青少年の口腔衛生への根深い障壁を調査(UB dental professor investigating persistent barriers to adolescent oral health)

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2025-08-01 バッファロー大学(UB)

ニューヨーク州立大学バッファロー校の研究で、12〜17歳の青少年は歯科診療の無断欠席率が24%と最も高く、年齢が高いほど欠席傾向が強まることが判明。保護者と子どもの60%以上が歯科不安を抱えており、親の不安が子にも強く影響する。これらの心理的・社会的要因が歯科診療の受診行動に深く関係しており、対策が求められている。

青少年の口腔衛生への根深い障壁を調査(UB dental professor investigating persistent barriers to adolescent oral health)
Despite sharing similar socioeconomic conditions and living in the same household, adolescents ages 12 to 17 show significantly worse oral health outcomes than their younger siblings.

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学術的歯科医療施設における小児歯科診療の予約キャンセルに関連する要因の分析 Visit Characteristics Associated With Pediatric Dental Appointment No-Shows in an Academic Dental Setting

Rubelisa C. G. de Oliveira, Hassan Khalid, Zhaoqi Zhang, Saptarshi Chakraborty, Daniela Benzano, Jessica S. Kruger, Susan C. McKernan
International Journal of Dentistry  Published: 11 July 2025
DOI:https://doi.org/10.1155/ijod/2114933

Abstract

Objectives: Dental no-show rates negatively impact oral health outcomes, especially among adolescents. While many factors can be associated with no-show in dental appointments, adolescents’ no-show rates are influenced by parents’ or caregivers’ experiences and decisions. This study aims to investigate patient visit-related characteristics that are associated with failure to attend scheduled dental appointments in an academic institution located in Buffalo, New York (NY), a region impacted by health disparities.

Methods: A secondary analysis was performed with multivariables extracted from the electronic health records of individuals aged 0–19 years from 2018 to 2023. Bivariate and multivariate analyses at the visit level were performed to compare show/no-show groups concerning demographics, payor at the time of dental appointment, distance from home to dental facility, and Social Deprivation Index (SDI) scores related to their ZIP codes.

Results: A total of 7379 visits were included in the analysis. 14.3% were no-shows. Adolescents aged 12–17 years accounted for the greatest no-show rate (24%) when compared with younger children. Age had an increased likelihood of no-show (OR = 1.13, CI = 1.11–1.15), and social deprivation had a slight protective effect in no-show at dental appointments in this academic institution (OR = 0.98, CI = 0.98–0.99). The great majority of pediatric patients come from socioeconomically deprived areas and live further away from the school.

Conclusions: Adolescents are the group at most risk of no-show. Future studies should explore strategies to better understand the barriers related to this lifespan as well as implement interventions that facilitate scheduling as well as prevent no-shows.

 

コミュニティエンゲージメントスタジオを戦略的ツールとして活用した、思春期における歯科医療アクセスに関するアンケート調査の最適化 Community Engagement Studio as a Strategic Tool for Tailoring a Survey on Dental Care Access Among Adolescents

Rubelisa C. G. de Oliveira, Hassan Khalid, Grace McKenzie, Laurene Tumiel-Berhalter, Jessica S. Kruger
Journal of Public Health Dentistry  Published: 03 June 2025
DOI:https://doi.org/10.1111/jphd.12682

ABSTRACT

Objectives

The Community Engagement (CE) Studio aimed to provide feedback on a survey related to dental care access among adolescents. This approach allowed the research team to ensure that the survey integrated both the investigator’s perspective and direct input from the community, ensuring the survey was clear, relevant, and accessible to its intended audience.

Methods

The CE Studio is an efficient consultative model for researchers to gain community input on the development, implementation, or dissemination of a research project. The CE Studio was conducted to inform the design of a survey on dental care access, based on the social determinants of health. Parents or caregivers of adolescents with limited access to dental care living in an underresourced area in Buffalo, New York, participated in the session, providing valuable insights and recommendations for the survey’s construction.

Results

The CE Studio participants provided valuable feedback, including suggestions for motivating participation in the survey, changes in demographic questions, and the survey layout. Furthermore, the participants provided new insights into their dental access experiences and barriers to care, leading to additional questions for the survey. Finally, the participants suggested strategies to streamline survey instructions, provided their preferred wording for survey items and recommended how questions should be displayed to future research participants. Overall, 130 edits were made to the original survey, yielding a clearer, more representative, and accessible format.

Conclusion

CE Studios can positively impact the design of recruitment materials, survey materials, and question structures in community-focused dental health research.

医療・健康
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