美国各州糖尿病患者和非糖尿病患者的牙科保健使用情况和牙齿状况:利用 2020 年行为风险因素监测系统进行分析

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-04-10 DOI:10.1111/jphd.12613
Muath Aldosari BDS, MPH, DMSc, Hannah R. Archer MPH, MAEd, Fahad T. Almutairi BDS, Saud H. Alzuhair BDS, Mohammad A. Aldosari PhD, Erinne Kennedy DDS, MPH, MMSc
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引用次数: 0

摘要

方法 我们对 2020 年行为风险因素监测系统的数据进行了二次分析,该系统是一项针对非住院美国成年人的年度州级随机电话调查。预测变量为糖尿病状态。结果变量为距上次牙科就诊时间和牙齿脱落时间。我们利用多重多叉逻辑回归模型和后估计程序,确定了糖尿病和非糖尿病成年人在过去一年内看牙和牙齿完整保留的州级调整比例。结果在患有糖尿病的成年人中,60.0%的人在参与调查后一年内看了牙医,53.6%的人牙齿完整保留。随着受教育程度和收入水平的提高,患有糖尿病的成年人看牙医和保留牙齿的比例也在增加。大多数南方州的糖尿病患病率较高,看牙医的比例较低,糖尿病成人的牙齿保留率较低。在全国范围内,与非糖尿病成年人相比,糖尿病患者看牙医的可能性要低 4.3 个百分点,牙齿完全保留的可能性要低 7%。与全国平均水平相比,25/50 个州的 DM 和非 DM 成年人看牙医的差距更大,27/50 个州的 DM 和非 DM 成年人牙齿脱落的差距更大。需要针对各州的具体情况采取干预措施,以改善患有糖尿病的成年人的牙科就诊机会和牙科治疗效果。
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Utilization of dental care and dentate status in diabetic and nondiabetic patients across US states: An analysis using the 2020 Behavioral Risk Factor Surveillance System

Objective

This study examines the differences, by state, in dental care utilization and tooth retention between adults with and without diabetes mellitus (DM).

Methods

We conducted a secondary analysis of data from the 2020 Behavioral Risk Factor Surveillance System, an annual, state-based, random telephone survey of noninstitutionalized US civilian adults. The predictor variable was DM status. The outcome variables were time since the last dental appointment and tooth loss. We utilized multiple multinomial logistic regression models followed by postestimation procedures to determine state-level adjusted proportions for dental visits within the last year and complete teeth retention among DM and non-DM adults.

Results

Among adults with DM, 60.0% reported dentist visits within a year of survey participation, while 53.6% had complete tooth retention. As education and income levels increased, dental attendance and tooth retention increased among adults with DM. Most Southern states had a higher prevalence of DM, a lower proportion of dentist visits, and worse tooth retention among DM adults. Nationally, DM individuals were 4.3 percentage points less likely to visit a dentist and were 7 percent less likely to have complete teeth retention than non-DM adults. Compared with the national average, 25/50 states had greater disparities in dental visits between DM and non-DM adults, and 27/50 states had greater disparities in tooth loss between DM and non-DM adults.

Conclusion

State-level variations indicate geographical and dental coverage influences on DM and dental outcomes. There is a need for state-specific interventions to improve dental access and outcomes for adults with DM.

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来源期刊
Journal of public health dentistry
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
69
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.
期刊最新文献
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