美国社区居民中残疾类型与未经治疗的蛀牙之间的关系

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-09-10 DOI:10.1111/jphd.12644
Ishita Singh, Xiaobai Li, Timothy J. Iafolla, Shahdokht Boroumand, Hosam Alraqiq
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引用次数: 0

摘要

目标与普通人群相比,残疾人面临不良口腔健康后果的风险更高,包括牙周健康状况更差、牙齿缺损增加以及蛀牙未得到治疗。鉴于不同的残疾对人们的健康和福祉有不同的影响,本研究旨在调查美国成年人中未经治疗的蛀牙与认知、身体、情感和感官残疾之间的不同关联。方法本横断面研究分析了 2015-18 年全国健康与营养调查周期中 7084 名成年人(≥20 岁)的问卷调查和临床检查数据。研究人员对社会人口统计学、口腔健康行为、健康状况和残疾情况进行了调查。蛀牙流行率按未治疗蛀牙的成年人比例计算。采用调查加权多变量逻辑回归法评估残疾与未经治疗的蛀牙之间的关系。结果一般来说,有三种或三种以上残疾的人未经治疗的蛀牙发生率是没有任何残疾的人的两倍多(34.5% vs. 13.2%,p < 0.001)。在对混杂因素进行调整后,缺乏功能性牙齿是预测未经治疗的蛀牙发生率的最重要因素(调整后的几率比:2.97,95% CI:2.37-3.72)。其他重要因素包括:年龄较小(20-44 岁)、非西班牙裔黑人种族或民族、低收入状况、有潜在慢性疾病、过去一年未看牙、有症状看牙以及目前吸烟。一些健康相关、社会和行为因素成为未治疗龋齿的主要预测因素。还需要进一步的研究来探讨残疾类型和龋齿的决定因素。
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Associations between disability type and untreated dental decay among community dwelling US adults
ObjectiveIndividuals with disabilities face elevated risks of adverse oral health outcomes compared with the general population, including worse periodontal health, increased edentulism, and untreated dental decay. Given the varied impacts of different disabilities on people's health and well‐being, this study aims to investigate diverse associations between untreated decay and cognitive, physical, emotional, and sensory disabilities among US adults.MethodsThis cross‐sectional study analyzed questionnaire and clinical examination data on 7084 adults (≥20 years) from the 2015–18 National Health and Nutrition Examination Survey cycles. Sociodemographics, oral health behaviors, health conditions, and disability were all examined. The prevalence of tooth decay was calculated as the proportion of adults with untreated decay. Survey‐weighted multivariable logistic regression was used to assess associations between disability and untreated decay.ResultsIn general, untreated decay was more than twice as prevalent in individuals with three or more disabilities as in those without any disabilities (34.5% vs. 13.2%, p < 0.001). After adjusting for confounders, lack of functional dentition was the most significant predictor of untreated decay prevalence (adjusted odds ratio: 2.97, 95% CI: 2.37–3.72). Other significant factors were younger age (20–44), non‐Hispanic black race or ethnicity, low‐income status, having an underlying chronic condition, not having a past‐year dental visit, symptomatic dental visits, and current tobacco use.ConclusionNo associations were found between disability type (cognitive, emotional, physical, and sensory) and untreated decay among community‐dwelling US adults. Several health‐related, social, and behavioral factors emerged as primary predictors of untreated decay. Further research is needed to explore disability types and dental caries determinants.
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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
Issue Information Associations between disability type and untreated dental decay among community dwelling US adults Evaluating the harmonization potential of oral health-related questionnaires in national longitudinal birth and child cohort surveys Educating long-term care staff on older adult oral health: Maine's oral team-based initiative vital access to education (MOTIVATE) program Integration of dental therapists in safety net practice increases access to oral health care in Minnesota
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