Men and Oral Health: A Review of Sex and Gender Differences.

Men and Oral Health: A Review of Sex and Gender Differences.
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男性和口腔健康:性别和性别差异的综述。

DOI:
10.1177/15579883211016361
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发表时间:
2021-05
期刊:
American journal of men's health
影响因子:
--
通讯作者:
Hung M
Hung M
中科院分区:
其他
文献类型:
--
作者:
Lipsky MS;Su S;Crespo CJ;Hung M

文献摘要

参考文献

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口腔健康方面的性别和与性别相关的健康差异仍然是福祉的一个未被充分认识和经常被忽视的方面。本叙述性综述的目的是通过总结与男性和女性口腔健康差异相关的现有文献来确定性别和性别相关的口腔健康差异。审查发现,男性更有可能:忽视口腔健康,口腔卫生习惯较差,牙周病、口腔癌和牙齿外伤的发病率较高。男性看牙医的频率也较低,与女性相比,男性更常因急性问题而寻求口腔治疗,而较少因疾病预防而寻求口腔治疗。与男性相比,女性对看牙医表现出更积极的态度,拥有更高的口腔健康素养,并且表现出更好的口腔健康行为。由于生物和性别相关原因,包括免疫系统因素、激素差异、较差的口腔卫生行为和更多的吸烟,男性患牙周病的比例过高。口腔癌的男女比例为 2:1,很大程度上归因于更多的吸烟、大量饮酒和更长的阳光照射。由于性别和种族/民族身份,少数族裔男性承受着不成比例的口腔健康差异负担。总之,本综述确定了男性和女性之间与口腔健康相关的一些差异,并强调需要进一步研究以更好地了解这些差异以及如何将其纳入制定预防、教育和治疗策略以改善男性口腔健康。
Sex and gender related health disparities in oral health remain an underappreciated and often over looked aspect of well-being. The goal of this narrative review is to identify sex and gender related oral health disparities by summarizing the current literature related to differences in oral health between men and women. The review identified that men are more likely to: ignore their oral health, have poorer oral hygiene habits, and experience higher rates of periodontal disease, oral cancer, and dental trauma. Men also visit dentists less frequently and compared to women seek oral treatment more often for an acute problem and less often for disease prevention. Women exhibit more positive attitudes about dental visits, greater oral health literacy, and demonstrate better oral health behaviors than men. Men disproportionately develop periodontal diseases due to a combination of biological and gender related reasons including immune system factors, hormone differences, poorer oral hygiene behaviors, and greater tobacco use. There is a male to female ratio of 2:1 for oral cancer, largely attributable to more tobacco use, heavier use of alcohol, and longer sun exposure. Minority men experience a disproportionate burden of oral health disparities because of both their gender and race/ethnic identities. In conclusion, this review identifies several differences between men and women related to oral health and highlights the need for further research to better understand these disparities and how to incorporate them into developing prevention, education and treatment strategies to improve oral health in men.
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