Mertz Elizabeth, Wides Cynthia, Calvo Jean, Gates Paul
Preventive and Restorative Dental Sciences, Healthforce Center, School of Dentistry, University of California, San Francisco, CA, USA.
School of Dentistry, University of California, San Francisco, CA, USA.
J Public Health Dent. 2017 Mar;77(2):163-173. doi: 10.1111/jphd.12194. Epub 2016 Dec 26.
The purpose of this paper is to describe the Hispanic/Latino (H/L) dentist workforce, their general practice patterns, and their contributions to oral health care for H/L and underserved patients.
A national sample survey of underrepresented minority dentists was conducted in 2012 and received a 35.4 percent response rate for self-reported H/L dentists. Data were weighted for selection and response bias to be nationally representative. A workforce profile of H/L dentists was created using descriptive and multivariable statistics and published data.
Among all H/L dentists (weighted n = 5,748), 31.9 percent self-identify their origin as Mexican, 13.4 percent as Puerto Rican, 13.0 percent as Cuban, and 41.7 percent as another H/L group. The largest share of H/L dentists are male, married, and have children under age 18. Fifty percent of H/L dentists are foreign-born and 25 percent are foreign-trained. H/L dentists report higher than average educational debt, with those completing International Dentist Programs reporting the highest debt load. Sixty-nine percent of clinically active H/L dentists own their own practices, and 85 percent speak Spanish in their practice. Among clinical H/L dentists, 7 percent work in safety-net settings, 40 percent primarily treat underserved populations, and, on average, 42 percent of their patient population is H/L.
H/L dental providers are underrepresented in the dentist population, and those that are in practice shoulder a disproportionate share of dental care for minority and underserved communities. Improving the workforce diversity of dental providers is a critical part of strategy to address the high burden of dental disease in the H/L population.
本文旨在描述西班牙裔/拉丁裔(H/L)牙医劳动力群体、他们的一般执业模式,以及他们对H/L和服务不足患者的口腔医疗保健所做的贡献。
2012年对代表性不足的少数族裔牙医进行了全国抽样调查,自我报告为H/L牙医的回应率为35.4%。对数据进行加权处理,以校正选择和回应偏差,使其具有全国代表性。利用描述性和多变量统计以及已发表的数据,创建了H/L牙医的劳动力概况。
在所有H/L牙医中(加权n = 5748),31.9%的人将自己的出身认定为墨西哥裔,13.4%为波多黎各裔,13.0%为古巴裔,41.7%为其他H/L群体。H/L牙医中男性、已婚且有18岁以下子女的比例最大。50%的H/L牙医出生在国外,25%接受过国外培训。H/L牙医报告的教育债务高于平均水平,完成国际牙医项目的人报告的债务负担最高。69%仍在临床执业的H/L牙医拥有自己的诊所,85%在执业中说西班牙语。在临床H/L牙医中,7%在安全网机构工作,40%主要治疗服务不足的人群,平均而言,他们的患者中有42%是H/L群体。
H/L牙科服务提供者在牙医群体中的代表性不足,而那些仍在执业的人承担了为少数族裔和服务不足社区提供牙科护理的不成比例的份额。提高牙科服务提供者的劳动力多样性是应对H/L人群中高牙科疾病负担战略的关键部分。