确定人群中和接触人群中发生颞下颌关节紊乱症的风险因素的重要性

James R Miller, Zachary J Hass
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摘要

文献中有许多关于颞下颌关节紊乱症(TMD)发生风险因素重要性的病例对照(Ca-Co)研究。这些研究通常会报告所研究的每个风险因素的调整赔率(OR)。本文介绍了其他流行病学测量方法,用于评估风险因素对 TMD 发生的重要性。这些测量方法包括人群可归因风险百分比(PAR%)和可归因风险百分比(AR%)。据估计,副功能性习惯、面部创伤和矫形不稳定性的 AR% 分别为 86%、80% 和 60%,而相应的 PAR% 分别为 60%、38% 和 7%。PAR% 低估了某一风险因素对暴露于该风险因素的个体发生 TMD 的重要性。可归因风险百分比(AR%)是一种合适的流行病学测量方法,可用于评估某一风险因素对暴露于该风险因素的人群中发生 TMD 的重要性。
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Determining the importance of risk factors for the occurrence of temporomandibular disorders in the population and among exposed individuals
There are many case-control (Ca-Co) studies in the literature on the importance of risk factors for the occurrence of temporomandibular disorders (TMD). These studies typically report the adjusted odds ratio (OR) for each risk factor being studied. This paper presents other epidemiological measurements for evaluating the importance of risk factors for the occurrence of TMD. These measurements include the population attributable risk percent (PAR%) and the attributable risk percent (AR%). The AR% for parafunctional habits, facial trauma, and orthopedic instability were estimated to be 86%, 80%, and 60%, respectively, while the corresponding PAR% were estimated to be 60%, 38%, and 7%. PAR% underestimates the importance of a risk factor for the occurrence of TMD among individuals exposed to the risk factor. The attributable risk percent (AR%) is an appropriate epidemiological measurement to evaluate the importance of a risk factor for TMD among individuals exposed to the risk factor.
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