不良的童年经历和牙科护理的利用:美国儿童的横断面研究

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pediatric Dental Journal Pub Date : 2022-12-01 DOI:10.1016/j.pdj.2022.09.003
Héctor E. Alcalá , Amanda Ng , Nicholas Tkach , Maylene Navarra
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引用次数: 1

摘要

目的探讨儿童不良童年经历与牙科保健利用和延迟的关系。方法利用2018-2019年全国儿童健康调查(n = 53,963)的数据,研究ace与1)牙齿健康之间的关系;2)牙科保健的使用;3)预防性牙科保健的使用;4)拖延必要的牙科护理。采用Logistic回归计算每个结果的概率,分别以9个ace和累积ace数作为独立模型中的自变量。结果在考虑混杂因素后,大多数ace与牙齿健康状况较差的几率较高有关。同样,大多数ace患者使用牙科护理的几率较低,延迟所需牙科护理的几率较高。结论本研究扩展了ace对医疗保健利用有害影响的研究,表明牙科保健也受到不利影响。必须努力改善有ace病史的儿童获得牙科保健的机会。
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Adverse Childhood Experiences and utilization of dental care: A cross sectional study of children in the United States

Objectives

To examine the relationship between Adverse Childhood Experiences (ACEs) and utilization and delay of dental care among children.

Methods

Using data from the 2018–2019 National Survey of Children's Health (n = 53,963) we examined the association between ACEs and 1) dental health; 2) use of dental care; 3) use of preventive dental care; 4) delaying needed dental care. Logistic regressions were used to calculate odds of each outcome, with nine ACEs and the cumulative number of ACEs as the independent variables each in separate models.

Results

After accounting for confounders, most ACEs were associated with higher odds of having poorer dental health. Similarly, most ACEs were associated with lower odds of using dental care and higher odds of delaying needed dental care.

Conclusions

This study expands the research showing a deleterious impact of ACEs on utilization of health care by showing that dental care is also adversely impacted. Efforts must be undertaken to improve access to dental care for children with a history of ACEs.

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来源期刊
Pediatric Dental Journal
Pediatric Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.40
自引率
0.00%
发文量
24
审稿时长
26 days
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