Roberts-Thomson Kaye F, Luzzi Liana, Brennan David S
Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia.
Aust N Z J Public Health. 2008 Oct;32(5):444-9. doi: 10.1111/j.1753-6405.2008.00277.x.
The aim of this study was to assess social inequality in use of dental services by examination of visiting for relief of pain and receipt of extractions.
Data were collected in the period of 2004-06, from a stratified clustered sample of Australians aged 15+ years, using a computer-aided telephone interview. Analysis was restricted to n=10,099 dentate adults.
Visiting for relief of pain varied by age, country of birth, education and income with lower odds (Odds ratio, 95%CI) among 55-74 (0.43, 0.35-0.54) and 75+ year-olds (0.22, 0.15-0.33) compared to the 15-34 year-olds, lower odds among Australian-born persons (0.82,0.69-0.98) compared to those born overseas, higher odds for those with no post-secondary education (1.31, 1.07-1.61) and with TAFE, trade or other qualifications (1.34, 1.09-1.66) compared to university qualified, and for those in the <$20,000 income group (1.61, 1.23-2.12), the $20,000-<$40,000 (1.53, 1.20-1.96) and the $40,000-<$60,000 group (1.33, 1.02-1.72) compared to <$80,000+. Receipt of extractions varied by age, sex, qualifications and income, with lower odds of extraction among persons of 75+ years (0.61,0.40-0.93) compared to the youngest age group, higher odds among males (1.34, 1.13-1.59) compared to females, those with no post-secondary education (1.59, 1.27-1.99) and with TAFE, trade or other qualifications (1.49, 1.21-1.84) compared to university qualified, and for the income groups <$20,000 (3.06, 2.27-4.12), $20,000-<40,000 (2.37, 1.80-3.12) and $40,000-<60,000 (1.94 1.47-2.55) compared to the $80,000+ income group.
The results indicate social inequality in provision of dental services and suggest an urgent need for the dental profession and governments to address this inequality.
本研究旨在通过检查因疼痛就诊和拔牙情况来评估牙科服务使用方面的社会不平等。
2004年至2006年期间，采用计算机辅助电话访谈，从15岁及以上澳大利亚人的分层整群样本中收集数据。分析仅限于n = 10,099名有牙的成年人。
因疼痛就诊情况因年龄、出生国家、教育程度和收入而异，55 - 74岁（优势比，95%置信区间）人群（0.43, 0.35 - 0.54）和75岁及以上人群（0.22, 0.15 - 0.33）与15 - 34岁人群相比，就诊几率较低；澳大利亚出生的人（0.82, 0.69 - 0.98）与海外出生的人相比，就诊几率较低；未接受高等教育的人（1.31, 1.07 - 1.61）以及拥有TAFE、行业或其他资格的人（1.34, 1.09 - 1.66）与大学学历的人相比，就诊几率较高；收入低于20,000美元组（1.61, 1.23 - 2.12）、20,000 - 40,000美元组（1.53, 1.20 - 1.96）和40,000 - 60,000美元组（1.33, 1.02 - 1.72）与收入高于80,000美元组相比，就诊几率较高。拔牙情况因年龄、性别、资格和收入而异，75岁及以上人群拔牙几率（0.61, 0.40 - 0.93）与最年轻年龄组相比更低；男性拔牙几率（1.34, 1.13 - 1.59）高于女性；未接受高等教育的人（1.59, 1.27 - 1.99）以及拥有TAFE、行业或其他资格的人（1.49, 1.21 - 1.84）与大学学历的人相比，拔牙几率较高；收入低于20,000美元组（3.06, 2.27 - 4.12）、20,000 - 40,000美元组（2.37, 1.80 - 3.12）和40,000 - 60,000美元组（1.94, 1.47 - 2.55）与收入高于80,000美元组相比，拔牙几率较高。
结果表明牙科服务提供方面存在社会不平等，并表明牙科行业和政府迫切需要解决这种不平等。
