Association between unmet dental needs and school absenteeism because of illness or injury among US school children and adolescents aged 6-17 years, 2011-2012

Association between unmet dental needs and school absenteeism because of illness or injury among US school children and adolescents aged 6-17 years, 2011-2012
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DOI:
10.1016/j.ypmed.2014.12.037
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发表时间:
2015-03-01
影响因子:
5.1
通讯作者:
Vardavas, Constantine I.
Vardavas, Constantine I.
中科院分区:
医学2区
文献类型:
--
作者:
Agaku, Israel T.;Olutola, Bukola G.;Vardavas, Constantine I.

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背景。我们评估了美国6-17岁儿童和青少年的牙病患病率,以及未满足的牙科需求对过去12个月内因病/受伤而缺课的影响。数据来自2011/2012年全国儿童健康调查(n = 65,680)。未满足的牙科需求被定义为在过去12个月内缺乏适当和及时的预防性或治疗性牙科保健。未满足的牙科需求对学校缺勤的影响采用多元广义线性模型,泊松概率分布(p < 0.05)。在过去的12个月里,21.8%(1080万)的6-17岁的美国儿童和青少年有“牙痛、蛀牙或未填补的蛀牙”。在所有6-17岁的美国儿童和青少年中,15.8%(780万)报告在过去12个月内有任何未满足的牙科需求(即预防性和/或治疗性牙科需求)。在患有牙齿疾病的学生中,未满足治疗性牙科需求的学生因病/伤缺课的平均天数高于未满足牙科需求的学生(a = 025; p < 0.001)。需要加强和持续的努力,以增加获得牙科服务不足的美国儿童和青少年。(C) 2015 Elsevier Inc .版权所有
Background. We assessed the prevalence of dental disease among U.S. children and adolescents aged 6-17 years, as well as the impact of unmet dental needs on school absenteeism because of illness/injury within the past 12 months.Methods. Data were from the 2011/2012 National Survey of Children's Health (n = 65,680). Unmet dental need was defined as lack of access to appropriate and timely preventive or therapeutic dental healthcare when needed within the past 12 months. The impact of unmet dental needs on school absenteeism was measured using a multivariate generalized linear model with Poisson probability distribution (p < 0.05).Results. Within the past 12 months, 21.8% (10.8 million) of all U.S. children and adolescents aged 6-17 years had "a toothache, decayed teeth, or unfilled cavities." Of all U.S. children and adolescents aged 6-17 years, 15.8% (7.8 million) reported any unmet dental need (i.e., preventive and/or therapeutic dental need) within the past 12 months. The mean number of days of school absence because of illness/injury was higher among students with an unmet therapeutic dental need in the presence of a dental condition compared to those reporting no unmet dental need (A = 025; p < 0.001).Conclusions. Enhanced and sustained efforts are needed to increase access to dental services among underserved U.S. children and adolescents. (C) 2015 Elsevier Inc All rights reserved.