美国 2019 年 14-18 岁性少数青少年的口腔保健就诊情况。
Oral healthcare visits among sexual minority adolescents ages 14-18, 2019, USA.
机构信息
School of Public Health, Department of Health Behavior and Health Systems, University of North Texas Health Science Center, Fort Worth, Texas, USA.
School of Public Health, Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, Texas, USA.
出版信息
J Public Health Dent. 2023 Jun;83(2):207-211. doi: 10.1111/jphd.12546. Epub 2022 Oct 7.
OBJECTIVE
Health disparities persist among sexual minority (SM) adolescents (i.e., bisexual, lesbian/gay) compared to heterosexual adolescents, however, research is limited on oral health. The purpose of this study was to examine reported recency of dental visits by sexual orientation among a national sample of adolescents.
METHODS
Data from the 2019 Youth Risk Behavior Surveillance Survey (n = 12,673 adolescents, 14-18 years old) were analyzed. We assessed dental care in the past 12 months or more based on sexual orientation ("lesbian/gay," "bisexual," "not sure"). Adjusted, sex-stratified, multinomial logistic regression analyses were used to determine conditional associations.
RESULTS
Bisexual boys (aRR:2.50), "not sure" boys (aRR:3.55), and "not sure" girls (aRR:2.32) were at increased relative risk for not going to the dentist compared to heterosexual adolescents.
CONCLUSIONS
Findings indicate gaps in oral healthcare access among SM adolescents, specifically bisexual and not sure youth. Results can be used to increase access to preventive dental care among SM adolescents.
目的
与异性恋青少年相比，性少数群体（即双性恋、同性恋）的青少年仍然存在健康差距，但关于口腔健康的研究有限。本研究的目的是在全国青少年样本中检查报告的最近口腔健康检查情况。
方法
对 2019 年青少年风险行为监测调查（n=12673 名 14-18 岁青少年）的数据进行分析。我们根据性取向（“同性恋”、“双性恋”、“不确定”）评估过去 12 个月或更长时间内的牙科护理情况。使用调整后的、按性别分层的多项逻辑回归分析来确定条件关联。
结果
与异性恋青少年相比，双性恋男孩（调整后相对风险比[aRR]：2.50）、“不确定”男孩（aRR：3.55）和“不确定”女孩（aRR：2.32）去看牙医的相对风险增加。
结论
研究结果表明，性少数群体青少年，特别是双性恋和不确定的青少年，在口腔保健方面存在差距。研究结果可用于增加性少数群体青少年接受预防性牙科护理的机会。
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