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秘鲁老年人使用牙科服务的相关因素。

Factors associated with the use of dental services in older adults in Peru.

作者信息

Cossio-Alva Bryan Alexis, Rojas Rubén Espinoza, Ruiz-Barrueto Miguel Angel, Atoche Giancarlo Becerra, Mejia Christian R, Corrales-Reyes Ibraín Enrique

机构信息

Facultad de Ciencias de la Salud, Escuela de Estomatología, Universidad César Vallejo, Piura, Peru.

Instituto de Investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma, Peru.

出版信息

PLoS One. 2025 Feb 12;20(2):e0316651. doi: 10.1371/journal.pone.0316651. eCollection 2025.

Abstract

BACKGROUND

The use of dental services by older adults in Peru faces various challenges that impact both their oral and overall health. Several factors play a crucial role in obtaining adequate dental care.

AIMS

To evaluate the factors associated with the use of dental services in older adults in Peru.

METHODS

This study was an observational, analytical, and cross-sectional investigation that utilized data from multiple years (2018-2022) of the Demographic and Family Health Survey (ENDES, by its Spanish acronym). The use of dental services was assessed through a specific survey question and analyzed in association with various socio-demographic variables, employing both descriptive and analytical statistical methods.

RESULTS

In the multivariable analysis, the likelihood of not utilizing dental services was higher among men aPR: 1.53 (95% CI: 1.45-1.61), those without health insurance aPR: 1.44 (95% CI: 1.36-1.53), those who self-identified as other races aPR: 1.22 (95% CI: 1.13-1.33), Afro-descendants aPR: 1.10 (95% CI: 1.01-1.19), whites aPR: 1.12 (95% CI: 1.01-1.25) according to education level, those with a physical limitation aPR: 1.24 (95% CI: 1.15-1.33), and increased as they were poorer; it was lower among the rich but more pronounced among the middle-income, poor, and very poor, adjusted for five variables.

CONCLUSION

It was reported that 15% of older adults did not use dental services, and this was associated with significant socio-demographic variables.

摘要

背景

秘鲁老年人使用牙科服务面临各种挑战,这些挑战对他们的口腔健康和整体健康都有影响。几个因素在获得足够的牙科护理方面起着关键作用。

目的

评估秘鲁老年人使用牙科服务的相关因素。

方法

本研究是一项观察性、分析性和横断面调查,利用了多轮(2018 - 2022年)人口与家庭健康调查(ENDES,西班牙语首字母缩写)的数据。通过一个特定的调查问题评估牙科服务的使用情况,并结合各种社会人口学变量进行分析,采用描述性和分析性统计方法。

结果

在多变量分析中,未使用牙科服务的可能性在男性中更高(调整后风险比:1.53,95%置信区间:1.45 - 1.61),没有医疗保险的人(调整后风险比:1.44,95%置信区间:1.36 - 1.53),自我认定为其他种族的人(调整后风险比:1.22,95%置信区间:1.13 - 1.33),非裔后裔(调整后风险比:1.10,95%置信区间:1.01 - 1.19),根据教育程度白人(调整后风险比:1.12,95%置信区间:1.01 - 1.25),有身体限制的人(调整后风险比:1.24,95%置信区间:1.15 - 1.33),并且随着贫困程度增加而升高;在富人中较低,但在中等收入、贫困和极贫困人群中更为明显,调整了五个变量。

结论

据报告,15%的老年人未使用牙科服务,这与显著的社会人口学变量相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8e/11819527/9742d38e95a6/pone.0316651.g001.jpg

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