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牙科从业者对粮食不安全问题的认知:来自国家基于牙科实践的研究网络的初步发现。

Knowledge About Food Insecurity Among Dental Practitioners: Preliminary Findings From the National Dental Practice-Based Research Network.

作者信息

Mungia Rahma, Testa Alexander, Hernandez Daphne C, Cunha-Cruz Joana, Garcia Kayla M, Gilbert Gregg H

机构信息

The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.

The University of Texas Health Science Center at Houston, Houston, TX, USA.

出版信息

Health Promot Pract. 2024 Oct 23:15248399241287206. doi: 10.1177/15248399241287206.

DOI:10.1177/15248399241287206
PMID:39441745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12014856/
Abstract

Food insecurity is a household-level economic and social condition characterized by limited access to nutritious food. This study explored dental practitioners' views on food insecurity screening and its impact on oral health. A five-question survey ("Quick Poll") was conducted through the National Dental Practice-Based Research Network (PBRN) in the United States. A total of 332 dental practitioners responded. Preferences for food insecurity screening in dental practice settings showed substantial variability: 30% in favor, 39% neutral, and 29% against. When identifying the primary oral health issue influenced by food insecurity, 68% pinpointed dental caries. Over half (53%) expressed comfort in directing patients experiencing food insecurity to relevant resources. Notably, 61% of respondents expressed interest in being involved in future food insecurity clinical studies. This preliminary study underscores the relevance of food insecurity in the professional dental setting and suggests that the clinical setting may be well suited for educational programs designed to improve the oral health of patients experiencing food insecurity. Future research may achieve this goal, including a PBRN clinical study of interventions to improve oral health among patients experiencing food insecurity.

摘要

粮食不安全是一种家庭层面的经济和社会状况,其特征是难以获得营养丰富的食物。本研究探讨了牙科医生对粮食不安全筛查及其对口腔健康影响的看法。通过美国国家基于牙科实践的研究网络(PBRN)进行了一项包含五个问题的调查(“快速民意调查”)。共有332名牙科医生做出了回应。牙科实践环境中对粮食不安全筛查的偏好显示出很大差异:30%赞成,39%中立,29%反对。在确定受粮食不安全影响的主要口腔健康问题时,68%指出是龋齿。超过一半(53%)的人表示愿意将经历粮食不安全的患者引导至相关资源。值得注意的是,61%的受访者表示有兴趣参与未来关于粮食不安全的临床研究。这项初步研究强调了粮食不安全在专业牙科环境中的相关性,并表明临床环境可能非常适合开展旨在改善经历粮食不安全患者口腔健康的教育项目。未来的研究可能会实现这一目标,包括开展一项PBRN临床研究,以探讨改善经历粮食不安全患者口腔健康的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cad9/12504776/c981b254a76c/10.1177_15248399241287206-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cad9/12504776/c981b254a76c/10.1177_15248399241287206-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cad9/12504776/c981b254a76c/10.1177_15248399241287206-fig1.jpg

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本文引用的文献

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Burden of dental caries in individuals experiencing food insecurity: a systematic review and meta-analysis.食物不安全个体的龋齿负担:系统评价和荟萃分析。
Nutr Rev. 2023 Nov 10;81(12):1525-1555. doi: 10.1093/nutrit/nuad031.
2
Food insecurity and dental caries prevalence in children and adolescents: A systematic review and meta-analysis.儿童和青少年的食物不安全与龋齿患病率:系统评价和荟萃分析。
Int J Paediatr Dent. 2023 Jul;33(4):346-363. doi: 10.1111/ipd.13041. Epub 2023 Jan 10.
3
Structure, function, and productivity from the National Dental Practice-Based Research Network.
来自国家基于牙科实践的研究网络的结构、功能与生产力
J Clin Transl Sci. 2022 Jun 22;6(1):e87. doi: 10.1017/cts.2022.421. eCollection 2022.
4
Biocultural pathways linking periodontal disease expression to food insecurity, immune dysregulation, and nutrition.牙周病的表达与食物不安全、免疫失调和营养之间的生物文化途径。
Am J Hum Biol. 2021 Mar;33(2):e23549. doi: 10.1002/ajhb.23549. Epub 2020 Dec 10.
5
Practitioner Engagement in Activities of the National Dental Practice-Based Research Network (PBRN): 7-Year Results.从业者参与国家牙科实践为基础的研究网络(PBRN)的活动:7 年结果。
J Am Board Fam Med. 2020 Sep-Oct;33(5):687-697. doi: 10.3122/jabfm.2020.05.190339.
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Addressing Social Determinants of Health Within Healthcare Delivery Systems: a Framework to Ground and Inform Health Outcomes.在医疗服务提供系统中解决健康的社会决定因素:一个用于奠定基础和指导健康结果的框架。
J Gen Intern Med. 2020 May;35(5):1571-1575. doi: 10.1007/s11606-020-05720-6. Epub 2020 Feb 19.
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Disparities in Access to Oral Health Care.口腔保健服务可及性的差异。
Annu Rev Public Health. 2020 Apr 2;41:513-535. doi: 10.1146/annurev-publhealth-040119-094318. Epub 2020 Jan 3.
8
Validation of a Two-Item Food Security Screening Tool in a Dental Setting.在牙科环境中对一项两项食品安全筛查工具的验证
J Dent Child (Chic). 2018 Sep 15;85(3):114-119.
9
The effects of oral health on systemic health.口腔健康对全身健康的影响。
Gen Dent. 2017 Nov-Dec;65(6):30-34.
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Brief assessment of food insecurity accurately identifies high-risk US adults.对粮食不安全状况的简要评估能准确识别美国高危成年人。
Public Health Nutr. 2017 Jun;20(8):1367-1371. doi: 10.1017/S1368980017000180. Epub 2017 Feb 20.