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[哥伦比亚麦德林从事维持生计工作的劳动者的口腔健康与工作条件、卫生习惯及医疗保健的关系。描述性研究]

[Oral health related to working conditions, hygiene habits and health care in workers with subsistence jobs from Medellín (Colombia). Descriptive Study].

作者信息

Garzón Duque María Osley, Ortiz Velázquez Luis Manuel, Rodríguez Ospina Fabio León, Sánchez Pabón Valentina

机构信息

Doctora en Epidemiologia y Bioestadística; Docente-Investigadora. Facultad de Medicina, Universidad CES. Medellín. Colombia.

Médico. Facultad de Medicina, Universidad CES. Medellín. Colombia.

出版信息

Rev Esp Salud Publica. 2025 May 21;99:e202505024.

Abstract

OBJECTIVE

Recording the relationship between oral health conditions, habits, access and use of health services, sociodemographic and labor conditions in informal workers, provides evidence to design and implement public policies. The aim of this paper was to describe the relationship between the perception of fair, poor or very poor oral health and working conditions, hygiene habits and oral health care in workers with subsistence jobs from Medellin (Colombia), 2016.

METHODS

A cross-sectional study with primary source of information was carried out, taken by survey of 686 informal workers. Variables were: sociodemographic conditions; labor conditions; habits; comorbidities; and oral health care. Dependent variable was perception of fair, poor or very poor oral health. Exploratory relational and multivalent analyses were made.

RESULTS

Workers aged 50 (±11) years, 57.6% men, and 44.5% reported regular, bad/very bad oral health. Associated with this perception were: being male (PR=1.26/CI=1.05;1.51); being between thirty and forty-four (PR=3.04/CI=1.36;6.81), and ≥45 years old (PR=2.65/CI=1.17;6.00); income ≤500,000 $ Col (PR=1.20/CI=1.00;1.43); ≤5 years of schooling (PR=1.22/CI=1.01;1.27) and >30 years in their work; having an emergency dental consultation (PR=1.66/CI=1.10;2.52); considering the care to be average (PR=1.68/CI=1.02;2.75), bad or very bad (PR=2.00/CI=1.00;3.99) attention; changing toothbrush ≥1 per year (PR=1.80/CI=1.18;2.74); having lost teeth (PR=1.78/CI=1.33;2.38); having prostheses (PR=1.23/CI=1.03;1.47); problems chewing (PR=2.16/CI=1.86;2.51); swallowing (PR=1.84/CI=1.54;2.21); speaking (PR=1.35/CI=1.02;1.78); and consuming hot or cold food (PR=1.22/CI=1.03;1.45).

CONCLUSIONS

The conditions associated with worse oral health perception, such as income, schooling, habits and access to and use of oral health services, could be improved by incorporating public policy strategies.

摘要

目的

记录非正规工人的口腔健康状况、习惯、获得和使用卫生服务的情况、社会人口统计学和劳动条件之间的关系,为公共政策的设计和实施提供依据。本文旨在描述2016年来自哥伦比亚麦德林的从事维持生计工作的工人对口腔健康状况为一般、差或非常差的认知与工作条件、卫生习惯及口腔保健之间的关系。

方法

开展一项以原始信息来源为基础的横断面研究,通过对686名非正规工人进行调查获取数据。变量包括:社会人口统计学条件;劳动条件;习惯;合并症;以及口腔保健。因变量是对口腔健康状况为一般、差或非常差的认知。进行了探索性关联分析和多变量分析。

结果

工人年龄为50(±11)岁,男性占57.6%,44.5%的人报告口腔健康状况正常、差/非常差。与这种认知相关的因素有:男性(PR = 1.26/CI = 1.05;1.51);年龄在30至44岁之间(PR = 3.04/CI = 1.36;6.81)以及≥45岁(PR = 2.65/CI = 1.17;6.00);收入≤500,000哥伦比亚比索(PR = 1.20/CI = 1.00;1.43);受教育年限≤5年(PR = 1.22/CI = 1.01;1.27)且工作年限>三十年;进行过紧急牙科咨询(PR = 1.66/CI = 1.10;2.52);认为护理水平一般(PR = 1.68/CI = 1.02;2.75)、差或非常差(PR = 2.00/CI = 1.00;3.99);每年更换牙刷≥1次(PR = 1.80/CI = 1.18;2.74);有牙齿缺失(PR = 1.78/CI = 1.33;2.38);有假牙(PR = 1.23/CI = 1.03;1.47);咀嚼困难(PR = 2.16/CI = 1.86;2.51);吞咽困难(PR = 1.84/CI = 1.54;2.21);说话困难(PR = 1.35/CI = 1.02;1.78);以及食用热或冷的食物(PR = 1.22/CI = 1.03;1.45)。

结论

通过纳入公共政策策略,可以改善与较差口腔健康认知相关的条件,如收入、教育程度、习惯以及获得和使用口腔卫生服务的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e59/12160414/fc2ce248b5f4/1135-5727-resp-99-e202505024-g001.jpg

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