Multimorbidity and Essential Dental Care Needs: Results From the 2003 and 2016-2017 Chilean National Health Survey.

IF 2.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2026-09-25 DOI:10.1111/cdoe.70117

Priscila Gómez-San Martín, Matías Santos-López, Paula Margozzini-Maira, Álvaro Passi-Solar, Andrés Celis-Sersen, Duniel Ortuño-Borroto

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引用次数: 0

Abstract

Objectives: Oral diseases (ODs) and multimorbidity (MM) are major global public health challenges that share common risk factors. Chile has implemented the 'Multimorbidity patient-centred care model' (MPCM) to address this; however, improving oral healthcare for adults remains an unresolved challenge. This study aimed to compare the essential dental care need (EDCN) among Chilean adults with different levels of MM between ENS 2003 and 2016-17 National Health Surveys (ENS).

Methods: A serial cross-sectional study was conducted using secondary data from the ENS 2003 and ENS 2016-2017. Two MM definitions based on 18 chronic conditions were used: a standard definition (MM_≥ 2 conditions) and a second approach categorising participants into four levels (MM_G0-G3) using the MPCM risk score. EDCN was defined as the presence of at least one tooth with cavitated caries or a need for dentures. Crude and adjusted prevalence ratios (PR) were estimated using robust Poisson regression models accounting for the complex survey design. Three sensitivity analyses were performed for the missing data, and stratified analyses by age (< 65 vs. ≥ 65 years) and by time since last dental visit. The significance level was set to 0.05.

Results: A total of 2157 participants from ENS 2003 and 4024 from ENS 2016-17 were included. Among participants with MM, EDCN prevalence was 81.6% (95% CI: 74.5-85.1) in ENS 2003 and 69.2% (95% CI: 64.9-72.9) in ENS 2016-17. After adjustment for confounders, the prevalence of EDCN among those with MM_≥ 2 decreased from 71.0% in ENS 2003 to 46.8% in ENS 2016-17. In the ENS 2016-17, after adjusting for confounders, participants < 65 years in the highest MM category (MM_G3) had a 26% higher prevalence of EDCN compared to those in MM_G0.

Conclusions: Analyses from ENS 2016-17 suggest that greater MM burden may be associated with higher prevalence of EDCN among adults aged < 65 years. Strategies aimed at improving adult oral healthcare coverage and integrating the prevention of MM and ODs in younger populations may help reduce unmet dental care needs.

查看原文本刊更多论文

多病和基本牙科保健需求：2003年和2016-2017年智利全国健康调查结果

目的：口腔疾病（ODs）和多病（MM）是具有共同危险因素的主要全球公共卫生挑战。智利实施了“多病患者为中心的护理模式”（MPCM）来解决这一问题；然而，改善成人口腔保健仍然是一个未解决的挑战。本研究旨在比较2003年ENS和2016-17年国家健康调查（ENS）期间不同程度MM的智利成年人的基本牙科保健需求（EDCN）。方法：采用《ENS 2003》和《ENS 2016-2017》的二手数据进行连续横断面研究。采用了基于18种慢性病的两种MM定义：标准定义（MM≥2种情况）和第二种方法，使用MPCM风险评分将参与者分为四个级别（MMG0-G3）。EDCN被定义为至少有一颗牙齿有蛀牙或需要假牙。考虑到复杂的调查设计，使用稳健泊松回归模型估计粗患病率和调整患病率（PR）。对缺失数据进行了三次敏感性分析，并按年龄进行了分层分析（结果：2003年ENS共纳入2157名参与者，2016-17年ENS共纳入4024名参与者）。在MM参与者中，2003年ENS的EDCN患病率为81.6% (95% CI: 74.5-85.1)， 2016-17年ENS的EDCN患病率为69.2% （95% CI: 64.9-72.9）。调整混杂因素后，MM≥2的患者中EDCN的患病率从2003年的71.0%下降到2016-17年的46.8%。在2016-17年的ENS中，在调整混杂因素后，G3组的参与者EDCN患病率比MMG0组高26%。结论：2016-17年ENS的分析表明，成人中MM负担加重可能与EDCN患病率升高有关

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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.