San Diego State University, San Diego, CA, USA.
Gary and Mary West Senior Dental Center, San Diego, CA, USA.
J Racial Ethn Health Disparities. 2018 Oct;5(5):1093-1106. doi: 10.1007/s40615-017-0459-5. Epub 2018 Jan 11.
This study investigates how perceived unfair treatment, towards self and observed towards others due to ethnicity, is associated with periodontitis among diverse Hispanic/Latino adults, accounting for sociodemographic, health behavior, and acculturation factors. Baseline (2008-2011) dental and survey data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a multicenter epidemiologic study, were analyzed (N = 12,750). Crude and adjusted prevalence ratios and confidence limits were estimated. Half (49%) reported never being treated unfairly, while 41% reported they were sometimes, and 10% reported it often/always. One third (32%) never saw others treated unfairly, while 42% reported it sometimes, and 26% reported it often/always. In the final fully adjusted model, the prevalence of periodontitis was higher among adults who were as follows: non-Dominican, older, male, had a past year dental visit, current and former smokers, and among those who observed unfair treatment towards others. Lower prevalence was associated with higher income, higher educational attainment, less than full-time employment, reporting experiencing unfair treatment, higher acculturation scores, and having health insurance. Perceived unfair treatment towards self was negatively associated with periodontitis prevalence, while observed unfair treatment towards others was positively associated with the outcome among diverse Hispanics/Latinos. The associations between unfair treatment and periodontitis warrant further exploration.
本研究旨在探讨由于种族而导致的自我感知不公平待遇和观察到的他人不公平待遇与不同西班牙裔/拉丁裔成年人牙周炎之间的关系，同时考虑了社会人口统计学、健康行为和文化适应因素。本研究分析了西班牙裔社区健康研究/拉丁裔研究（HCHS/SOL）的基线（2008-2011 年）牙科和调查数据，这是一项多中心流行病学研究（N=12750）。估计了粗患病率比和调整后的置信区间。有一半（49%）的人报告从未遭受过不公平待遇，而 41%的人报告有时会受到不公平待遇，10%的人报告经常/总是受到不公平待遇。有三分之一（32%）的人从未见过他人受到不公平待遇，而 42%的人报告有时会看到，26%的人报告经常/总是看到。在最终的完全调整模型中，以下成年人的牙周炎患病率较高：非多米尼加裔、年龄较大、男性、过去一年有过牙科就诊、当前和曾经吸烟，以及观察到他人受到不公平待遇的成年人。较高的收入、较高的教育程度、非全日制就业、报告遭受不公平待遇、较高的文化适应评分和拥有医疗保险与较低的牙周炎患病率相关。自我感知的不公平待遇与牙周炎的患病率呈负相关，而观察到的他人不公平待遇与不同西班牙裔/拉丁裔人群的牙周炎患病率呈正相关。不公平待遇与牙周炎之间的关联值得进一步探讨。
