Oral health care services utilisation in the adult US population: Medical Expenditure Panel Survey 2006
Oral health care services utilisation in the adult US population: Medical Expenditure Panel Survey 2006
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DOI：
10.1922/cdh_3096christian07
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发表时间：
2013-09-01
影响因子：
1.7
通讯作者：
Garcia, I.
中科院分区：
文献类型：
--
作者：
Christian, B.;Chattopadhyay, A.;Garcia, I.
目的：评估美国平民非住院成人中牙科就诊的比例，并探索口腔保健服务利用的决定因素。方法：利用2006年医疗费用调查(MEPS)的横断面数据，分析成人自报牙科就诊的潜在危险因素(n=22,721)。MEPS使用复杂的样本设计，包括分层、聚类、多阶段选择和不成比例抽样。这些调查设计的复杂性被考虑在本研究中进行分析。统计分析采用SAS9.2软件，采用卡方检验和二元Logistic回归分析。结果：欧洲议会议员(2006年)代表了大约2.22亿非制度化的美国成年人。其中42%(加权)的人报告在过去12个月内看过牙。牙科就诊次数随着年龄的增长而增加，在过去的一年里，55岁的比18-24岁的人去看牙医的可能性大约高出44%。与非西班牙裔白人相比，西班牙裔报告牙科就诊的可能性低48%。与有私人牙科保险的人相比，有公共牙科保险或没有牙科保险的受访者报告牙科就诊的可能性较小。结论：2006年，不到一半的美国成年平民非住院人口报告看过牙。为了帮助解决利用率差异，针对目前较少使用uchS的群体采取创造性的举措和系统的方法可能是实现口腔健康公平的重要一步。
Objectives: To estimate the proportion of dental visits and to explore determinants of oral health care service (OHCS) utilisation among US civilian non-institutionalised adults. Methods: Cross-sectional data from the 2006 Medical Expenditure Panel Survey (MEPS) were used to analyse adults' self-reported dental visits across potential risk factors (n=22,721). MEPS uses a complex sample design including stratification, clustering, multiple stages of selection, and disproportionate sampling. These survey design complexities were taken into account for analysis in this study. The analysis was performed in SAS 9.2 and used chi-square tests and binary logistic regression. Results: MEPS (2006) represented approximately 222 million non-institutionalised US adults. 42% (weighted) of this population reported a dental visit in the past 12 months. Dental visit numbers were observed to increase with age, with the 55-64-year-olds approximately 44% more likely than the 18-24-year olds to have visited the dentist in the past year. Hispanics were 48% less likely to report a dental visit compared to Non-Hispanic Whites. Respondents with public-or no-dental insurance were less likely to report a dental visit than persons with private dental coverage. Conclusions: Under half the US adult civilian non-institutionalised population reported a dental visit during 2006. To help address utilisation disparities, creative initiatives and systemic approaches aimed at groups currently utilising OHCS less often could be an important step towards oral health equity.