Rory Meyers College of Nursing, New York University, New York, NY 10016, USA.
Department of Individual, Family, and Community Education, College of Education and Human Sciences, University of New Mexico, Albuquerque, NM 87131, USA.
Int J Environ Res Public Health. 2021 Feb 18;18(4):1987. doi: 10.3390/ijerph18041987.
There is limited evidence surrounding oral health in emerging adult, sexual minority men of color. This study examined the association between sociodemographic factors, health literacy, cigarette, e-cigarette, and alcohol use on oral health outcomes. Secondary data analysis was conducted with 322 sexual minority men ages 18-34 in the United States. Between-group, mean-level, and multivariable logistic regression analyses examined differences on oral health outcomes. Increased cigarette (aOR = 1.84, = 0.03), e-cigarette (aOR = 1.40, = 0.03), and alcohol use (aOR = 2.07, = 0.05) were associated with extended time away from the dentist. Health literacy (aOR = 0.93, = 0.05) was negatively associated. Increased cigarette (aOR = 1.17, = 0.04) and cigarette use (aOR = 1.26, = 0.04) were associated with tooth loss. Health literacy was negatively associated (aOR = 0.65, = 0.03). Increased e-cigarette (aOR = 1.74, = 0.04) and cigarette use (aOR = 4.37, < 0.001) were associated with dental affordability issues. Lower health literacy and racial identification as Black were associated with dental affordability issues; demonstrating an urgent need to address these factors to improve oral health in emerging adult sexual minority men of color.
关于处于成年早期的少数族裔性少数男性的口腔健康状况，目前相关证据有限。本研究考察了社会人口因素、健康素养、吸烟、电子烟和饮酒与口腔健康结果之间的关系。对 322 名年龄在 18-34 岁的美国性少数男性进行了二次数据分析。组间、平均水平和多变量逻辑回归分析考察了口腔健康结果的差异。增加吸烟（aOR=1.84， = 0.03）、电子烟（aOR=1.40， = 0.03）和饮酒（aOR=2.07， = 0.05）与看牙医的时间延长有关。健康素养（aOR=0.93， = 0.05）呈负相关。增加吸烟（aOR=1.17， = 0.04）和吸烟（aOR=1.26， = 0.04）与牙齿缺失有关。健康素养呈负相关（aOR=0.65， = 0.03）。增加电子烟（aOR=1.74， = 0.04）和吸烟（aOR=4.37， < 0.001）与牙齿负担能力问题有关。较低的健康素养和黑人种族认同与牙齿负担能力问题有关；这表明迫切需要解决这些因素，以改善处于成年早期的少数族裔性少数男性的口腔健康状况。
