Racial differences in predictors of dental care use
Racial differences in predictors of dental care use
复制标题
DOI：
10.1111/1475-6773.01217
复制
发表时间：
2002-12-01
影响因子：
3.4
通讯作者：
Chavers, LS
中科院分区：
文献类型：
--
作者：
Gilbert, GH;Shah, GR;Chavers, LS
客观的。检验五个假设，即非西班牙裔非裔美国人 (AA) 和非西班牙裔白人 (NHW) 在寻求牙科护理方面对新牙科症状的反应不同，并且在牙科护理利用的某些预测因素方面存在差异。数据来源/研究背景。佛罗里达州牙科保健研究，由 45 岁或以上、至少有一颗牙齿、居住在佛罗里达州北部的 AA 和 NHW 组成。研究设计。我们采用了前瞻性队列设计。感兴趣的关键结果是在调整某些时变和固定特征的存在后，是否在给定的六个月内接受牙科护理。数据收集/提取方法。在基线和基线后 24 个月进行面对面访谈，其间每六个月进行一次电话访谈。主要发现。无论是否针对关键的易感性、有利性和口腔健康需求特征进行调整，非裔美国人在随访期间寻求牙科护理的可能性较小。非裔美国人更有可能成为以问题为导向的牙科护理人员，无法支付意外的 500 美元牙科账单，并报告基线后的牙科问题。然而，某些基线后牙科体征和症状对基线后牙科护理使用的影响在 AA 和 NHW 之间有所不同。尽管财务状况对这两个群体都有预测作用，但在单独的 NHW 和 AA 回归中，对于 NHW 来说，财务状况更为突出。对过去的牙科护理感到沮丧、使用自制疗法的倾向以及牙科保险是 AA 中的重要预测因素，但在 NHW 中则不然。 NHW 更有可能这样做。出于预防原因寻求护理。结论。通过寻求牙科护理对新牙科症状的反应存在明显的种族差异，牙科护理利用的其他预测因素也存在明显差异。这些差异可能会导致口腔健康方面的种族差异。
Objective. To test five hypotheses that non-Hispanic African Americans (AAs) and non-Hispanic whites (NHWs) differ in responsiveness to new dental symptoms by seeking dental care, and differ in certain predictors of dental care utilization.Data Sources/Study Setting. Florida Dental Care Study, comprising AAs and NHWs 45 years old or older, who had at least one tooth, and who lived in north Florida.Study Design. We used a prospective cohort design. The key outcome of interest was whether dental care was received in a given six-month period, after adjusting for the presence of certain time-varying and fixed characteristics.Data Collection/Extraction Methods. In-person interviews were conducted at baseline and 24 months after baseline, with six-monthly telephone interviews in between.Principal Findings. African Americans were less likely to seek dental care during follow-up, with or without adjusting for key predisposing, enabling, and oral health need characteristics. African Americans were more likely to be problem-oriented dental attenders, to be unable to pay an unexpected $500 dental bill, and to report postbaseline dental problems. However, the effect of certain postbaseline dental signs and symptoms on postbaseline dental care use differed between AAs and NHWs. Although financial circumstance was predictive for both groups, it was more salient for NHWs in separate NHW and AA regressions. Frustration with past dental care, propensity to use a homemade remedy, and dental insurance were significant predictors among AAs, but not among NHWs. The NHWs were much more likely to. have sought care for preventive reasons.Conclusions. Racial differences in responsiveness to new dental symptoms by seeking dental care were evident, as were differences in other predictors of dental care utilization. These differences may contribute to racial disparities in oral health.