Racial/Ethnic Disparities in Maternal Oral Health Experiences in 10 States, Pregnancy Risk Assessment Monitoring System, 2004-2006
Racial/Ethnic Disparities in Maternal Oral Health Experiences in 10 States, Pregnancy Risk Assessment Monitoring System, 2004-2006
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DOI：
10.1007/s10995-010-0643-2
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发表时间：
2011-08-01
影响因子：
2.3
通讯作者：
Barfield, Wanda D.
中科院分区：
文献类型：
--
作者：
Hwang, Sunah S.;Smith, Vincent C.;Barfield, Wanda D.
描述并评估母亲在最近一次怀孕期间口腔健康状况的种族/族裔差异。我们分析了美国疾病控制与预防中心（CDC）妊娠风险评估监测系统（PRAMS）2004 - 2006年的数据，该系统是一个基于人群的监测系统，收集近期分娩活婴的母亲在妊娠和产后的相关数据。参与分析的十个州的加权回复率达到70%及以上，并且包含三个有关口腔健康的标准问题。分析共纳入35267名非西班牙裔白人（WNH）、非西班牙裔黑人（BNH）和西班牙裔女性。我们使用加权百分比/标准误以及多变量逻辑回归，并对选定的描述性特征进行控制。在所有女性中，只有41%在怀孕期间接受过口腔健康咨询。在多变量分析中，与非西班牙裔白人女性相比，非西班牙裔黑人女性更有可能出现牙齿问题（比值比为1.19，置信区间为1.05 - 1.35）。与非西班牙裔白人女性相比，非西班牙裔黑人和西班牙裔女性在怀孕期间获得牙科护理的可能性更低（比值比分别为0.87，置信区间为0.77 - 0.98；比值比为0.77，置信区间为0.64 - 0.91），并且曾经洗牙的可能性也更低（比值比分别为0.64，置信区间为0.52 - 0.78；比值比为0.36，置信区间为0.29 - 0.46）。此外，与非西班牙裔白人女性相比，非西班牙裔黑人和西班牙裔女性在怀孕前（比值比分别为0.82，置信区间为0.72 - 0.94；比值比为0.60，置信区间为0.50 - 0.72）以及怀孕期间（比值比分别为0.68，置信区间为0.59 - 0.78；比值比为0.74，置信区间为0.61 - 0.90）洗牙的可能性更低。母亲口腔健康状况存在显著的种族/族裔差异。大多数女性在怀孕期间没有得到牙科咨询。
To describe and assess racial/ethnic differences in maternal oral health experiences during their most recent pregnancy. We analyzed 2004-06 data from the CDC Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance system that collects data on pregnancy and postpartum experiences of mothers who have recently delivered a live infant. Ten states included in the analysis had a a parts per thousand yen70% weighted response rate and three standard questions pertaining to oral health. A total of 35,267 white non-Hispanic (WNH), black non-Hispanic (BNH) and Hispanic women were included in the analysis. We used weighted percentages/standard errors and multivariate logistic regression, controlling for selected descriptive characteristics. Only 41% of all women received oral health counseling during pregnancy. In the multivariate analyses, compared to WNH women, BNH women were more likely to have a dental problem (OR 1.19, CI 1.05-1.35). BNH and Hispanic women were less likely to obtain dental care during pregnancy (OR 0.87, CI 0.77-0.98; OR 0.77, CI 0.64-0.91 respectively) and were less likely to ever have had a teeth cleaning (OR 0.64, CI 0.52-0.78; 0.36, OR CI 0.29-0.46 respectively) when compared to WNH women. In addition, BNH and Hispanic women were less likely to have a teeth cleaning before (OR 0.82, CI 0.72-0.94; OR 0.60, CI 0.50-0.72 respectively) as well as during pregnancy (OR 0.68, CI 0.59-0.78; OR 0.74, CI 0.61-0.90) when compared to WNH women. Significant racial/ethnic disparities in maternal oral health experiences exist. Most women are not offered dental counseling during pregnancy.