Gains in dental care use not shared by minority elders.
Gains in dental care use not shared by minority elders.
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少数族裔老年人并未分享牙科护理使用方面的成果。
DOI：
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发表时间：
1994
影响因子：
2.3
通讯作者：
B. Bloom
中科院分区：
文献类型：
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作者：
J. A. Jones;D. Fedele;A. Bolden;B. Bloom
在过去的30年里，美国人使用牙科服务的人数稳步增加。65岁及以上的人取得了最大的进展，从1957-58年的16%增加到1989年的43%。本文回顾了过去三十年来使用牙科保健的国家数据，重点是年龄，种族和民族血统的基础上的利用率的差异。此外，对样本选择、种族和民族起源的定义以及数据收集方法的差异进行了审查，以确定比较数据时偏倚的系统性来源。研究结果表明，少数民族老年人使用牙科保健的报告并没有增加与所有种族和民族血统的老年人平行。在1957-59年，17%的白色老年人和9%的非白色老年人在过去一年里看过牙医。到1989年，白人的这一比例提高到45%，但黑人只有22%，西班牙裔只有40%。此外，在这三十年中，报告和记录种族和民族血统的情况有很大差异，妨碍了随着时间的推移进行比较。最后，公布的国家数据通常相关的牙科保健使用（牙列状态，保险，年龄，收入和教育）是不足以解释这些差异的原因。需要更多的研究来确定所有美国人，特别是非洲裔和西班牙裔美国人使用牙科保健的障碍。（250字处删节）
Americans have steadily increased their reported use of dental services over the past 30 years. Persons aged 65 years and older have made the greatest gains, from 16 percent in 1957-58 to 43 percent in 1989. This article reviews national data on reported use of dental care over the past three decades, focusing on differences in rates of utilization on the basis of age, race, and national origin. In addition, differences in sample selection, definitions of race and national origin, and data collection methodology were reviewed to identify systematic sources of bias in comparing the data. Findings indicate that reported dental care use among minority elders has not increased parallel with elders of all races and national origins. In 1957-59, 17 percent of white elders versus 9 percent of nonwhite elders had seen a dentist within the past year. By 1989 percentages had improved to 45 percent of whites, but only 22 percent of blacks and 40 percent of Hispanics. In addition, reporting and recording race and national origin varied considerably during the three decades, hampering comparisons over time. Finally, published national data on usual correlates of dental care use (dentition status, insurance, age, income, and education) are inadequate to explain the causes of these discrepancies. More research is needed to identify barriers to use of dental care by all Americans, particularly those of African and Hispanic descent.(ABSTRACT TRUNCATED AT 250 WORDS)