青少年龋齿患病率的社会经济差异:口腔健康行为是否起到中介作用?

S. Cho
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引用次数: 0

摘要

引言:政策制定者和学者们探索了行为方法,试图解释和解决青少年口腔健康中的社会经济差异。然而,在韩国青少年群体中,有关这一问题的证据很少。本研究旨在检验社会经济地位是否与龋齿有关,以及口腔健康相关行为(OHRBs)是否解释或调节了韩国青少年的假设关联。方法:使用2016年至2019年韩国国民健康和营养检查调查数据进行二次分析。13–18岁的青少年(n=1062)被纳入分析。使用分层负二项回归模型,研究了收入与未经治疗的龋齿(DT)之间的关系,重点是OHRB的中介作用。结果:较高的收入(发病率比率[IRR]0.70,P<0.001)、规律的早餐摄入(IRR 0.64,P<0.001。调整OHRB后,收入与DT的相关性仍然显著,其幅度仅略有减弱(IRR 0.74,P<0.001)。收入与每个OHRB之间对DT有显著的交互作用(均P<0.001),行为类型的交互作用模式不同:在存在不利的饮食和有利的牙科护理行为的情况下,收入-DT相关性更强。结论:研究结果表明,青少年口腔健康公平干预应优先考虑结构方法,并更彻底地考虑社会经济因素和行为因素之间的相互作用。
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Socioeconomic disparities in adolescents' caries prevalence: Do oral health-related behaviors play intermediary roles?
Introduction: Policymakers and academics have explored the behavioral approach in their attempts to explain and address the socioeconomic disparities in adolescents' oral health. However, evidence regarding this issue is scarce in the Korean adolescent population. This study aimed to examine whether socioeconomic status is associated with dental caries and whether oral health-related behaviors (OHRBs) explain or moderate the hypothesized association in Korean adolescents. Methods: A secondary analysis was conducted using the Korea National Health and Nutrition Examination Survey data from 2016 to 2019. Adolescents (n = 1062) aged 13–18 years were included in the analysis. The association between income and untreated decayed permanent teeth (DT) was investigated, focusing on the intermediary roles of OHRBs, using hierarchical negative binomial regression models. Results: Higher income (incidence rate ratio [IRR] 0.70, P < 0.001), regular breakfast intake (IRR 0.64, P < 0.001), higher fruit and vegetable consumption (IRR 0.93, P < 0.001), preventive dental check-ups (IRR 0.84, P < 0.001), and frequent toothbrushing (IRR 0.73, P < 0.001) were associated with lower DT. The income-DT association remained significant and its magnitude was only slightly attenuated, after adjusting for OHRBs (IRR 0.74, P < 0.001). Significant interaction effects were found between income and each OHRB on DT (all with P < 0.001), and interaction patterns differed by behavior type: The income-DT association was stronger in the presence of unfavorable dietary-and favorable dental care-behaviors. Conclusion: The study findings suggested that adolescent oral health equity interventions should prioritize the structural approach and give more thorough consideration to the interactions between socioeconomic and behavioral factors.
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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