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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Subpar utilization of dental care among americans with a history of stroke.
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Subpar utilization of dental care among americans with a history of stroke.

机译：具有中风病史的美国人对牙科保健的利用不佳。

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Persons with poor oral hygiene are prone to periodontitis, an inflammatory gum disease independently linked to stroke. Regular dental examinations allow for early detection and treatment of oral conditions associated with the risk of further vascular events. Little is known about patterns of dental care among persons at risk for stroke. We assessed the prevalence and independent predictors of at least one visit to the dentist within the preceding 12 months among stroke survivors in the United States using data from the National Health Interview Survey (NHIS) 2006 survey. The 24,275 adults who completed the survey self-reported a total of 706 strokes, for an incidence of 3%. The rate of at least one visit to the dentist over the previous year among stroke survivors (mean age, 67 +/- 15 years) was 46%. Factors independently associated with visiting the dentist were female sex (odds ratio [OR], 1.83; 95% confidence interval [CI], 1.31-2.57), being married (OR, 1.95; 95% CI, 1.37-2.77), having a high school or greater education (OR, 2.11; 95% CI, 1.51-2.93), and having contact with a primary care doctor in the previous year (OR, 1.74; 95% CI, 1.04-2.93). Factors independently associated with not visiting the dentist were black race (OR, 0.63; 95% CI, 0.43-0.92) and the presence of a significant medical comorbidity (OR, 0.69; 95% CI, 0.48-0.97). In 2006, less than half of stroke survivors in the United States received dental care, leaving substantial room for improvement. Stroke survivors need education about the importance of regular dental care, particularly minority groups.
机译：口腔卫生差的人容易患牙周炎，这是一种与中风独立相关的炎性牙龈疾病。定期进行牙齿检查可以及早发现和治疗与进一步血管事件相关的口腔疾病。关于中风风险人群的牙科保健模式知之甚少。我们使用2006年美国国民健康访问调查（NHIS）调查的数据，评估了美国中风幸存者在过去12个月内至少拜访牙医一次的患病率和独立预测因素。完成调查的24275名成年人自我报告了706次中风，发生率为3％。在卒中幸存者（平均年龄67 +/- 15岁）中，上一年至少有一次拜访牙医的比例为46％。与看牙医独立相关的因素是女性（已婚（OR，1.95; 95％CI，1.37-2.77），已婚者，女性（几率[OR]，1.83; 95％置信区间[CI]，1.31-2.57）。高中或更高学历（OR，2.11; 95％CI，1.51-2.93），并在上一年与初级保健医生接触（OR，1.74; 95％CI，1.04-2.93）。与不去看牙医独立相关的因素有黑人种族（OR，0.63; 95％CI，0.43-0.92）和显着的合并症（OR，0.69; 95％CI，0.48-0.97）。 2006年，在美国，只有不到一半的中风幸存者接受了牙科护理，因此仍有很大的改善空间。中风幸存者需要接受有关定期牙科护理（尤其是少数群体）重要性的教育。

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