Explaining Racial/Ethnic Disparities in Children's Dental Health: A Decomposition Analysis
Explaining Racial/Ethnic Disparities in Children's Dental Health: A Decomposition Analysis
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DOI：
10.2105/ajph.2011.300548
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发表时间：
2012-05-01
影响因子：
12.7
通讯作者：
Wehby, George L.
中科院分区：
文献类型：
--
作者：
Cristina Guarnizo-Herreno, Carol;Wehby, George L.
目标。我们测量了美国儿童牙齿健康中的种族/民族不平等，并量化了概念上相关因素的贡献。方法。我们利用 2007 年全国儿童健康调查的数据，调查了选定儿童牙齿健康和预防保健结果中的种族/民族差异。我们采用分解模型来量化人口、社会经济、孕产妇健康、健康保险、邻里和地理影响。结果。西班牙裔儿童的牙齿健康状况最差，预防性牙科护理利用率最低，其次是黑人儿童，然后是白人儿童。该模型的解释变量占牙齿健康差异的 58% 至 77%，以及预防性牙科护理差异的 89% 至 100%。社会经济地位导致黑人儿童和白人儿童预防性牙科护理差异的71%，以及西班牙裔儿童和白人儿童预防性牙科保健差异的55%。孕产妇健康、年龄和婚姻状况；邻里安全和社会资本；和居住状态是相关因素。结论。减少美国儿童的种族/民族牙齿健康差异主要是由社会经济驱动的，需要制定政策，认识到这些差异背后的多层次途径以及家庭和社区层面干预的必要性。 （美国公共卫生杂志。2012；102：859-866。doi：10.2105/AJPH.2011.300548）
Objectives. We measured racial/ethnic inequalities in US children's dental health and quantified the contribution of conceptually relevant factors.Methods. Using data from the 2007 National Survey of Children's Health, we investigated racial/ethnic disparities in selected child dental health and preventive care outcomes. We employed a decomposition model to quantify demographic, socioeconomic, maternal health, health insurance, neighborhood, and geographic effects.Results. Hispanic children had the poorest dental health and lowest preventive dental care utilization, followed by Black then White children. The model explanatory variables accounted for 58% to 77% of the disparities in dental health and 89% to 100% of the disparities in preventive dental care. Socioeconomic status accounted for 71% of the gap in preventive dental care between Black children and White children and 55% of that between Hispanic children and White children. Maternal health, age, and marital status; neighborhood safety and social capital; and state of residence were relevant factors.Conclusions. Reducing US children's racial/ethnic dental health disparities which are mostly socioeconomically driven requires policies that recognize the multilevel pathways underlying them and the need for household- and neighborhood-level interventions. (Am J Public Health. 2012;102:859-866. doi:10.2105/AJPH.2011.300548)