Early Life Violent Victimisation and Dental Care Use From Adolescence Through Adulthood.

IF 2.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2025-08-04 DOI:10.1111/cdoe.70016

Alexander Testa, Luis Mijares, Dylan B Jackson, Daniel Semenza, Richard Stansfield, Ian Silver, Rahma Mungia

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引用次数: 0

Abstract

Objectives: This study examined the relationship between early-life violent victimisation and dental care utilisation patterns from adolescence to middle adulthood (ages 11-43).

Methods: Data were from Waves I through V of the National Longitudinal Study of Adolescent to Adult Health (Add Health). Group-based trajectory modelling (GBTM) was used to examine patterns of dental care use across five waves, spanning ages 11-43. Multinomial logistic regression was used to assess the relationship between violent victimisation experiences in adolescence and dental care use trajectory group membership, adjusting for demographic, socioeconomic and health-related covariates.

Results: Four dental care trajectories were identified: High Dental Care Use (22.8%), Intermittent Decreasing Dental Care Use (38.6%), Intermittent Increasing Dental Care Use (21.8%) and Low Dental Care Use (16.9%). Higher violent victimisation in adolescence was associated with an increased relative risk of belonging to the Intermittent Dental Care Use (RRR = 1.09, 95% CI = 1.02-1.41) and Low Dental Care Use (RRR = 1.21, 95% CI = 1.01-1.46) compared to the High Dental Care Use group.

Conclusions: Early-life violent victimisation serves as a risk factor for less regular dental care use over the life course. Addressing the cumulative effects of violent victimisation through trauma-informed care and targeted interventions may improve dental care access and mitigate disparities over the life course.

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从青春期到成年期的早期生命暴力受害和牙科护理使用。

目的：本研究调查了青少年至成年中期（11-43岁）早期暴力受害与牙科护理利用模式之间的关系。方法：数据来自国家青少年到成人健康纵向研究（Add Health）的波I至波V。使用基于群体的轨迹模型（GBTM）来检查跨越11-43岁的五个年龄段的牙科保健使用模式。使用多项逻辑回归来评估青少年暴力受害经历与牙科保健使用轨迹群体成员之间的关系，并对人口统计学、社会经济和健康相关协变量进行调整。结果：确定了四种牙科保健轨迹：高牙科保健使用（22.8%），间歇性减少牙科保健使用（38.6%），间歇性增加牙科保健使用（21.8%）和低牙科保健使用（16.9%）。与高牙科护理使用组相比，青少年中较高的暴力受害与属于间歇性牙科护理使用组（RRR = 1.09, 95% CI = 1.02-1.41）和低牙科护理使用组（RRR = 1.21, 95% CI = 1.01-1.46）的相对风险增加有关。结论：早期生活中的暴力受害是一生中较少定期使用牙科保健的危险因素。通过了解创伤的护理和有针对性的干预措施来解决暴力受害的累积影响，可能会改善牙科护理的可及性，并减轻生命过程中的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.