The Black dentist workforce in the United States.
The Black dentist workforce in the United States.
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DOI：
10.1111/jphd.12187
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发表时间：
2017-03
影响因子：
2.3
通讯作者：
Gates P
中科院分区：
文献类型：
--
作者：
Mertz E;Calvo J;Wides C;Gates P
本文旨在描述黑人牙医群体、从业者的执业模式，以及他们对少数族裔和服务不足患者口腔保健所做的贡献。
2012年对代表性不足的少数族裔牙医进行了一次全国抽样调查，自我报告为黑人牙医的回复率为32.6%。对数据进行加权以纠正选择和回复偏差，使其具有全国代表性。通过计算描述性和多变量统计数据来提供黑人牙医群体的概况。并根据已公布的数据进行全国性比较。
在所有黑人牙医中（加权数量n = 6254），76.6%自我认定为非裔美国人，13.2%为非洲人，10.3%为非裔加勒比人。黑人牙医中男性、已婚、异性恋、出生在美国且在大中城市长大的占比最大。三分之一的黑人牙医是其家族中第一个从大学毕业的。黑人牙医报告的平均教育债务高于所有牙科学生，国际牙医项目的毕业生债务最高。传统执业模式（即私人诊所）占主导地位，67.1%的黑人牙医从这种模式起步，73.5%目前仍在此模式下执业。黑人牙医所照顾的黑人患者比例过高，其患者群体中黑人平均占比为44.9%。五分之二的黑人牙医报告称他们的患者群体中黑人患者超过50%。
黑人牙医的代表性严重不足，而执业的黑人牙医为少数族裔和服务不足的社区承担了过高比例的牙科护理工作。
The purpose of this paper is to describe the Black dentist workforce, the practice patterns of providers, and their contributions to oral health care for minority and underserved patients. A national sample survey of underrepresented minority dentists was conducted in 2012 and received a 32.6% response rate for self-reported Black dentists. Data were weighted for selection and response bias to be nationally representative. Descriptive and multivariable statistics were computed to provide a workforce profile of Black dentists. National comparisons are provided from published data. Among all Black dentists (weighted n=6,254), 76.6% self-identify as African-American, 13.2% as African, and 10.3% as Afro-Caribbean. The largest share of Black dentists are male, married, heterosexual, born in the U.S. and raised in a medium to large city. One third of Black dentists were the first in their family to graduate from college. Black dentists report higher average educational debt than all dental students, graduates from International Dentist Programs having the greatest debt. Traditional practices (i.e., private practices) dominate, with 67.1% of Black dentists starting out in this setting and 73.5% currently in the setting. Black dentists care for a disproportionate share of Black patients, with an average patient mix that is 44.9% Black. Two in five Black dentists reported their patient pool is made up of more than 50% Black patients. The underrepresentation for Black dentists is extraordinary, and the Black dentists that are in practice are shouldering a disproportionate share of dental care for minority and underserved communities.