Turner Barbara J, Laine Christine, Cohen Abigail, Hauck Walter W
Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
J Subst Abuse Treat. 2002 Oct;23(3):239-46. doi: 10.1016/s0740-5472(02)00249-0.
We examined the association of patterns of health care in 1996 with subsequent dental care in 1997 or 1998 for 47,260 drug users enrolled in New York State Medicaid. From Medicaid files, we identified psychiatric care, prescribed antidepressants, a regular source of medical care, regular drug treatment (6+ contiguous months), and clinical conditions. Of this cohort, 58% received dental care. The adjusted odds ratios (AOR) of dental care were increased for drug users receiving psychiatric care and antidepressants (1.66 [1.55, 1.77]), psychiatric care alone (1.48 [1.41, 1.56]), or only antidepressants (1.18 [1.10, 1.27]), vs. neither. AORs of dental care were also higher for those with a regular source of medical care alone (1.27 [1.23, 1.35]) or with regular drug treatment (1.33 [CI 1.25, 1.41]) vs. neither. Mental health care and, to a lesser extent, a regular source of medical care and regular drug treatment may promote dental care in this vulnerable population.
我们调查了1996年纽约州医疗补助计划登记的47260名吸毒者的医疗保健模式与1997年或1998年后续牙科护理之间的关联。我们从医疗补助档案中确定了精神科护理、处方抗抑郁药、常规医疗保健来源、常规药物治疗（连续6个月以上）以及临床病症。在这个队列中，58%的人接受了牙科护理。与既未接受精神科护理也未服用抗抑郁药的吸毒者相比，接受精神科护理和抗抑郁药治疗的吸毒者接受牙科护理的校正比值比（AOR）升高（1.66 [1.55, 1.77]），仅接受精神科护理的吸毒者为1.48 [1.41, 1.56]，仅服用抗抑郁药的吸毒者为1.18 [1.10, 1.27]。仅拥有常规医疗保健来源（1.27 [1.23, 1.35]）或接受常规药物治疗（1.33 [CI 1.25, 1.41]）的吸毒者接受牙科护理的AOR也高于既无常规医疗保健来源也未接受常规药物治疗的吸毒者。心理健康护理，以及在较小程度上，常规医疗保健来源和常规药物治疗可能会促进这一弱势群体的牙科护理。
