Oral hygiene practices and dental service utilization among pregnant women
Oral hygiene practices and dental service utilization among pregnant women
复制标题
DOI：
10.14219/jada.archive.2010.0228
复制
发表时间：
2010-05-01
影响因子：
3.9
通讯作者：
Lorenz, Carol
中科院分区：
文献类型：
--
作者：
Boggess, Kim A.;Urlaub, Diana M.;Lorenz, Carol
背景。日常口腔卫生和定期看牙医是口腔保健的重要组成部分。作者在这项研究中的目的是检查女性在怀孕期间的口腔卫生习惯和牙科服务的使用情况。方法。作者编写了一份书面口腔健康调查问卷，并对 599 名孕妇进行了调查。他们收集了人口统计信息，以及有关怀孕期间口腔卫生习惯和牙科服务使用情况的数据。他们使用 chi(2) 和多变量逻辑回归模型来评估怀孕期间口腔卫生习惯和牙科服务使用之间的关联，并确定母亲的预测变量。结果。在 599 名参与者中，83%（n = 497）表示每天刷牙一到两次。百分之二十四 (n = 141) 的受访者表示每天至少使用一次牙线；西班牙裔女性比白人或非裔美国女性更倾向于使用牙线（分别为 28% [183 人中的 52 人] 和 22% [248 人中的 54 人] 和 19% [121 人中的 23 人]，P < .001）。 74% (n = 442) 的参与者表示在怀孕期间没有接受过常规牙科护理。西班牙裔女性在怀孕期间接受常规牙科护理的可能性明显低于黑人或白人女性（分别为 13% 和 21% 和 36%，P < .001）。作者发现，年龄超过 36 岁、属于西班牙裔或族裔、年收入低于 30,000 美元、不经常使用牙线以及未怀孕时不接受牙科护理与怀孕期间缺乏常规牙科护理显着相关（调整后的比值比，95% 置信区间：2.56 [1.33-4.92]；2.19 [1.11-4.29]；分别为 2.02 [1.12-3.65]；1.86 [1.13-3.07]；和 4.35 [2.5-7.69]。女性在未怀孕时缺乏常规牙科护理是怀孕期间缺乏牙科护理的最重要预测因素。结论。与怀孕期间的口腔卫生习惯和牙科服务利用相关的种族、民族和经济差异存在。临床意义。治疗育龄妇女和孕妇的医疗和牙科保健提供者需要制定政策战略，以解决该人群获得和使用牙科保健服务的障碍。
Background. Daily oral hygiene and regular dental visits are important components of oral health care. The authors' objective in this study was to examine women's oral hygiene practices and use of dental services during pregnancy.Methods. The authors developed a written oral health questionnaire and administered it to 599 pregnant women. They collected demographic information, as well as data on oral hygiene practices and use of dental services during pregnancy. They used chi(2) and multivariable logistic regression models to assess associations between oral hygiene practice and dental service use during pregnancy and to identify maternal predictor variables.Results. Of the 599 participants, 83 percent (n = 497) reported brushing once or twice per day. Twenty-four percent (n = 141) reported flossing at least once daily; Hispanic women were more likely to floss than were white or African American women (28 percent [52 of 183] versus 22 percent [54 of 248] versus 19 percent [23 of 121], respectively, P < .001). Seventy-four percent (n = 442) of the participants reported having received no routine dental care during pregnancy. Hispanic women were significantly less likely than were black or white women to receive routine dental care during pregnancy (13 percent versus 21 percent versus 36 percent, respectively, P < .001). The authors found that being older than 36 years, being of Hispanic race or ethnicity, having an annual income of less than $30,000, flossing infrequently and receiving no dental care when not pregnant were significantly associated with lack of routine dental care during pregnancy (adjusted odds ratios, 95 percent confidence intervals: 2.56 [1.33-4.92]; 2.19 [1.11-4.29]; 2.02 [1.12-3.65]; 1.86 [1.13-3.07]; and 4.35 [2.5-7.69], respectively). A woman's lack of receiving routine dental care when not pregnant was the most significant predictor of lack of receiving dental care during pregnancy.Conclusion. Racial, ethnic and economic disparities related to oral hygiene practices and dental service utilization during pregnancy exist.Clinical Implications. Medical and dental care providers who treat women of reproductive age and pregnant women need to develop policy strategies to address this population's access barriers to, and use of, dental care services.