Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States of America.
Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States of America.
PLoS One. 2021 May 5;16(5):e0251120. doi: 10.1371/journal.pone.0251120. eCollection 2021.
Diabetic patients are advised to have at least one dental examination per year. It is unclear to what extent different subgroups of US diabetic adults closely follow this recommendation. Thus, we assessed dental care utilization and related factors in a representative sample of US diabetic adults from rural and urban counties.
Cross-sectional data were from the 2018 Behavioral Risk Factor Surveillance System (BRFSS). Survey logistic regression was used to account for the complex sampling design.
Among 40,585 eligible participants, 24,887 (60% of the population) had at least one dental visit for any reason within the past year. The lowest compliance was observed among edentulous participants (27%, adjusted OR = 0.26, 95% CI = 0.22-0.31 vs. fully dentate). Dental compliance was also negatively associated with having a lower income or education, ever being a smoker, or having barriers to access to care. Rural residents had lower dental compliance compared to urban residents, particularly those without healthcare coverage.
Dental compliance among US adult diabetic individuals was low, particularly among rural residents, and as compared to other recommended diabetic care practices. Future public health interventions may target rural individuals without healthcare coverage, smokers and edentulous individuals. There is a need to integrate dental and medical care to facilitate cross-talks among different health professionals, so that educational preventive messages are reinforced at every healthcare visit.
建议糖尿病患者每年至少进行一次口腔检查。但目前尚不清楚美国不同亚组的成年糖尿病患者在多大程度上遵循这一建议。因此，我们评估了来自农村和城市县的美国成年糖尿病患者中具有代表性的样本的口腔保健利用情况和相关因素。
横断面数据来自 2018 年行为风险因素监测系统（BRFSS）。使用调查逻辑回归来考虑复杂的抽样设计。
在 40585 名合格参与者中，有 24887 名（占人口的 60%）在过去一年中因任何原因至少进行了一次口腔检查。在无牙参与者中观察到的依从性最低（27%，调整后的 OR = 0.26，95%CI = 0.22-0.31 与完全有牙者相比）。口腔依从性还与收入或教育程度较低、曾经吸烟或存在获得医疗保健障碍呈负相关。与城市居民相比，农村居民的口腔依从性较低，尤其是那些没有医疗保险的人。
美国成年糖尿病患者的口腔依从性较低，特别是农村居民，与其他推荐的糖尿病护理实践相比。未来的公共卫生干预措施可能针对没有医疗保险的农村居民、吸烟者和无牙个体。需要整合牙科和医疗保健，以促进不同卫生专业人员之间的交流，以便在每次医疗保健就诊时都能加强教育预防信息。
