美国印第安人和阿拉斯加原住民的牙科焦虑和口腔健康。

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry Pub Date : 2024-07-02 DOI:10.1111/jphd.12633

Tamanna Tiwari BDS, MDS, MPH, Casey D. Wright PhD, Lisa J. Heaton PhD, Morgan Santoro MPH, Eric P. Tranby PhD

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引用次数: 0

摘要

目的：美国印第安人和阿拉斯加原住民（AI/AN）表示不信任医疗保健系统。本研究探讨了高度牙科不信任或高度牙科护理相关恐惧和焦虑（"牙科焦虑"）与美国印第安人和阿拉斯加原住民成年人口腔健康结果之间的关联：2022 年美国口腔健康公平状况调查包括改良牙科焦虑量表，询问受访者在多大程度上同意 "在我上一次口腔健康检查中，我信任我所看到的口腔保健提供者 "这一陈述，并询问自我口腔健康评价和是否有牙科之家：结果：报告牙科信任度低（n = 110）或牙科焦虑度高（MDAS≥19；n = 113）的美国原住民/印第安人（N = 564）的总体健康状况和口腔健康状况明显较差，拥有牙科之家的可能性也明显较低（p 结论：牙科不信任和牙科焦虑会导致口腔健康状况恶化：牙科不信任和牙科焦虑会严重影响阿拉斯加原住民/印第安人社区的口腔健康和牙科使用情况，是改善阿拉斯加原住民/印第安人口腔健康的重要干预目标。

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Dental anxiety and oral health in American Indian and Alaska natives

Objective

American Indian and Alaska native (AI/AN) individuals report distrust of the healthcare system. This study explored associations between having either high levels of dental distrust or high levels of dental care-related fear and anxiety (“dental anxiety”) and oral health outcomes in AI/AN adults.

Methods

The 2022 State of Oral Health Equity in America survey included the Modified Dental Anxiety Scale and asked to what extent respondents agreed with the statement, “At my last oral health visit, I trusted the oral health provider I saw”, and asked about self-rated oral health and presence of a dental home.

Results

AI/AN individuals (N = 564) who reported low dental trust (n = 110) or with high dental anxiety (MDAS≥19; n = 113) reported significantly worse overall and oral health and were significantly less likely to have a dental home (p < 0.05 used for each analysis).

Conclusion

Dental distrust and dental anxiety can significantly impact oral health and dental utilization in AI/AN communities and are important intervention targets to improve AI/AN oral health.

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.