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Multilevel modeling of regional variation in equity in health care.医疗保健公平性区域差异的多层次建模。
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2
Neighbourhood deprivation and dental service use: a cross-sectional analysis of older people in England.邻里贫困与牙科服务利用：对英格兰老年人的横断面分析
J Public Health (Oxf). 2008 Dec;30(4):472-8. doi: 10.1093/pubmed/fdn047. Epub 2008 Jun 27.
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Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3-year-old children.社会环境对龋齿不平等的影响：对日本3岁儿童的多层次分析
Community Dent Oral Epidemiol. 2008 Apr;36(2):149-56. doi: 10.1111/j.1600-0528.2007.00380.x.
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The independent contribution of neighborhood disadvantage and individual-level socioeconomic position to self-reported oral health: a multilevel analysis.社区劣势和个体层面社会经济地位对自我报告的口腔健康的独立贡献：一项多层次分析。
Community Dent Oral Epidemiol. 2007 Jun;35(3):195-206. doi: 10.1111/j.1600-0528.2006.00311.x.
5
Area deprivation and oral health in Scottish adults: a multilevel study.苏格兰成年人的地区贫困与口腔健康：一项多层次研究。
Community Dent Oral Epidemiol. 2007 Apr;35(2):118-29. doi: 10.1111/j.1600-0528.2007.00308.x.
6
The potential impact of neighborhood empowerment on dental caries among adolescents.社区赋权对青少年龋齿的潜在影响。
Community Dent Oral Epidemiol. 2006 Oct;34(5):344-50. doi: 10.1111/j.1600-0528.2006.00283.x.
7
Multilevel models in health outcomes research. Part II: statistical and analytic issues.健康结果研究中的多层次模型。第二部分：统计与分析问题。
Appl Nurs Res. 2006 May;19(2):113-5. doi: 10.1016/j.apnr.2006.01.001.
8
Adult oral health inequalities described using area-based and household-based socioeconomic status measures.使用基于地区和基于家庭的社会经济地位指标描述的成人口腔健康不平等状况。
J Public Health Dent. 2006 Spring;66(2):104-9. doi: 10.1111/j.1752-7325.2006.tb02564.x.
9
Multilevel assessment of determinants of dental caries experience in Brazil.巴西龋齿经历决定因素的多层次评估。
Community Dent Oral Epidemiol. 2006 Apr;34(2):146-52. doi: 10.1111/j.1600-0528.2006.00274.x.
10
Improving the oral health of older people: the approach of the WHO Global Oral Health Programme.改善老年人的口腔健康：世界卫生组织全球口腔健康项目的方法。
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用于检查的牙科护理利用情况与地区贫困状况

Dental Care Utilization for Examination and Regional Deprivation.

作者信息

Kim Cheol-Sin, Han Sun-Young, Lee Seung Eun, Kang Jeong-Hee, Kim Chul-Woung

机构信息

Research Institute for Dental Care Policy, Korean Dental Association, Seoul, Korea.

Graduate School of Public Health, Seoul National University, Seoul, Korea.

出版信息

J Prev Med Public Health. 2015 Jul;48(4):195-202. doi: 10.3961/jpmph.15.026. Epub 2015 Jul 23.

DOI:10.3961/jpmph.15.026
PMID:26265665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4542294/
Abstract

OBJECTIVES

Receiving proper dental care plays a significant role in maintaining good oral health. We investigated the relationship between regional deprivation and dental care utilization.

METHODS

Multilevel logistic regression was used to identify the relationship between the regional deprivation level and dental care utilization purpose, adjusting for individual-level variables, in adults aged 19+ in the 2008 Korean Community Health Survey (n=220 258).

RESULTS

Among Korean adults, 12.8% used dental care to undergo examination and 21.0% visited a dentist for other reasons. In the final model, regional deprivation level was associated with significant variations in dental care utilization for examination (p<0.001). However, this relationship was not shown with dental care utilization for other reasons in the final model.

CONCLUSIONS

This study's findings suggest that policy interventions should be considered to reduce regional variations in rates of dental care utilization for examination.

摘要

目的

接受适当的牙科护理对保持良好的口腔健康起着重要作用。我们调查了地区贫困与牙科护理利用之间的关系。

方法

采用多水平逻辑回归分析2008年韩国社区健康调查中19岁及以上成年人（n = 220258）的地区贫困水平与牙科护理利用目的之间的关系，并对个体水平变量进行了调整。

结果

在韩国成年人中，12.8%的人利用牙科护理进行检查，21.0%的人因其他原因看牙医。在最终模型中，地区贫困水平与牙科护理检查利用率的显著差异相关（p<0.001）。然而，在最终模型中，这种关系在因其他原因进行的牙科护理利用中并未显示。

结论

本研究结果表明，应考虑采取政策干预措施，以减少牙科护理检查利用率的地区差异。