Department of Dental Public Health and Professional Practices, School of Dentistry, West Virginia University, PO Box 9415, Morgantown, WV 26506, USA
Rural Remote Health. 2023 Feb;23(1):7679. doi: 10.22605/RRH7679. Epub 2023 Feb 7.
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.
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.
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.
Interventions addressing rural AI/AN adults in maintaining teeth are critically needed.
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。
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。
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。
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。