Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999-2008.
Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999-2008.
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DOI：
10.3389/fpubh.2013.00065
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发表时间：
2013
影响因子：
5.2
通讯作者：
Furter R
中科院分区：
文献类型：
--
作者：
Wu B;Liang J;Luo H;Furter R
目的：这项研究调查了50岁及以上的美国人预防性牙科保健利用的最新趋势，重点是种族和民族群体的变化，包括白人，黑人，西班牙裔，美洲印第安人/阿拉斯加原住民和亚洲人。研究方法：自1999年至2008年期间，在行为风险因素监测系统中收集了644，635名参与者的口腔健康行为自我报告信息。结果如下：尽管从1999年到2008年，牙齿清洁的频率呈显著上升趋势（OR = 1.02），但在2008年，只有56-77%的任何种族或种族群体报告在过去12个月内进行过牙齿清洁。相对于白人，黑人（OR = 0.65）在过去12个月内不太可能进行牙齿清洁。即使在SES、健康状况、健康行为和恒牙数量得到控制的情况下，这些变化仍然存在。相比之下，西班牙裔，亚洲人和美洲印第安人/阿拉斯加原住民在牙齿清洁方面与白人没有区别。讨论内容：这是第一项同时提供美国50岁及以上五个主要种族群体牙齿清洁频率和相关趋势的国家估计的研究。我们的研究结果表明，公共卫生计划，重点是教育中年和老年少数民族人口的口腔健康的好处可能会产生很大的影响，因为有很大的改进空间。鉴于口腔健康的重要性和人口迅速老龄化和多样化，改善牙科保健利用的需求是显着的。
Objective: This study examined recent trends of preventive dental care utilization among Americans aged 50 and above, focusing on variations across racial and ethnic groups including Whites, Blacks, Hispanics, American Indians/Alaska Natives, and Asians. Methods: Self-reported information on oral health behaviors was collected from 644,635 participants in the Behavioral Risk Factor Surveillance System between 1999 and 2008. Results: Despite a significant upward trend of frequency of dental cleaning from 1999 to 2008 (OR = 1.02), in 2008 still only 56–77% of any ethnic or racial group reported having had a dental cleaning in the previous 12 months. Relative to Whites, Blacks (OR = 0.65) were less likely to have a dental cleaning in the previous 12 months. These variations persisted even when SES, health conditions, health behaviors, and number of permanent teeth were controlled. In contrast, Hispanics, Asians, and American Indians/Alaskan Natives did not differ from Whites in dental cleanings. Discussion: This is the first study to provide national estimates of the frequency of dental cleaning and associated trends over time for five major ethnic groups aged 50 and above in the U.S. simultaneously. Our findings suggest that public health programs with an emphasis on educating middle-aged and older minority populations on the benefits of oral health could have a large impact, as there is much room for improvement. Given the importance of oral health and a population that is rapidly becoming older and more diverse, the need for improved dental care utilization is significant.