巴西青少年的邻里社会资本与牙齿损伤
Neighborhood social capital and dental injuries in Brazilian adolescents.
作者信息
Pattussi Marcos Pascoal, Hardy Rebecca, Sheiham Aubrey
机构信息
Postgraduate Program on Collective Health of the Universidade do Vale do Rio dos Sinos, São Leopoldo, Brazil.
出版信息
Am J Public Health. 2006 Aug;96(8):1462-8. doi: 10.2105/AJPH.2005.066159. Epub 2006 Jun 29.
OBJECTIVES
Evidence suggests that communities with higher levels of social capital have better health, but this association has not been explored specifically in relation to dental injury. We investigated the association between social capital and dental injury.
METHODS
We conducted a multilevel study assessed individual and neighborhood effects on dental injury of 1302 14- to 15-year-old adolescents in 39 schools of Distrito Federal, Brazil. Children underwent a dental examination and, with their parents, answered a questionnaire about their local environments. Our data analysis used logistic multilevel modeling of students and neighborhood (the latter defined by catchment areas of schools).
RESULTS
The prevalence of dental injury was significantly lower in neighborhoods with higher levels of social capital, especially among boys. After control for individual and neighborhood variables, the adjusted odds ratio for a 1-unit increase in the standardized social capital index was 0.55 (95% confidence interval=0.37, 0.81; P=.002) among boys.
CONCLUSIONS
Social capital may explain inequalities in rates of dental injury, especially among boys.
目的
有证据表明，社会资本水平较高的社区居民健康状况更佳，但这种关联尚未在牙齿损伤方面进行专门探讨。我们对社会资本与牙齿损伤之间的关联进行了调查。
方法
我们开展了一项多层次研究，评估了巴西联邦区39所学校中1302名14至15岁青少年的个人及社区因素对牙齿损伤的影响。孩子们接受了牙科检查，并与父母一起回答了一份关于当地环境的问卷。我们的数据分析采用了学生和社区的逻辑多层次模型（后者由学校的集水区定义）。
结果
社会资本水平较高的社区中，牙齿损伤的患病率显著较低，尤其是在男孩中。在对个人和社区变量进行控制后，标准化社会资本指数每增加1个单位，男孩的调整后优势比为0.55（95%置信区间=0.37, 0.81；P=0.002）。
结论
社会资本可能解释牙齿损伤发生率的不平等现象，尤其是在男孩中。
Zotero 插件