Oral health among residents of publicly supported housing in Boston.
Oral health among residents of publicly supported housing in Boston.
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波士顿公共住房居民的口腔健康状况。
DOI：
10.1007/s11524-013-9845-4
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
Bowen,DeborahJ
中科院分区：
文献类型：
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作者：
Maxwell,NancyIrwin;Shah,Snehal;Dooley,Daniel;Henshaw,Michelle;Bowen,DeborahJ
成年人牙齿脱落会降低日常生活质量，影响饮食、说话、外表和社会交往。牙齿脱落与严重的牙周炎和龋齿有关；还会增加中风、心血管疾病、风湿性关节炎和痴呆的风险。在国家（美国）层面，贫困和非裔美国人种族与较低的牙科服务利用率有关，这表明750万公共支持住房的居民可能面临牙齿脱落和整体口腔健康状况不佳的风险。我们评估了居住在波士顿公共支持住房中是否与四项口腔健康相关指标相关。与非公共支持住房的居民相比，在调整协变量后，公共住房开发（博士）和租赁援助单位（RAUs）的居民在过去一年中清洁牙齿的几率显着降低(博士，OR = 0.64 (95% CI, 0.44-0.93)；RAU, OR = 0.67 (95% CI, 0.45-0.99)) -尽管在过去一年中有过牙科就诊。此外，RAUs的居民有两倍的几率拔掉了6颗或更多的牙齿（or = 2.20 (95% CI, 1.39-3.50)）。种族/民族和住房类型与牙科保险的关联是相互关联的。未经调整的结果记录了公共住房居民作为一个群体的口腔健康相关指标的不足，清楚地说明了口腔保健差距，并确定了可以从服务中受益的特定现实人群。现有的公共住房基础设施可以为在大范围内减少口腔健康差距的干预措施提供场所和基础。
Tooth loss in adults diminishes quality of daily life, affecting eating, speaking, appearance, and social interactions. Tooth loss is linked to severe periodontitis and caries; and to risk of stroke, cardiovascular disease, rheumatoid arthritis, and dementia. At the national (USA) level, poverty and African-American race have been linked to lower utilization of dental services, suggesting that the 7.5 million residents of publicly supported housing may be at risk of tooth loss and poor overall oral health. We assessed whether residence in publicly supported housing in Boston was associated with four oral health-related indicators. Compared to residents of nonpublicly supported housing, after adjusting for covariates residents of both public housing developments (PHDs) and rental assistance units (RAUs) had significantly lower odds of having had a dental cleaning in the past year (PHD, OR = 0.64 (95 % CI, 0.44–0.93); RAU, OR = 0.67 (95 % CI, 0.45–0.99))—despite parity in having had a past year dental visit. Further, residents of RAUs had double the odds of having had six or more teeth removed (OR = 2.20 (95 % CI, 1.39–3.50)). Associations of race/ethnicity and housing type with dental insurance were interrelated. Unadjusted results document a deficit in oral health-related indicators among public housing residents, taken as a group, giving a clear picture of an oral health care gap and identifying a defined real-world population that could benefit from services. Existing public housing infrastructure could provide both a venue and a foundation for interventions to reduce oral health disparities on a broad scale.