Vargas C M, Macek M D, Marcus S E
Office of Analysis, Epidemiology, and Health Promotion, National Center for Health Statistics, Centers for Disease Control and Prevention, 6525 Belcrest Road, Room 730, Hyattsville, USA.
Pain. 2000 Mar;85(1-2):87-92. doi: 10.1016/s0304-3959(99)00250-x.
This study presents the sociodemographic distribution of tooth pain and the dental care utilization of affected individuals. Data for adults 20 years of age and over were derived from the 1989 National Health Interview Survey's supplements on dental health, orofacial pain, and health insurance (n=33073). Prevalence of tooth pain by socioeconomic status (SES) and adjusted odds ratios of reporting tooth pain in the past 6 months and of having no dental visits in the past year among persons reporting pain in the previous 6 months were computed taking into account the survey's complex sample design. Tooth pain in the past 6 months was reported by 14.5% (95% CI 14.0, 15.0) of adults aged 20-64 years and by 7.0% (95% CI 6.1, 7.9) of those 65 years and over. In the younger age group, tooth pain was more likely to be reported by those with low SES than it was by those with high SES; in the older age group, tooth pain was more likely reported by non-Hispanic blacks than it was by non-Hispanic whites or Hispanics. Of those reporting pain, younger and older non-Hispanic blacks and persons with lower educational attainment were more likely not to have a dental visit in the previous 12 months. Persons with low SES characteristics were more likely to report tooth pain and to endure their pain without the benefit of dental care while the pain was present.
本研究呈现了牙痛的社会人口学分布以及受影响个体的牙科护理利用情况。20岁及以上成年人的数据来自1989年国民健康访谈调查中关于牙齿健康、口腔面部疼痛和健康保险的补充调查(n = 33073)。考虑到调查的复杂样本设计,计算了按社会经济地位(SES)划分的牙痛患病率以及过去6个月报告牙痛且在过去一年未进行牙科就诊的调整优势比。20 - 64岁成年人中,14.5%(95%可信区间14.0, 15.0)报告在过去6个月有牙痛,65岁及以上人群中这一比例为7.0%(95%可信区间6.1, 7.9)。在较年轻年龄组中,低SES人群比高SES人群更有可能报告牙痛;在较年长年龄组中,非西班牙裔黑人比非西班牙裔白人或西班牙裔更有可能报告牙痛。在报告有疼痛的人群中,年轻和年长的非西班牙裔黑人以及受教育程度较低的人在过去12个月更有可能未进行牙科就诊。具有低SES特征的人更有可能报告牙痛,并且在疼痛出现时在没有牙科护理的情况下忍受疼痛。