社会环境与哥伦比亚少数民族成年人的牙齿疼痛：一项多层次的横断面研究。

J Oral Facial Pain Headache. 2016 Winter;30(1):21-6. doi: 10.11607/ofph.1524.

AIMS

To estimate the effect of social context on dental pain in adults of Colombian ethnic minority groups (CEGs).

METHODS

Information from 34,843 participants was used. A multilevel model was constructed that had ethnic groups (ie, CEGs and non-CEGs) at level 1 and Colombian states at level 2. Contextual variables included gross domestic product (GDP), Human Development Index (HDI), and Unmet Basic Needs Index (UBNI).

RESULTS

Dental pain was observed in 12.3% of 6,440 CEGs. In an unadjusted logistic regression model, dental pain was associated with being a CEG (odds ratio [95% confidence interval], 1.34 [1.22-1.46]; P = .0001). This association remained significant after adjusting for possible confounding variables. An unconditional multilevel analysis showed that the variance in dental pain was statistically significant at the ethnic group level (β = 0.047 ± 0.015; P = .0009) and at the state level (β = 0.038 ± 0.019; P = .02) and that the variation between ethnic groups was higher than the variation between states (55% vs 45%, respectively). In a multivariate model, the variance in dental pain was also statistically significant at the ethnic group level (β = 0.029 ± 0.012; P = .007) and the state level (β = 0.042 ± .019; P = .01), but the variation between states was higher (40% vs 60%). The results of multilevel multivariate analyses showed that dental pain was associated with increasing age (β = 0.009 ± 0.001; P = .0001), lower education level (β = 0.302 ± 0.103; P = .0001), female sex (β = 0.031 ± 0.069; P = .003), GDP (β = 5.136 ± 2.009; P = .002) and HDI (β = 6.862 ± 5.550; P = .004); however, UBNI was not associated with dental pain.

CONCLUSION

The variance in dental pain was higher between states than between ethnic groups in the multivariate multilevel model. Dental pain in CEGs was associated with contextual and individual factors. Considering contextual factors, GDP and HDI may play a major role in dental pain prevalence.

目的

评估社会环境对哥伦比亚少数民族群体（CEGs）成年人牙齿疼痛的影响。

方法

使用了 34843 名参与者的信息。构建了一个包含族群（即 CEG 和非 CEG）在 1 级和哥伦比亚州在 2 级的多层次模型。背景变量包括国内生产总值（GDP）、人类发展指数（HDI）和未满足的基本需求指数（UBNI）。

结果

在 6440 名 CEG 中，有 12.3%的人出现了牙齿疼痛。在未经调整的逻辑回归模型中，牙齿疼痛与 CEG 族群有关（比值比[95%置信区间]，1.34[1.22-1.46]；P=.0001）。在调整了可能的混杂变量后，这种关联仍然具有统计学意义。无条件多层次分析显示，牙齿疼痛的方差在族群水平上具有统计学意义（β=0.047±0.015；P=.0009）和州水平上（β=0.038±0.019；P=.02），并且族群之间的变异高于州之间的变异（分别为 55%和 45%）。在多变量模型中，牙齿疼痛的方差在族群水平（β=0.029±0.012；P=.007）和州水平（β=0.042±0.019；P=.01）上也具有统计学意义，但州之间的变异较高（40%对 60%）。多层次多变量分析的结果表明，牙齿疼痛与年龄增长（β=0.009±0.001；P=.0001）、较低的教育水平（β=0.302±0.103；P=.0001）、女性性别（β=0.031±0.069；P=.003）、国内生产总值（β=5.136±2.009；P=.002）和人类发展指数（β=6.862±5.550；P=.004）有关；然而，未满足的基本需求指数与牙齿疼痛无关。