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.
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.
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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