Dental treatment needs in the Canadian population: analysis of a nationwide cross-sectional survey.

Dental treatment needs in the Canadian population: analysis of a nationwide cross-sectional survey.
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DOI:
10.1186/1472-6831-12-46
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发表时间:
2012-10-27
期刊:
影响因子:
2.9
通讯作者:
Quiñonez C
Quiñonez C
中科院分区:
医学3区
文献类型:
--
作者:
Ramraj C;Azarpazhooh A;Dempster L;Ravaghi V;Quiñonez C

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自20世纪70年代以来,加拿大人口腔健康需求的全国代表性临床数据一直没有。本研究的目的是确定一个全国代表性的样本加拿大人的规范治疗需求,并描述这些需求是如何分布的。对通过加拿大卫生措施调查收集的数据进行了二次分析。采用抽样和自助权重,使数据具有全国代表性。使用描述性频率检查样本特征并检查人群所需的治疗类型。使用双变量逻辑回归分析,以确定是否有任何特征可以预测未满足的牙科治疗需求和特定的治疗需求。最后,多变量逻辑回归被用来确定最强的预测有一个未满足的牙科治疗需求。大多数人不需要治疗,34.2%的人需要治疗,大多数人需要恢复性(20.4%)和预防性(13.7%)护理。需求的最强预测因素是口腔健康状况不佳,报告自我认为需要治疗和不经常去看牙医。据估计,大约有1200万加拿大人至少有一个未满足的牙科治疗需求。政策制定者现在有信息来评估计划是否符合加拿大人和经历过度风险的特定亚组的牙科治疗需求。
Nationally representative clinical data on the oral health needs of Canadians has not been available since the 1970s. The purpose of this study was to determine the normative treatment needs of a nationally representative sample of Canadians and describe how these needs were distributed. A secondary analysis of data collected through the Canadian Health Measures Survey (CHMS) was undertaken. Sampling and bootstrap weights were applied to make the data nationally representative. Descriptive frequencies were used to examine the sample characteristics and to examine the treatment type(s) needed by the population. Bivariate logistic regressions were used to see if any characteristics were predictive of having an unmet dental treatment need, and of having specific treatment needs. Lastly, multivariate logistic regression was used to identify the strongest predictors of having an unmet dental treatment need. Most of the population had no treatment needs and of the 34.2% who did, most needed restorative (20.4%) and preventive (13.7%) care. The strongest predictors of need were having poor oral health, reporting a self-perceived need for treatment and visiting the dentist infrequently. It is estimated that roughly 12 million Canadians have at least one unmet dental treatment need. Policymakers now have information by which to assess if programs match the dental treatment needs of Canadians and of particular subgroups experiencing excess risk.
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