Journal of the American Dental Association最新文献

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IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01

引用次数: 0

Children’s oral health care use and oral health in the United States after the COVID-19 pandemic COVID-19大流行后美国儿童的口腔保健使用和口腔健康

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01 DOI: 10.1016/j.adaj.2025.09.001

Wei Lyu PhD, George L. Wehby PhD

Background

The COVID-19 pandemic adversely affected children’s access to and use of oral health care services and their oral health status. The authors compared these outcomes after the pandemic through 2023 with prepandemic levels.

Methods

Data from the annual National Survey of Children’s Health from 2019 through 2023 were analyzed. The authors used a multivariable regression model to compare children’s unmet oral health care needs, oral health care use (ie, any visits, any preventive visits, and specific preventive dental services), and parent or caregiver ratings of the child’s oral health each year from 2020 through 2023 with 2019. Additional analyses were stratified according to sociodemographic characteristics and state-level dentist supply.

Results

In the total sample, all outcomes had rebounded to prepandemic levels by 2023, or earlier in some cases, except for poor oral health ratings, which were still higher in 2023 than the prepandemic level by 0.3 percentage points (pp) (95% CI, 0.06 to 0.5 pp). Moreover, states with low dentist supply had lower dental examination and sealant rates in 2023 than 2019 by 2.5 pp (95% CI, –4.7 to –0.3 pp) and 1.9 pp (95% CI, –3.5 to –0.3 pp), respectively. Hispanic and publicly insured children also had lagging sealant rates in 2023 compared with prepandemic levels.

Conclusions

Oral health care access and usage rebounded to prepandemic levels by 2023 for most children. However, poor oral health rates were still higher in 2023. In addition, dental examination and sealant rates remained lower in states with low dentist supply.

Practical Implications

More efforts are needed to address persistent oral health issues for children most vulnerable to poor oral health and those related to low dentist supply.

背景：2019冠状病毒病大流行对儿童获得和使用口腔卫生保健服务及其口腔健康状况产生不利影响。作者将大流行后到2023年的这些结果与大流行前的水平进行了比较。方法：对2019 - 2023年全国儿童健康年度调查数据进行分析。作者使用多变量回归模型比较了儿童未满足的口腔保健需求、口腔保健使用情况（即任何就诊、任何预防性就诊和特定预防性牙科服务），以及父母或照顾者对儿童口腔健康的评分，从2020年到2023年每年与2019年。根据社会人口学特征和州一级牙医供应情况对其他分析进行分层。结果：在总样本中，到2023年，所有结果都反弹到大流行前的水平，或在某些情况下更早，除了口腔健康评分较差，2023年仍比大流行前的水平高出0.3个百分点（pp）（95% CI， 0.06至0.5 pp）。此外，与2019年相比，2023年牙医供应量低的州的牙科检查和密封剂率分别降低了2.5个百分点（95% CI, -4.7至-0.3个百分点）和1.9个百分点（95% CI, -3.5至-0.3个百分点）。与大流行前的水平相比，西班牙裔和公共保险儿童在2023年的密封剂使用率也落后。结论：到2023年，大多数儿童的口腔卫生保健可及性和使用率回升至大流行前的水平。然而，2023年口腔健康状况不佳的比例仍然较高。此外，在牙医供应不足的州，牙科检查和密封剂率仍然较低。实际意义：需要作出更多努力，解决最易受口腔健康不良影响的儿童和与牙医供应不足有关的儿童持续存在的口腔健康问题。

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引用次数: 0

Age-Related Dentist Suicide 年龄相关的牙医自杀。

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01 DOI: 10.1016/j.adaj.2025.10.009

Donald J. DeNucci DDS, MS

引用次数: 0

Geospatial access to oral health care in Virginia 弗吉尼亚口腔卫生保健的地理空间获取：来自驾驶和公共交通分析的见解。

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01 DOI: 10.1016/j.adaj.2025.09.003

Zach Sherman MS, Shashank Karki MS, Tegwyn Brickhouse DDS, PhD, Marko Vujicic PhD, Kamyar Nasseh PhD, Changzhen Wang PhD, Hyun Kim PhD, Junghwan Kim PhD, MUP, Mengxi Zhang PhD, MPH

Background

The authors aimed to investigate whether driving and public transit access to dental clinics differ for all dental clinics vs those participating in Medicaid, and whether sociodemographic factors are associated with driving and public transit accessibility in Virginia.

Methods

Six regions in Virginia were selected for this study on the basis of the availability of transportation data. A modified two-step floating catchment area method considering vehicle ownership was applied to measure geospatial accessibility scores for the overall dental clinics and those participating in Medicaid. Inequality in accessibility among census block groups was analyzed using Gini coefficients. Spatial error models were used to estimate associations between sociodemographic variables and accessibility scores.

Results

Public transit accessibility to oral health care services is lower than driving, regardless of Medicaid acceptance. Driving also provides more equitable access than public transit. Spatial error models revealed region-specific associations.

Conclusions

Access to oral health care services is more challenging using public transportation than driving, especially in smaller regions of and among Medicaid beneficiaries in Virginia. The exploration of the associated factors emphasizes the need for tailored interventions according to region.

Practical Implications

To improve access to oral health care in Virginia, efforts should focus on encouraging dentists to accept Medicaid, establishing new dental clinics near public transportation hubs and major roads, using ride-sharing support, and advocating for the development of robust public transportation systems.

背景：作者旨在调查所有牙科诊所与参与医疗补助计划的牙科诊所的驾驶和公共交通访问是否存在差异，以及社会人口因素是否与弗吉尼亚州的驾驶和公共交通可达性有关。方法：根据交通数据的可用性，选择弗吉尼亚州的六个地区进行研究。采用一种考虑车辆拥有量的改进的两步浮动集水区方法来测量总体牙科诊所和参与医疗补助计划的牙科诊所的地理空间可达性得分。使用基尼系数分析了人口普查块组之间的可及性不平等。空间误差模型用于估计社会人口学变量与可达性评分之间的关系。结果：无论是否接受医疗补助，乘坐公共交通前往口腔卫生保健服务的可达性低于驾车前往。与公共交通相比，开车也提供了更公平的机会。空间误差模型揭示了区域特异性关联。结论：使用公共交通工具获得口腔卫生保健服务比开车更具挑战性，特别是在弗吉尼亚州较小的地区和医疗补助受益人中。对相关因素的探索强调需要根据区域采取有针对性的干预措施。实际意义：为了改善弗吉尼亚州的口腔保健服务，应努力鼓励牙医接受医疗补助，在公共交通枢纽和主要道路附近建立新的牙科诊所，使用乘车共享支持，并倡导发展强大的公共交通系统。

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引用次数: 0

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2026-01-01

引用次数: 0

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