Oral health status of people with intellectual disabilities in the southeastern United States
Oral health status of people with intellectual disabilities in the southeastern United States
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DOI：
10.14219/jada.archive.2005.0291
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发表时间：
2005-07-01
影响因子：
3.9
通讯作者：
Fisher, MA
中科院分区：
文献类型：
--
作者：
Pezzememti, ML;Fisher, MA
背景美国卫生局局长的报告《美国口腔健康》指出，生活在贫困线以下的人以及智力迟钝和/或身体残疾的人的口腔健康状况比一般人群差。校准检查员（志愿牙医和牙科学生）通过为53个地点的12，099名特奥会运动员提供的筛选检查，评估了有或没有身体残疾的智障人士的口腔健康状况，其中包括来自美国东南部7个州的1，891人。测量牙龈炎，未经处理的龋坏，缺失的磨牙，密封剂，牙釉质和治疗的紧迫性进行记录。作者发现，来自非常贫困的东南部各州的运动员是（比值比[OR] = 1.64; 95%置信区间[CI]：1.10至2.46）更有可能发生腹泻，（OR = 0.35; 95%CI：0.21 ~ 0.60），在对年龄进行限制性分析后，使用封闭剂的运动员比来自贫困州的运动员更少。在这项研究中，智力残疾人的口腔健康差异与贫困有关。来自最贫困州的特奥会运动员更有可能患上自闭症，而接受预防性治疗的可能性更小。
Background. The U.S. surgeon general's report, Oral Health in America, stated that people living below the poverty level and those with mental retardation and/or physical disabilities have poorer oral health than the general population.Methods. The calibrated examiners (volunteer dentists and dental students) assessed the oral health status of intellectually disabled people with or without a physical disability via screening examinations provided to 12,099 Special Olympics athletes at 53 sites, including 1,891 people from seven states in the southeastern United States. Measurements of gingivitis, untreated decay, missing molars, sealants, restorations and treatment urgency were recorded.Results. The authors found that athletes from the very poor southeastern states were 1.6 times (odds ratio [OR] = 1.64; 95 percent confidence interval [CI]: 1.10 to 2.46) more likely to have restorations and almost one-third as likely (OR = 0.35; 95 percent CI: 0.21 to 0.60) to have sealants than were athletes from the poor states, after restricting the analysis by age.Conclusions. Among intellectually disabled people in this study, oral health disparities were associated with poverty. Special Olympics athletes from the poorest states were significantly more likely to have restorations and less likely to have received preventive treatment.