Okunseri Christopher, Yang Marcie, Gonzalez Cesar, LeMay Warren, Iacopino Anthony M
Department of Clinical Services, Room 356, Marquette University School of Dentistry, P.O. Box 1881, Milwaukee, WI 53201, USA.
J Immigr Minor Health. 2008 Feb;10(1):81-8. doi: 10.1007/s10903-007-9054-x.
Since 1975, the Hmong refugee population in the U.S. has increased over 200%. However, little is known about their dental needs or self-rated oral health (SROH). The study aims were to: (1) describe the SROH, self-rated general health (SRGH), and use of dental/physician services; and (2) identify the factors associated with SROH among Hmong adults. A cross-sectional study design with locating sampling methodology was used. Oral health questionnaire was administered to assess SROH and SRGH, past dental and physician visits, and language preference. One hundred twenty adults aged 18-50+ were recruited and 118 had useable information. Of these, 49% rated their oral health as poor/fair and 30% rated their general health as poor/fair. Thirty-nine percent reported that they did not have a regular source of dental care, 46% rated their access to dental care as poor/fair, 43% visited a dentist and 66% visited a physician within the past 12 months. Bivariate analyses demonstrated that access to dental care, past dental visits, age and SRGH were significantly associated with SROH (P < 0.05). Multivariate analyses demonstrated a strong association between access to dental care and good/excellent SROH. About half of Hmong adults rated their oral health and access to dental care as poor. Dental insurance, access to dental care, past preventive dental/physician visits and SRGH were associated with SROH.
自1975年以来，美国的苗族难民人口增长了200%以上。然而，人们对他们的牙科需求或自评口腔健康（SROH）知之甚少。该研究的目的是：（1）描述自评口腔健康、自评总体健康（SRGH）以及牙科/医生服务的使用情况；（2）确定苗族成年人中与自评口腔健康相关的因素。采用了定位抽样方法的横断面研究设计。通过发放口腔健康问卷来评估自评口腔健康和自评总体健康、过去看牙科和医生的情况以及语言偏好。招募了120名年龄在18 - 50岁及以上的成年人，其中118人有可用信息。在这些人中，49%将他们的口腔健康评为差/一般，30%将他们的总体健康评为差/一般。39%的人报告说他们没有固定的牙科护理来源，46%的人认为他们获得牙科护理的机会差/一般，43%的人在过去12个月内看过牙医，66%的人看过医生。双变量分析表明，获得牙科护理的机会、过去看牙科的经历、年龄和自评总体健康与自评口腔健康显著相关（P < 0.05）。多变量分析表明，获得牙科护理的机会与良好/优秀的自评口腔健康之间存在强关联。大约一半的苗族成年人将他们的口腔健康和获得牙科护理的机会评为差。牙科保险、获得牙科护理的机会、过去的预防性牙科/医生就诊以及自评总体健康与自评口腔健康相关。
