The impact of the COVID-19 pandemic on oral health inequalities and access to oral healthcare in England.
The impact of the COVID-19 pandemic on oral health inequalities and access to oral healthcare in England.
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DOI：
10.1038/s41415-021-3718-0
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发表时间：
2022-01
影响因子：
2.6
通讯作者：
Tsakos G
中科院分区：
文献类型：
--
作者：
Stennett M;Tsakos G
虽然冠状病毒病（COVID-19）大流行对健康不平等的影响有文件记录，但口腔健康一直没有出现在这一讨论中。此评论强调了2021年2月2019冠状病毒病大流行对英格兰口腔健康不平等的潜在影响。它包括文献综述，英国公共卫生和Kantar Worldpanel关于健康行为的销售数据以及NHS牙科服务数据的分析。购买数据表明，除吸烟外，损害健康的行为有所增加。自恢复牙科服务以来，NHS一般牙科服务的使用在成人中略有恢复，但到2020年10月儿童没有恢复。儿童和老年人之间存在明显的不平等，较贫困群体的牙科服务使用率低于较富裕群体。口腔癌转诊和儿童拔牙住院率大幅下降，后者主要影响较贫困地区的儿童。在此期间，学校和护理院的许多口腔健康方案都中断或暂停。所有这些都表明，由于COVID-19大流行，口腔健康不平等现象有所扩大。口腔健康行动计划需要优先考虑对公共卫生计划的长期投资，并改变委托途径，以支持那些最需要获得口腔保健服务的人。Zusatzmaterial online：Zu diesem Beitrag sind unter 10.1038/s41415-021-3718-0 für autorisierte Leser zusätzliche Dateien abrufbar.在2020年6月恢复服务后，生活在较贫困地区的人在接受NHS初级牙科护理方面的表现比生活在较贫困地区的人差。社区口腔健康改善计划的终止及医院牙科服务因COVID-19大流行而大幅减少，亦主要影响社会弱势群体，进一步扩大不平等。解决扩大的口腔健康不平等需要对口腔健康进行长期投资，优先考虑公共卫生计划并支持获得服务。Zusatzmaterial online：Zu diesem Beitrag sind unter 10.1038/s41415-021-3718-0 für autorisierte Leser zusätzliche Dateien abrufbar.
While the impact of the coronavirus disease (COVID-19) pandemic on health inequalities is documented, oral health has been absent from this discussion. This commentary highlights the potential impacts of the COVID-19 pandemic on oral health inequalities in England in February 2021. It includes a literature review, Public Health England and Kantar Worldpanel sales data on health behaviours and analysis of NHS dental services data. Purchasing data indicate, except for smoking, increases in health-compromising behaviours. Since the resumption of dental services, NHS general dental service use modestly recovered among adults but not children by October 2020. There are clear inequalities among children and older adults, with more deprived groups having lower uptake of dental service use than more affluent groups. Oral cancer referrals and hospital admissions for tooth extractions in children dramatically declined, with the latter primarily affecting children in more deprived areas. Many oral health programmes in schools and care homes were disrupted or suspended throughout this period. All these indicate that oral health inequalities have widened due to the COVID-19 pandemic. An oral health plan of action requires prioritising long-term investment in public health programmes and transforming commissioning pathways to support those with the greatest needs to access oral healthcare services. Zusatzmaterial online: Zu diesem Beitrag sind unter 10.1038/s41415-021-3718-0 für autorisierte Leser zusätzliche Dateien abrufbar. People living in more deprived areas have fared worse than people living in less deprived areas, in terms of uptake of NHS primary dental care following the resumption of services in June 2020. The cessation of oral health improvement programmes in the community and the dramatic decline of hospital dental services due to the COVID-19 pandemic have also primarily impacted the more socially disadvantaged groups, further widening inequalities. Addressing the widened oral health inequalities requires long-term investment in oral health, prioritising public health programmes and supporting access to services. Zusatzmaterial online: Zu diesem Beitrag sind unter 10.1038/s41415-021-3718-0 für autorisierte Leser zusätzliche Dateien abrufbar.
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影响因子：
4.5
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