Kumar Vaibhav, Thakker Jasleen, Royal Abhishek, Bhanushali Nikhil, Baghdadi Ziad D
Department of Public Health Dentistry, Dr. G.D. Pol Foundation YMT Dental College and Hospital (Affiliated to Maharashtra University of Health Science, Nashik), Kharghar, Navi Mumbai 410210, India.
Kartavya Disha Global Foundation, Vasai, Maharashtra 401202, India.
Int J Environ Res Public Health. 2025 Mar 14;22(3):433. doi: 10.3390/ijerph22030433.
Due to several interpersonal, social, and organizational challenges, dental health has been occasionally compromised in the transgender population. There is a lack of awareness among transgender persons to access affordable trans-competent oral health care. More information is required to identify and assess the oral health condition of this population in order to encourage better access to oral healthcare and effectively influence public health policy and practice. This systematic review aims to provide evidence about the status of oral health and hygiene of the transgender population across the globe. A systematic literature search using keywords and MESH search terms was conducted using PubMed, Medline, Google Scholar, and EBSCO online databases. The references of included journal articles were manually searched and appropriate studies were included, which were then critically appraised using the Joanna Briggs Institute (JBI) tool and the Newcastle-Ottawa protocol for the risk of bias assessment of prevalence studies, with each study assessed by two independent reviewers. Based on the search procedures, a total of 2026 articles were initially screened and, after evaluation, 20 were included in the systematic review. Transgender persons often face stigma and discrimination in dental healthcare settings, which affects their oral health status. A greater prevalence of substance abuse stemming from anxiety, lack of adequate education, and poor socioeconomic status leads to an increased prevalence of oral health diseases in this marginalized population. There is a need for policies and reforms to appraise their oral health and hygiene status and improve access to oral health services in this population.
由于一些人际、社会和组织方面的挑战，跨性别群体的口腔健康偶尔会受到损害。跨性别者缺乏获得经济实惠且具备跨性别者关怀能力的口腔医疗服务的意识。需要更多信息来识别和评估该群体的口腔健康状况，以鼓励更好地获得口腔医疗服务，并有效影响公共卫生政策和实践。本系统评价旨在提供关于全球跨性别群体口腔健康和卫生状况的证据。使用关键词和医学主题词（MESH）检索词，通过PubMed、Medline、谷歌学术和EBSCO在线数据库进行了系统的文献检索。对纳入期刊文章的参考文献进行了手动检索，并纳入了适当的研究，然后使用乔安娜·布里格斯研究所（JBI）工具和纽卡斯尔-渥太华协议对患病率研究的偏倚风险进行评估，每项研究由两名独立评审员进行评估。基于检索程序，最初共筛选出2026篇文章，经过评估，20篇被纳入系统评价。跨性别者在口腔医疗环境中经常面临耻辱和歧视，这影响了他们的口腔健康状况。由于焦虑、缺乏足够教育和社会经济地位低下导致药物滥用的患病率更高，这使得这个边缘化群体的口腔健康疾病患病率增加。需要制定政策和进行改革，以评估他们的口腔健康和卫生状况，并改善该群体获得口腔健康服务的机会。
