Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States.
Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States.
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DOI：
10.1155/2023/5601447
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发表时间：
2023
影响因子：
2.1
通讯作者：
Semprini, Jason
中科院分区：
文献类型：
--
作者：
Semprini, Jason
美国成年人比其他任何医疗服务都更拖延牙齿护理。不幸的是，COVID-19大流行可能阻碍了解决牙科服务延误的努力。早期证据表明，在大流行的早期阶段，牙科服务的访问量大幅下降;然而，我们的研究是第一个测量2019年至2020年人员内部变化的研究之一，并进行亚组分析，以检查牙齿模式的变化是否由暴露于大流行，不利的COVID-19结果的风险或牙科保险介导。 我们分析了2019年首次调查的个人的全国健康访谈调查小组，随后在2020年进行了随访。结果包括牙科服务访问措施和最近的牙科访问的时间间隔。通过构建具有固定效应的概率加权线性回归模型，我们估计了2019年至2020年的平均人员内变化。稳健的标准误差聚集在每个受访者中。 从2019年到2020年，成年人报告去看牙医的概率降低了4.6%（p < 0.001）。与中西部和南部地区相比，东北和西部地区的下降幅度明显更大。我们没有发现证据表明2020年牙科服务的下降与更多的慢性病，年龄较大或缺乏牙科保险有关。与2019年相比，2020年成年人没有报告更多的金融或非金融获得牙科护理的障碍。 COVID-19大流行对延迟牙科护理的长期影响值得持续监测，因为政策制定者旨在减轻大流行对口腔健康公平性的负面影响。
American adults delay dental care more than any other healthcare service. Unfortunately, the COVID-19 pandemic may have stalled efforts to address dental service delays. Early evidence has suggested substantial declines in dental service visits in the early phase of the pandemic; however, our study is among the first to measure within-person changes from 2019 to 2020 and conduct subgroup analyses to examine if changing dental patterns were mediated by exposure to the pandemic, risk of adverse COVID-19 outcomes, or dental insurance. We analyzed a National Health Interview Survey panel of individuals initially surveyed in 2019, with subsequent follow-up in 2020. The outcomes included dental service access measures and the interval of a most recent dental visit. By constructing a probability-weighted linear regression model with fixed-effects, we estimated the average within-person change from 2019 to 2020. Robust standard errors were clustered within each respondent. From 2019 to 2020, adults reported a 4.6%-point reduction in the probability of visiting the dentist (p < 0.001). Significantly higher declines were found in Northeast and West regions compared to Midwest and South regions. We find no evidence that declining dental services in 2020 were associated with more chronic diseases, older age, or lack of dental insurance coverage. Adults did not report more financial or nonfinancial access barriers to dental care in 2020 compared to 2019. The long-term effects of the COVID-19 pandemic on delayed dental care warrant continued monitoring as policymakers aim to mitigate the pandemic's negative consequences on oral health equity.
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作者：
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DOI：
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