Dental Disparities among Low-Income American Adults: A Social Work Perspective.

Dental Disparities among Low-Income American Adults: A Social Work Perspective.
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美国低收入成年人的牙齿差异:社会工作的视角。

DOI:
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发表时间:
2016
影响因子:
1.5
通讯作者:
Hannah Macdougall
Hannah Macdougall
中科院分区:
法学4区
文献类型:
--
作者:
Hannah Macdougall

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疾病控制和预防中心(CDC,2012年)将健康差距定义为“社会弱势群体在疾病、伤害、暴力或实现最佳健康的机会方面的负担方面可预防的差异”(第1段)。低收入人口缺乏牙科保险是一种健康差距,受影响的人口理应获得护理。根据凯撒家庭基金会的数据,“2013年,超过三分之一(35%)的贫困父母和38%的没有孩子的贫困成年人没有保险”(Majerol,Vann,&Rachel,2014)。尽管一些州通过扩大医疗补助获得了覆盖范围,但据估计,只有四分之一的州将提供全面的牙科覆盖(Nasseh,Vujicic,&O‘Dell,2013)。缺乏获得牙科保健的机会并不是微不足道的。越来越多的证据表明,糟糕的口腔保健会导致身心健康问题增加,并给个人和卫生保健机构带来更大的成本。忽视美国的牙齿健康差距具有毁灭性的社会正义影响。
The Centers for Disease Control and Prevention ( CDC, 2012) defines health disparities as “preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations” (para. 1). The lack of dental coverage available for low-income populations is a health disparity, and the affected populations deserve access to care. According to the Kaiser Family Foundation, “over a third (35 percent) of poor parents and 38 percent of poor adults without children were uninsured in 2013” ( Majerol, Vann, & Rachel, 2014). Even as some gain coverage through state Medicaid expansions, it is estimated that only a quarter of states will offer comprehensive dental coverage ( Nasseh, Vujicic, & O’Dell, 2013). Lack of access to dental care is not trivial. Mounting evidence suggests that poor oral health care leads to increased physical and mental health issues and greater cost to individuals and health care institutions. Ignoring dental health disparities in the United States has devastating social justice implications.