OBJECTIVES:This study examined factors related to oral health and dental service use among Mexican-Americans, Cuban-Americans, and Puerto Ricans from the Hispanic Health and Nutrition Examination Survey, 1982-84 (HHANES). METHODS:Categorical measures of oral health were created: (1) perceived oral health status, (2) evaluated oral health status, (3) decayed permanent teeth, (4) teeth missing due to caries, (5) total permanent teeth present, and (6) periodontal classification. The effects of acculturation, education, dental insurance, and perceived condition of teeth and gums on dental service use in the past two and five years were examined using logistic regression. All analyses were performed separately for each of the three samples using SAS-callable SUDDAN. RESULTS:Dental insurance and education were the most important factors in determining use of dental cleanings and use of dental care. For Mexican-Americans, Cuban-Americans, and Puerto Ricans, acculturation was a factor in determining use of dental care in the past five years. CONCLUSIONS:While dental insurance and education appear to be the most important factors for determining both use of dental cleaning services and use of dental care in all three samples, acculturation also had some impact for determining use of dental care.

译文

目的:本研究从1982-84年西班牙裔健康与营养调查(HHANES)中,研究了墨西哥裔美国人,古巴裔美国人和波多黎各人与口腔健康和牙科服务使用相关的因素。
方法:建立了口腔健康的分类指标:(1)感知的口腔健康状况;(2)评估的口腔健康状况;(3)龋坏的恒牙;(4)由于龋齿缺失的牙齿;(5)存在的恒牙总数; (6)牙周分类。使用逻辑回归分析了过去两年和五年中的适应性,教育,牙科保险以及牙齿和牙龈的感知状况对牙科服务使用的影响。使用SAS调用的SUDDAN对三个样品中的每个样品分别进行了所有分析。
结果:牙科保险和教育是决定使用牙齿清洁剂和使用牙齿护理的最重要因素。对于墨西哥裔美国人,古巴裔美国人和波多黎各人,过去五年来,文化适应是决定使用牙科护理的一个因素。
结论:虽然在所有三个样本中,牙科保险和教育似乎是确定使用牙科清洁服务和使用牙科护理的最重要因素,但文化适应对确定使用牙科护理也有一定影响。

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