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自闭症成年人是否定期接受预防性牙科服务?

Are adults with autism receiving regular preventive dental services?

机构信息

The University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA.

School of Dentistry, University of Missouri-Kansas City, Kansas City, Missouri, USA.

出版信息

Spec Care Dentist. 2023 Jan;43(1):3-8. doi: 10.1111/scd.12738. Epub 2022 May 30.

DOI:10.1111/scd.12738
PMID:35636432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10084249/
Abstract

PURPOSE/AIM: To investigate the frequency of preventive dental care among adults with autism and explore factors associated with receiving regular preventive care.

MATERIALS AND METHODS

De-identified data was collected from electronic health records of 18-year-old or older patients with autism that had at least one preventive dental procedure recorded. The data was then analyzed to describe the frequency of preventive dental procedures provided for this population and investigate what variables are associated with regular care.

RESULTS

Sample size was 119, 67% were males, average age was 30.8 years, and 58% had Medicaid. Average BMI was 42.8, the prevalence of diabetes and heart disease were 16% and 34%, respectively, and 86% reported mental health problems. Recreational drug use was 6.8%, alcohol use was 19%, and tobacco use 16%. Xerostomia was reported by 32%, and the average number of medications was 7.2 ± 5.5. The average number of preventive dental visits was 7.9 ± 10.6, and 35% of the patients had at least one preventive dental visit per year. Only number of medications had a statistically significant association with number of preventive dental visits.

CONCLUSIONS

Only one in every three adults with autism had at least one preventive dental visit per year.

摘要

目的/目标:调查自闭症成年人接受预防牙科护理的频率,并探讨与定期接受预防护理相关的因素。

材料和方法

从至少有一次预防性牙科治疗记录的 18 岁或以上自闭症患者的电子健康记录中收集了匿名数据。然后对数据进行分析,以描述为该人群提供的预防性牙科治疗的频率,并调查哪些变量与常规护理相关。

结果

样本量为 119 名,其中 67%为男性,平均年龄为 30.8 岁,58%有医疗补助。平均 BMI 为 42.8,糖尿病和心脏病的患病率分别为 16%和 34%,86%报告有心理健康问题。娱乐性药物使用为 6.8%,酒精使用为 19%,烟草使用为 16%。口干症的报告率为 32%,平均用药量为 7.2 ± 5.5。平均预防牙科就诊次数为 7.9 ± 10.6,35%的患者每年至少有一次预防牙科就诊。只有用药数量与预防牙科就诊次数有统计学显著关联。

结论

每三个自闭症成年人中只有一个人每年至少有一次预防牙科就诊。

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本文引用的文献

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Oral Health Among Children and Youth With Special Health Care Needs.特殊健康需求儿童和青少年的口腔健康。
Pediatrics. 2021 Aug;148(2). doi: 10.1542/peds.2020-025700. Epub 2021 Jul 21.
2
Types of dental procedures provided to adults with autism spectrum condition: A descriptive study.为自闭症谱系障碍成年人提供的牙科治疗类型:一项描述性研究。
Spec Care Dentist. 2021 Sep;41(5):553-558. doi: 10.1111/scd.12596. Epub 2021 Apr 14.
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Dental experiences of a group of autistic adults based in the United Kingdom.英国一群自闭症成年人的牙科经历。
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Oral health status of children and adolescents with autism spectrum disorder: A systematic review of case-control studies and meta-analysis.自闭症谱系障碍儿童和青少年的口腔健康状况:病例对照研究的系统评价和荟萃分析。
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UK dental professionals' knowledge, experience and confidence when treating patients on the autism spectrum.英国牙科专业人员在治疗自闭症谱系患者时的知识、经验和信心。
Br Dent J. 2019 Sep;227(6):504-510. doi: 10.1038/s41415-019-0786-5.
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Autistic patients: a retrospective study on their dental needs and the behavioural approach.自闭症患者:对其口腔需求和行为方法的回顾性研究。
Clin Oral Investig. 2020 May;24(5):1677-1685. doi: 10.1007/s00784-019-03023-7. Epub 2019 Jul 22.
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Prevalence of Autism Spectrum Disorder Among US Children and Adolescents, 2014-2016.2014 - 2016年美国儿童和青少年自闭症谱系障碍患病率
JAMA. 2018 Jan 2;319(1):81-82. doi: 10.1001/jama.2017.17812.
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Autism in 2016: the need for answers.2016年的自闭症:寻求答案的必要性。
J Pediatr (Rio J). 2017 Mar-Apr;93(2):111-119. doi: 10.1016/j.jped.2016.09.002. Epub 2016 Nov 9.
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A cross-sectional study on oral health and dental care in intellectually able adults with autism spectrum disorder.一项关于患有自闭症谱系障碍的智力正常成年人的口腔健康与牙齿护理的横断面研究。
BMC Oral Health. 2015 Jul 15;15:81. doi: 10.1186/s12903-015-0065-z.
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Experiences of dental care and dental anxiety in adults with autism spectrum disorder.患有自闭症谱系障碍的成年人的牙科护理经历与牙科焦虑
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