Stewart Denice C L, Ortega Alexander N, Dausey David, Rosenheck Robert
School of Dentistry, Oregon Health & Science University, 611 SW Campus Drive, Portland, OR 97201, USA.
J Public Health Dent. 2002 Spring;62(2):84-91. doi: 10.1111/j.1752-7325.2002.tb03427.x.
This study examined factors related to oral health and dental service use among Mexican-Americans, Cuban-Americans, and Puerto Ricans from the Hispanic Health and Nutrition Examination Survey, 1982-84 (HHANES).
Categorical measures of oral health were created: (1) perceived oral health status, (2) evaluated oral health status, (3) decayed permanent teeth, (4) teeth missing due to caries, (5) total permanent teeth present, and (6) periodontal classification. The effects of acculturation, education, dental insurance, and perceived condition of teeth and gums on dental service use in the past two and five years were examined using logistic regression. All analyses were performed separately for each of the three samples using SAS-callable SUDDAN.
Dental insurance and education were the most important factors in determining use of dental cleanings and use of dental care. For Mexican-Americans, Cuban-Americans, and Puerto Ricans, acculturation was a factor in determining use of dental care in the past five years.
While dental insurance and education appear to be the most important factors for determining both use of dental cleaning services and use of dental care in all three samples, acculturation also had some impact for determining use of dental care.
本研究通过1982 - 1984年西班牙裔健康与营养检查调查（HHANES），考察了墨西哥裔美国人、古巴裔美国人和波多黎各人的口腔健康及牙科服务使用相关因素。
创建了口腔健康的分类指标：（1）自我感知的口腔健康状况；（2）评估的口腔健康状况；（3）恒牙龋坏情况；（4）因龋齿缺失的牙齿；（5）现存恒牙总数；（6）牙周分类。使用逻辑回归分析了文化适应、教育程度、牙科保险以及牙齿和牙龈的自我感知状况对过去两年和五年牙科服务使用情况的影响。使用可调用SAS的SUDDAN软件对三个样本分别进行所有分析。
牙科保险和教育程度是决定是否进行牙齿清洁及使用牙科护理服务的最重要因素。对于墨西哥裔美国人、古巴裔美国人和波多黎各人来说，文化适应是过去五年中决定是否使用牙科护理服务的一个因素。
虽然牙科保险和教育程度似乎是决定所有三个样本中牙齿清洁服务和牙科护理服务使用情况的最重要因素，但文化适应在决定牙科护理服务使用方面也有一定影响。
