Associations between dental care approachability and dental attendance among women pregnant with an Indigenous child: a cross-sectional study.
Associations between dental care approachability and dental attendance among women pregnant with an Indigenous child: a cross-sectional study.
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怀有土著儿童的妇女的牙科护理可及性与牙科就诊率之间的关联：一项横断面研究。
DOI：
10.1186/s12903-021-01816-5
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发表时间：
2021-09-17
期刊：
影响因子：
2.9
通讯作者：
Jamieson L
中科院分区：
文献类型：
--
作者：
Gao Y;Ju X;Jamieson L
怀孕期间的口腔健康对母亲和孩子都至关重要。澳大利亚土著居民在获得牙科保健方面面临许多障碍。服务可获得性是获得保健服务的关键领域之一。很少有经验证据表明服务可及性与牙科护理出勤率或口腔健康结果之间存在关联。本研究的目的是检查牙科服务的可及性之间的关系，牙科护理出席和自我报告牙龈疾病在南澳大利亚怀孕的土著儿童的妇女。2011年，427名怀有土著儿童的孕妇在南澳大利亚州的大都市和地区卫生机构完成了问卷调查。与牙科服务可及性相关的四个变量：(1)需求感知；(2)服务相关健康素养；(3)口腔卫生信念和；(4)对牙科服务的信任和期望。在调整了年龄、偏远地区、就业状况和教育程度后，使用广义泊松回归模型评估了服务可及性相关因素、牙科利用和怀孕期间自我报告的牙龈疾病之间的关系。估计值以调整患病率（APR）表示。大多数参与者（85.8%）报告需要牙科护理，对口腔健康有积极的信念（88.3%），对牙科护理有期望（86.2%）。孕期牙科服务使用率低（35.7%）。许多受访者（78.0%）表示知道需要牙齿护理时该怎么做，而大多数受访者（39.8%）怀疑翌日是否能得到牙齿护理。卫生服务素养差被确定为非最佳牙科护理的危险因素（APR = 0.86, 95%CI 0.74-0.99）。感知到的牙齿护理需求与自我报告的牙龈疾病呈正相关（APR = 1.24, 95%CI 1.06-1.45）。在南澳大利亚怀孕的土著儿童妇女中，无法驾驭牙科保健系统是牙科护理不良的一个风险因素。对牙齿护理的感知需求与牙龈疾病有关。在线版本包含补充材料，可在10.1186/s12903-021-01816-5获得。
Oral health during pregnancy is vital for both mother and child. Indigenous Australians face many barriers in accessing dental care. Service approachability is one of the key domains in accessing health services. There is little empirical evidence of the association between service approachability and dental care attendance or oral health outcome. The aim of this study is to examine the relationship between dental service approachability on dental care attendance and self-reported gum disease among South Australian women pregnant with an Aboriginal child. Four hundred and twenty-seven women pregnant with an Aboriginal child completed questionnaires in both metropolitan and regional health settings in South Australia in 2011. Four variables related to approachability of dental services: (1) perception of need; (2) service-related health literacy; (3) oral health beliefs and; (4) trust and expectation of dental service. The association between service approachability-related factors, dental utilisation and self-reported gum disease during pregnancy were assessed using Generalised Poisson regression models, after adjusting for age, remoteness, employment status and education. Estimates were presented as adjusted prevalence ratios (APR). Most participants (85.8%) reported a need for dental care, had positive oral health beliefs (88.3%) and had expectations towards dental care (86.2%). Dental service utilisation during pregnancy was low (35.7%). Many participants (78.0%) expressed knowing what to do if they needed dental care, while most (39.8%) doubted that dental care would be available the next day. Poor health service literacy was identified as a risk factor for non-optimal dental attendance (APR = 0.86, 95%CI 0.74–0.99). Perceived need for dental care was positively associated with self-reported gum disease (APR = 1.24, 95%CI 1.06–1.45). Inability to navigate the dental care system was a risk factor for poor dental attendance among South Australian women pregnant with an Aboriginal child. Perceived need for dental care was associated with gum disease. The online version contains supplementary material available at 10.1186/s12903-021-01816-5.
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影响因子：
13.8
作者：
Jamieson, Lisa M.;Smithers, Lisa G.;Ju, Xiangqun
通讯作者：
Ju, Xiangqun
影响因子：
8.1
作者：
George, Ajesh;Dahlen, Hannah G.;Johnson, Maree
通讯作者：
Johnson, Maree
影响因子：
4.8
作者：
Chuah FLH;Tan ST;Yeo J;Legido-Quigley H
通讯作者：
Legido-Quigley H
影响因子：
4.3
作者：
Contreras, A.;Herrera, J. A.;Botero, J. E.
通讯作者：
Botero, J. E.
影响因子：
7.6
作者：
Broadbent, J. M.;Zeng, J.;Thomson, W. M.
通讯作者：
Thomson, W. M.