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美国印第安人/阿拉斯加原住民成年人的牙齿缺失和看牙情况。

Tooth loss and dental visits by Indigenous American Indian/Alaska Native adults in the USA.

机构信息

Department of Dental Public Health and Professional Practices, School of Dentistry, West Virginia University, PO Box 9415, Morgantown, WV 26506, USA

出版信息

Rural Remote Health. 2023 Feb;23(1):7679. doi: 10.22605/RRH7679. Epub 2023 Feb 7.

Abstract

INTRODUCTION

The purpose of this research was to determine if there is a difference in dental visits or missing teeth among Indigenous people in the USA (American Indian/Alaska Native (AI/AN) adults) by geographic and metropolitan settings.

METHODS

Data were obtained from the Behavioral Risk Factor Surveillance System (BRFSS), 2020, limited to AI/AN adults ≥18 years, n=6640. Participants self-identified as AI/AN adults, and provided information about residence, dental status, and dental visits within the previous year.

RESULTS

There were significantly more adults with missing teeth among rural AI/AN adults as compared with urban AI/AN adults. In adjusted analysis, adjusted odds ratio was 1.33 (95%CI: 1.02-1.73; p=0.04) for missing teeth in rural AI/AN adults as compared to urban AI/AN adults. AI/AN adults had similar percentages of dental visits within the previous year regardless of their rural/urban status or region of the country. Overall, there were 3738 (54.7%) who had a dental visit within the previous year.

CONCLUSION

Interventions addressing rural AI/AN adults in maintaining teeth are critically needed.

摘要

简介

本研究旨在确定美国原住民(美国印第安人/阿拉斯加原住民(AI/AN)成年人)的地理和大都市环境是否会影响其看牙次数或缺牙情况。

方法

数据来自 2020 年行为风险因素监测系统(BRFSS),仅包括年龄≥18 岁的 AI/AN 成年人,n=6640。参与者自我认定为 AI/AN 成年人,并提供了有关居住地、牙齿状况和前一年看牙次数的信息。

结果

与城市 AI/AN 成年人相比,农村 AI/AN 成年人的缺牙人数明显更多。在调整分析中,与城市 AI/AN 成年人相比,农村 AI/AN 成年人缺牙的调整后优势比为 1.33(95%CI:1.02-1.73;p=0.04)。无论其农村/城市地位或所在地区如何,AI/AN 成年人在前一年接受牙齿检查的百分比相似。总体而言,有 3738 人(54.7%)在前一年接受了牙齿检查。

结论

迫切需要针对农村 AI/AN 成年人开展保持牙齿健康的干预措施。

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