Dental Visits during Pregnancy: Pregnancy Risk Assessment Monitoring System Analysis 2012-2015
Dental Visits during Pregnancy: Pregnancy Risk Assessment Monitoring System Analysis 2012-2015
复制标题
DOI：
10.1177/23800844211028541
复制
发表时间：
2021-07-29
影响因子：
--
通讯作者：
Shi, L.
中科院分区：
文献类型：
--
作者：
Lee, H.;Tranby, E.;Shi, L.
目的：本研究旨在更新怀孕期间的牙科服务利用情况，并评估怀孕期间的牙科护理是否存在因种族/民族和医疗补助状况而存在持续差异。方法：这项回顾性二次数据分析检查了怀孕期间和之前的牙科服务利用情况，并使用怀孕风险评估监测系统（PRAMS）数据集对 2012 年至 2015 年间 75,876 名女性进行了牙科或口腔健康需求。结果：只有大约一半的女性(51.7%) 报告称，她们在最近一次怀孕期间至少去过 1 次牙科诊所进行清洁。其中 5 名女性 (19.7%) 在怀孕期间出现过牙齿问题，其中 34.4% 的女性没有去看牙医来解决这些问题。与非西班牙裔白人女性相比，非西班牙裔黑人女性在怀孕期间去看牙医进行清洁的几率要低 14%（比值比 [OR]，0.86；95% CI 置信区间 [CI]，0.80-0.92）。非西班牙裔黑人和白人女性在怀孕前看牙医的次数没有差异。与参加私人健康保险的女性相比，参加医疗补助的女性在怀孕期间看牙医进行清洁的几率明显较低（OR，0.55；95% CI，0.52-0.58）。实践结论：口腔健康作为初级保健的一个组成部分，需要通过口腔健康教育和怀孕期间及时的牙科护理将口腔健康纳入标准产前保健。随着越来越多的证据表明怀孕期间牙科服务利用方面持续存在差异，公共和私人产前计划和政策都应解决怀孕期间获得和使用牙科护理的具体障碍，特别是对于来自社会弱势背景的女性。知识转移声明：当前的研究用最新的多年 PRAMS 数据（2012-2015）更新了之前的发现，发现黑白差异和参加医疗补助的女性在怀孕期间看牙医的差异仍然存在。政策制定者和从业者可以利用这项研究的结果，将口腔健康纳入边缘化背景孕妇的产前护理中，以实现口腔健康均等。
Objectives: This study aimed to update dental service utilization during pregnancy and to evaluate whether there are persistent disparities in dental care during pregnancy by race/ethnicity and Medicaid status.Methods: This retrospective secondary data analysis examined dental service utilization during and prior to pregnancy and met dental or oral health needs using the Pregnancy Risk Assessment Monitoring System (PRAMS) data sets on 75,876 women between 2012 and 2015.Results: Only about half of the women (51.7%) reported that they had at least 1 dental visit for cleaning during their most recent pregnancy. One of 5 women (19.7%) experienced dental problems during pregnancy, and 34.4% of these women did not visit dentists to address the problems. Non-Hispanic Black women had 14% lower odds of visiting dentists for cleaning during pregnancy compared to non-Hispanic White women (odds ratio [OR], 0.86; 95% CI confidence interval [CI], 0.80-0.92). There was no difference in dental visits prior to pregnancy between non-Hispanic Black and White women. Women enrolled in Medicaid showed significantly lower odds of visiting dentists for cleaning during pregnancy compared to women covered by private health insurance (OR, 0.55; 95% CI, 0.52-0.58).Conclusion for Practice: Oral health, as an integral part of primary care, needs to be included in the standard prenatal care through oral health education and timely dental care during pregnancy. With mounting evidence of persisting disparities in dental service utilization during pregnancy, both public and private prenatal programs and policies should address specific barriers in accessing and using dental care during pregnancy, especially for women from socially disadvantaged backgrounds.Knowledge Transfer Statement: The current study updated the previous findings with more recent multiyear PRAMS data (2012-2015) and found the Black-White disparity and disparity among Medicaid-enrolled women in visiting dentists during pregnancy persist. The results of this study can be used by policymakers and practitioners to integrate oral health into prenatal care for pregnant women from marginalized backgrounds to achieve oral health parity.