Davidson P L, Andersen R M
Department of Health Services, School of Public Health, University of California, Los Angeles 90095, USA.
Adv Dent Res. 1997 May;11(2):254-62. doi: 10.1177/08959374970110020801.
Dental services utilization in the past 12 months was compared across population-based samples of African-American, Navajo, Lakota, Hispanic, and White adults participating in the WHO International Collaborative Study of Oral Health Outcomes (ICS-II) at USA research locations. Bivariate results revealed that ethnic minority groups in both age cohorts reported significantly fewer dental visits in the past 12 months compared with White adults. When dentate status was controlled for, age cohort differences were not significant in Baltimore (African-American and White) and San Antonio (Hispanic and White) research locations. In contrast, older Native Americans (65-74 years) reported visiting the dentist significantly less often compared with their middle-aged (35-44 years) counterparts. Multivariate results indicated that generalizable variables were associated with dental contact in every ICS-II USA ethnic group (i.e., dentate, usual source of dental care, oral pain). Among the diverse ethnic groups, other determinants presented a varied pattern of risk factors for underutilizing dental care. Information on ethnic-specific risk factors can be used to design culturally appropriate and acceptable oral health promotion programs. Generalizable risk factors across ethnic groups inform oral health policy-makers about changing national priorities for promoting oral health.
在美国各研究地点，对参与世界卫生组织口腔健康结果国际合作研究（ICS-II）的非裔美国人、纳瓦霍人、拉科塔人、西班牙裔和白人成年人的基于人群的样本，比较了过去12个月的牙科服务利用情况。双变量结果显示，与白人成年人相比，两个年龄组的少数族裔群体在过去12个月报告的看牙次数明显更少。在控制了牙齿状况后，巴尔的摩（非裔美国人和白人）和圣安东尼奥（西班牙裔和白人）研究地点的年龄组差异不显著。相比之下，与中年（35 - 44岁）的美国原住民相比，65 - 74岁的美国原住民报告看牙医的次数明显更少。多变量结果表明，在ICS-II美国的每个族裔群体中，可推广的变量都与牙科接触有关（即有牙、通常的牙科护理来源、口腔疼痛）。在不同的族裔群体中，其他决定因素呈现出不同的牙科护理利用不足风险因素模式。关于特定族裔风险因素的信息可用于设计符合文化背景且可接受的口腔健康促进项目。跨族裔的可推广风险因素为口腔健康政策制定者提供了有关促进口腔健康的国家优先事项变化的信息。
