科计划的看法和经验：一项定性研究。

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-06-06 DOI: 10.1111/jphd.12683

McAllister Castelaz, Tessa Heeren, Jennifer E. Hartshorn, Pamela C. Nwachukwu, Steve M. Levy, Julie C. Reynolds

Objectives

Teledentistry, a branch of telehealth, broadens the reach of diagnostic and preventive dental services. The virtual dental home (VDH) addresses barriers for nursing facility residents, offering promise in overcoming challenges. This study explores the experiences and perceptions of a new VDH program among healthcare professionals and allied workers, aiming to determine its perceived value, challenges, and successes.

Methods

Structured interviews were conducted with current and former employees of a federally qualified health center and long-term care facilities (LTCF) involved in the development, implementation, and maintenance of a VDH. The interviews were recorded, transcribed, and coded to identify perceived common values, challenges, and successes of stakeholders involved in this project.

Results

Interviewees indicated transportation was a common barrier to LTCF residents receiving dental treatment and believed participation in the VDH helped improve access to dental care for these individuals. There was a higher than anticipated administrative burden for the community health center participants; notwithstanding, all interviewees indicated an interest in continued participation in this program.

Conclusions

As technology advances and interest in the VDH model grows, ongoing evaluation and improvement are essential. Effective care coordination and comprehensive communication strategies, including designated communication managers, can reduce administrative burdens and support comprehensive care delivery.

目标：远程牙科是远程保健的一个分支，扩大了诊断和预防牙科服务的范围。虚拟牙科之家（VDH）解决了护理机构居民的障碍，为克服挑战提供了希望。本研究探讨了医疗保健专业人员和相关工作人员对新的VDH计划的经验和看法，旨在确定其感知价值、挑战和成功。方法：对参与VDH开发、实施和维护的联邦合格医疗中心和长期护理机构（LTCF）的现任和前任雇员进行结构化访谈。这些访谈被记录、转录和编码，以识别项目中涉众感知到的共同价值、挑战和成功。结果：受访者表示，交通是LTCF居民接受牙科治疗的常见障碍，并认为参加VDH有助于改善这些人获得牙科护理的机会。社区健康中心参与者的行政负担高于预期；尽管如此，所有受访者都表示有兴趣继续参加这个项目。结论：随着技术的进步和对VDH模型的兴趣的增长，持续的评估和改进是必不可少的。有效的护理协调和全面的沟通策略，包括指定沟通管理人员，可以减轻行政负担，支持全面的护理提供。

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引用次数: 0

Community Engagement Studio as a Strategic Tool for Tailoring a Survey on Dental Care Access Among Adolescents 社区参与工作室作为一种战略工具，为量身定制的调查在青少年中获得牙科保健。

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-06-03 DOI: 10.1111/jphd.12682

Rubelisa C. G. de Oliveira, Hassan Khalid, Grace McKenzie, Laurene Tumiel-Berhalter, Jessica S. Kruger

Objectives

The Community Engagement (CE) Studio aimed to provide feedback on a survey related to dental care access among adolescents. This approach allowed the research team to ensure that the survey integrated both the investigator's perspective and direct input from the community, ensuring the survey was clear, relevant, and accessible to its intended audience.

Methods

The CE Studio is an efficient consultative model for researchers to gain community input on the development, implementation, or dissemination of a research project. The CE Studio was conducted to inform the design of a survey on dental care access, based on the social determinants of health. Parents or caregivers of adolescents with limited access to dental care living in an underresourced area in Buffalo, New York, participated in the session, providing valuable insights and recommendations for the survey's construction.

Results

The CE Studio participants provided valuable feedback, including suggestions for motivating participation in the survey, changes in demographic questions, and the survey layout. Furthermore, the participants provided new insights into their dental access experiences and barriers to care, leading to additional questions for the survey. Finally, the participants suggested strategies to streamline survey instructions, provided their preferred wording for survey items and recommended how questions should be displayed to future research participants. Overall, 130 edits were made to the original survey, yielding a clearer, more representative, and accessible format.

Conclusion

CE Studios can positively impact the design of recruitment materials, survey materials, and question structures in community-focused dental health research.

目的：社区参与（CE）工作室旨在为青少年获得牙科护理的调查提供反馈。这种方法使研究小组能够确保调查结合了调查员的观点和来自社区的直接投入，确保调查清晰、相关，并且对目标受众来说是可访问的。方法：CE工作室是研究人员在研究项目的发展、实施或传播方面获得社区投入的有效咨询模式。开展该项目是为了根据健康的社会决定因素，为一项关于获得牙科保健的调查的设计提供信息。居住在纽约州布法罗资源匮乏地区、无法获得牙科护理的青少年的父母或照顾者参加了会议，为调查的构建提供了宝贵的见解和建议。结果：CE Studio的参与者提供了有价值的反馈，包括激励参与调查的建议、人口统计问题的变化和调查布局。此外，参与者对他们的牙科访问经历和护理障碍提供了新的见解，从而为调查提供了额外的问题。最后，参与者提出了简化调查说明的策略，提供了他们喜欢的调查项目措辞，并建议如何向未来的研究参与者展示问题。总的来说，对原始调查进行了130次编辑，产生了更清晰、更具代表性和可访问的格式。结论：CE工作室对社区口腔健康研究中招募材料、调查材料和问题结构的设计具有积极影响。

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引用次数: 0

Trends of Oral Health Status of Older Adults by Immigration Status in the United States: 1999–2018 1999-2018年美国移民身份对老年人口腔健康状况的影响

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-05-30 DOI: 10.1111/jphd.12679

Huabin Luo, Bei Wu, Xiang Qi, Mark E. Moss

Introduction

This study examined oral health trends of older immigrants in the US from 1999 to 2018 and disparities between immigrants and non-immigrants across different races/ethnicities.

Methods

Data were from the 1999–2018 National Health and Nutrition Survey (NHANES). Outcome variables were self-reported poor oral health and significant tooth loss (i.e., < 20 permanent teeth). Participants were categorized into three groups as US natives, naturalized citizens, or noncitizen residents. The analytical sample comprised 13,424 older adults (ages 60+), including 10,087 US natives, 2280 naturalized citizens, and 1057 noncitizen residents. We assessed the trends in poor oral health and significant tooth loss across the three groups and conducted analyses stratified by race/ethnicity to examine within-group disparities.

Results

From 1999 to 2018, noncitizen residents consistently showed higher rates of poor oral health and significant tooth loss compared to US natives and naturalized citizens. Multiple logistic regression model results showed that naturalized citizens were less likely (AOR = 0.79, p = 0.03) to report poor oral health. Stratified analyses by racial/ethnic groups showed that among Blacks, naturalized citizens were less likely to report poor oral health (AOR = 0.59, p = 0.02) than Blacks who were born in the US.

Conclusion

While overall oral health improved among older immigrants from 1999 to 2018, oral health disparities persisted, especially between noncitizen residents and US natives. There were significant differences in oral health between Black immigrants and their US-born counterparts. Future research is needed to corroborate these findings and monitor the trend of oral health disparities.

本研究调查了1999年至2018年美国老年移民的口腔健康趋势，以及不同种族/民族的移民和非移民之间的差异。方法：数据来自1999-2018年国家健康与营养调查（NHANES）。结果变量是自我报告的口腔健康状况不佳和严重的牙齿脱落(即：结果：从1999年到2018年，与美国本地人和入籍公民相比，非公民居民的口腔健康状况不佳和严重牙齿脱落的比例始终较高。多元logistic回归模型结果显示，入籍公民报告口腔健康状况不佳的可能性较小（AOR = 0.79, p = 0.03）。种族/族裔群体的分层分析显示，在黑人中，入籍公民比在美国出生的黑人更不可能报告口腔健康状况不佳（AOR = 0.59, p = 0.02）。结论：虽然1999年至2018年老年移民的整体口腔健康状况有所改善，但口腔健康差距仍然存在，尤其是非公民居民和美国本地人之间。黑人移民和在美国出生的黑人移民在口腔健康方面存在显著差异。未来的研究需要证实这些发现，并监测口腔健康差异的趋势。

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引用次数: 0

Veteran Status and Oral Health Indicators in Older Men: An Analysis Using the 2016 and 2018 Behavioral Risk Factor Surveillance System 老年男性退伍军人身份与口腔健康指标：2016年和2018年行为风险因素监测系统分析

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-05-24 DOI: 10.1111/jphd.12680

Victoria Tian, Steffany Chamut, R. Monina Klevens

Objectives

US veterans exhibit higher rates of oral disease than nonveterans, affecting their quality of life and systemic disease risk. Regular dental care is essential for preventing tooth loss, especially among older adults. The aim of this study was to assess the association between veteran status, dental visits, and tooth loss among older male Americans.

Methods

We analyzed data from the 2016 and 2018 Behavioral Risk Factor Surveillance System (BRFSS) surveys in a national cross-sectional study. The study focused on males aged 65 years and older, using descriptive and multivariable logistic regression analyses to measure the association between veteran status and having a dental visit < 1 year ago, and the loss of ≥ 6 teeth due to tooth decay or gum disease. The analyses were adjusted for sociodemographic factors, including age, race/ethnicity, and education level.

Results

Veterans displayed a higher prevalence and increased odds of tooth loss compared to nonveterans after controlling for race and education. However, there was no difference in recent dental visits based on veteran status. The effect of dental visits on the odds of tooth loss indicated that veterans experienced a stronger protective effect of visits on tooth loss (OR: 0.34, 95% CI: 0.31–0.37) than nonveterans (OR: 0.41, 95% CI: 0.37–0.45).

Conclusions

Our findings indicate a potential opportunity to reduce disparities in tooth loss among older men. Promoting dental care among veterans could mitigate the risk of tooth loss and its subsequent adverse effects on overall systemic and brain health in this population.

目的：美国退伍军人表现出比非退伍军人更高的口腔疾病发生率，影响他们的生活质量和全身性疾病风险。定期的牙齿护理对防止牙齿脱落至关重要，尤其是老年人。本研究的目的是评估退伍军人身份、牙科就诊和老年美国男性牙齿脱落之间的关系。方法：我们在一项全国性横断面研究中分析了2016年和2018年行为风险因素监测系统（BRFSS）调查的数据。该研究主要针对65岁及以上的男性，使用描述性和多变量逻辑回归分析来衡量退伍军人身份与牙科就诊之间的关系。结果：在控制种族和教育程度后，退伍军人与非退伍军人相比，牙齿脱落的患病率和几率更高。然而，根据退伍军人身份，最近的牙科就诊没有差异。看牙医对牙齿脱落几率的影响表明，退伍军人比非退伍军人对牙齿脱落的保护作用更强（OR: 0.34, 95% CI: 0.31-0.37）（OR: 0.41, 95% CI: 0.37-0.45）。结论：我们的研究结果表明，有可能减少老年男性牙齿脱落的差异。促进退伍军人的牙齿保健可以减轻牙齿脱落的风险及其对该人群整体系统和大脑健康的不利影响。

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引用次数: 0

Examining the Financial Paradox of Dental Insurance: Higher Out-of-Pocket Costs for Individuals Without Private Health Insurance? 检查牙科保险的财务悖论：没有私人健康保险的个人的自付费用更高？

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-05-21 DOI: 10.1111/jphd.12681

Travis Loux, Firas Bafegeeh, Echu Liu, Noel Raybon

Objectives

This study seeks to investigate the relationship between private dental insurance coverage and out-of-pocket expenses among financially vulnerable populations.

Methods

Data from the 2022 Medical Expenditures Panel Survey (MEPS) were analyzed to compare out-of-pocket costs between individuals with and without private dental insurance. Focusing on individuals without private health insurance, MEPS participants with dental insurance are matched to participants without dental insurance using full optimal matching on the propensity score. The outcomes measured include average out-of-pocket dental care costs, incidence of any dental costs, and average out-of-pocket costs among those incurring non-zero dental costs.

Results

Matched analyses show higher out-of-pocket costs ($386, 95% CI: −169, 603) and a higher likelihood of utilizing dental care (OR 5.00, 95% CI: 3.62, 6.90) among individuals with private dental care. Higher out-of-pocket costs hold but lose statistical significance when limiting analyses to those with any dental costs ($115, 95% CI: −184, 415).

Conclusions

Individuals with private dental care pay more out-of-pocket costs than those without private dental care, even when accounting for confounding demographic and socioeconomic factors. High costs of dental care, with or without insurance, remain a barrier to dental care among those without private health insurance.

目的：本研究旨在探讨私人牙科保险覆盖面和自付费用在经济弱势群体之间的关系。方法：分析2022年医疗支出小组调查（MEPS）的数据，比较有和没有私人牙科保险的个人的自付费用。以没有私人医疗保险的个人为研究对象，采用倾向性评分的最优匹配方法对有牙科保险的MEPS参与者与没有牙科保险的参与者进行匹配。测量的结果包括平均自付牙科护理费用，任何牙科费用的发生率，以及发生非零牙科费用的平均自付费用。结果：匹配分析显示，在私人牙科护理的个人中，自费费用更高（386美元，95% CI: -169, 603），利用牙科护理的可能性更高（OR 5.00, 95% CI: 3.62, 6.90）。较高的自付费用仍然存在，但当将分析限制在有任何牙科费用的人时，就失去了统计意义（$115,95% CI: - 184,415）。结论：即使考虑到混杂的人口和社会经济因素，接受私立牙科护理的个体比没有接受私立牙科护理的个体支付更多的自付费用。无论是否有保险，高昂的牙科护理费用仍然是那些没有私人健康保险的人接受牙科护理的障碍。

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引用次数: 0

Factors Associated With Oral Hygiene Practices Among Young Mexican-Identifying Southern Californians 南加州墨西哥裔年轻人口腔卫生习惯的相关因素。

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-05-19 DOI: 10.1111/jphd.12677

Aachal Devi, Donna Kritz-Silverstein, Lourdes S. Martinez, Jerel P. Calzo, David R. Strong, Kristin S. Hoeft, Tracy L. Finlayson

Purpose

To examine factors associated with oral hygiene behaviors among young Mexican-identifying adults.

Methods

Survey data from 340 Mexican-identifying adults aged 21–40 years residing in US–Mexico border regions in California were analyzed. Outcomes included the frequency of toothbrushing and flossing in the last 7 days. Independent variables included predisposing sociodemographic characteristics (age, sex at birth, marital status, education, place of birth, language preference), predisposing beliefs (perceived oral health importance, self-reported oral health status), enabling factors (dental insurance, usual source of care, dental visit in last year), needs (perceived current dental care need), and external environment (COVID-19 impact). Negative binomial regression analyses examined associations after controlling for covariates.

Results

Approximately half the participants were female (57%), single (54%), and preferred Spanish language (48%). Mean participant age was 29.6 ± 5.7 years. Toothbrushing frequency was greater for those who were US-born versus foreign-born (incidence rate ratio [IRR] = 1.16, CI = 1.03–1.28), those who had a dental visit in the past year versus more than a year ago (IRR = 1.15, CI = 1.03–1.28), and higher with increasing oral health importance ratings (IRR = 1.04, CI = 1.01–1.06). Flossing frequency was greater for those who had a past year dental visit versus more than a year ago (IRR = 1.79, CI = 1.37–2.33).

Conclusion

Improving perceptions of oral health importance and encouraging dental visits could enable increased oral hygiene behaviors among young Mexican–American identifying adults.

目的：研究墨西哥裔青年口腔卫生行为的相关因素。方法：对340名居住在美国加利福尼亚州美墨边境地区的21-40岁墨西哥裔成年人的调查数据进行分析。结果包括最近7天内刷牙和使用牙线的频率。自变量包括易感社会人口特征（年龄、出生性别、婚姻状况、教育程度、出生地、语言偏好）、易感信念（感知口腔健康重要性、自我报告的口腔健康状况）、促成因素（牙科保险、通常的护理来源、去年的牙科就诊）、需求（感知当前的牙科护理需求）和外部环境（COVID-19影响）。负二项回归分析在控制协变量后检验了相关性。结果：大约一半的参与者是女性（57%），单身（54%），偏爱西班牙语（48%）。参与者平均年龄为29.6±5.7岁。在美国出生的人比在国外出生的人刷牙的频率更高（发病率比[IRR] = 1.16, CI = 1.03-1.28），过去一年比一年多去看牙医的人刷牙的频率更高（IRR = 1.15, CI = 1.03-1.28），而且随着口腔健康重要性评分的增加，刷牙的频率也更高（IRR = 1.04, CI = 1.01-1.06）。与一年多前相比，过去一年去看牙医的人使用牙线的频率更高（IRR = 1.79, CI = 1.37-2.33）。结论：提高对口腔健康重要性的认识和鼓励牙科就诊可以提高墨西哥裔美国年轻人的口腔卫生行为。

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引用次数: 0

Investigating the Association Between Parental Paid Sick Leave Benefit and Children's Dental Care Utilization 父母带薪病假福利与儿童牙科保健利用的关系研究。

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry

Pub Date : 2025-05-08 DOI: 10.1111/jphd.12674

Rashmi Lamsal, Shillpa Naavaal

Objective

The purpose of this research is to examine the association between paid sick leave (PSL) benefit for employed parents and their child's dental care utilization, including preventive, diagnostic, and treatment services.

Methods

Using pooled data from the 2017–2019 Medical Expenditure Panel Survey, we created a dyadic observational unit linking children aged 0–17 years with their parents (n = 7652) specifically focusing on the younger children of employed parents. Descriptive statistics and a multivariate logistic regression model were employed to examine the association between parental PSL benefit and child dental care utilization, accounting for various child and parent level covariates. All analyses were adjusted for complex survey design, and survey weights were used to get national estimates.

Results

Seventy-six percent of children had at least one employed parent with PSL benefit in 2017–19. Among them, 44% of children had preventive visits, 45% had diagnostic visits, and 17% had treatment visits. The adjusted logistic regression analysis showed that children with parental PSL benefit had higher odds of having preventive dental visits (odds ratio [OR] 1.18, 95% confidence interval [CI] 1.01–1.38) and diagnostic visits (OR 1.20, 95% CI 1.03, 1.41) compared with children without parental PSL benefit.

Conclusion

Parental PSL benefit was associated with augmenting the use of preventive and diagnostic dental care visits among children. Collaboration among policymakers, employers, and dental providers is essential to address disparities in children's dental services utilization and support PSL policies for working parents.

目的：本研究的目的是探讨在职父母带薪病假福利与子女牙科保健利用（包括预防、诊断和治疗服务）之间的关系。方法：使用2017-2019年医疗支出小组调查的汇总数据，我们创建了一个双元观察单元，将0-17岁的儿童与其父母（n = 7652）联系起来，特别关注就业父母的年幼子女。采用描述性统计和多元逻辑回归模型来检验父母PSL效益与儿童牙科保健利用之间的关系，考虑了各种儿童和父母水平的协变量。所有分析都针对复杂的调查设计进行了调整，并使用调查权重来获得全国估计。结果：在2017-19年度，76%的儿童至少有一位就业父母享受PSL福利。其中，44%的儿童进行了预防性就诊，45%进行了诊断性就诊，17%进行了治疗性就诊。调整后的logistic回归分析显示，与没有父母获得PSL治疗的儿童相比，父母获得PSL治疗的儿童进行预防性牙科就诊的几率更高（优势比[OR] 1.18, 95%可信区间[CI] 1.01-1.38），进行诊断性牙科就诊的几率更高（OR 1.20, 95% CI 1.03, 1.41）。结论：家长PSL的益处与儿童预防性和诊断性牙科保健就诊的增加有关。政策制定者、雇主和牙科服务提供者之间的合作对于解决儿童牙科服务利用方面的差异和支持针对在职父母的PSL政策至关重要。

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引用次数: 0