Update on the prevalence of untreated caries in the US adult population, 2017-2020
Update on the prevalence of untreated caries in the US adult population, 2017-2020
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DOI：
10.1016/j.adaj.2021.09.004
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发表时间：
2022-03-25
影响因子：
3.9
通讯作者：
Bashir, Nasir Zeeshan
中科院分区：
文献类型：
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作者：
Bashir, Nasir Zeeshan
背景未经治疗的龋齿是一种普遍的疾病，与大量的健康和经济负担有关。许多过去的努力已经评估了未经治疗的龋齿的流行病学，这项研究提供了2017年至2020年期间美国成年人口中疾病分布和决定因素的最新数据。方法.使用2017-2020年国家健康和营养检查调查的数据，作者估计了美国成年人口未经治疗的龋齿患病率。作者进行了亚组分析，以评估冠龋和根龋之间的流行病学差异以及疾病在人群亚组中的分布情况。结果根据代表1.935亿成年人的加权样本，发现未经治疗的龋齿患病率为21.3%。冠面龋和根面龋的患病率分别为17.9%和10.1%。龋齿在30至39岁的人群中最普遍（25.2%）和40至49岁（22.3%），男性（23.5%），其他（36.5%）或非西班牙裔黑人（35.6%）种族或民族，家庭收入与贫困比率为0.5至1.0的人（46.2%）或少于0.5（37.3%），文化程度低于高中毕业者（39.6%），没有健康保险的人（42.1%），体重过轻的人（25.1%）或肥胖的人（23.5%）。结论.未经治疗的龋齿在美国人口中存在于超过五分之一的成年人中，并且不成比例地分布在社会经济地位较低的人群中。实际影响。美国成年人口在预防和管理未经治疗的龋齿方面存在大量未得到满足的医疗保健需求，公共卫生工作应特别致力于解决那些风险不成比例高的亚群中的疾病。
Background. Untreated caries is a prevalent disease that is associated with a substantial health and economic burden. Many past efforts have assessed the epidemiology of untreated caries, and this study provides the most up-to-date figures on the distribution and determinants of the disease in the adult US population for the period 2017 through 2020. Methods. Using data from the 2017-2020 National Health and Nutrition Examination Survey, the author derived estimates for untreated caries prevalence in the adult US population. The author conducted subgroup analyses to assess how the epidemiology differed between coronal and root caries and how the disease was distributed among population subgroups. Results. On the basis of a weighted sample representative of 193.5 million adults, the prevalence of untreated caries was found to be 21.3%. Specific prevalence of coronal and root caries were 17.9% and 10.1%, respectively. Caries was most prevalent in those aged 30 through 39 years (25.2%) and 40 through 49 years (22.3%), men (23.5%), those of other (36.5%) or non-Hispanic Black (35.6%) race or ethnicity, those with family income to poverty ratio of 0.5 through 1.0 (46.2%) or less than 0.5 (37.3%), those with educational attainment less than high school graduation (39.6%), those who did not have health insurance (42.1%), and those who were underweight (25.1%) or obese (23.5%). Conclusions. Untreated caries is present in more than 1 in 5 adults within the US population and is disproportionately distributed among those of lower socioeconomic status. Practical Implications. There is a substantial unmet health care need in the US adult population for the prevention and management of untreated caries, and public health efforts should aim particularly to address disease within those subgroups who are at a disproportionately high risk.