Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy.
Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy.
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DOI：
10.1016/j.whi.2022.06.008
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发表时间：
2022-11
影响因子：
3.2
通讯作者：
Estrada-Darley, Ingrid
中科院分区：
文献类型：
--
作者：
Kranz, Ashley M.;Estrada-Darley, Ingrid
利用来自39个州和纽约市的2016 - 2018年妊娠风险评估监测系统（PRAMS）调查数据，从总体上以及按医疗保险类型，研究孕期接受牙齿清洁在种族/族裔方面的差异。
我们使用加权线性概率模型来估计孕期接受牙齿清洁的情况。关键的解释变量包括种族/族裔（西班牙裔、白人、黑人、亚裔及太平洋岛民（API）以及其他种族群体）和医疗保险类型（医疗补助、私人保险和其他）。
在一个加权样本量为5301753人的样本中，45.9%的人在孕期接受了牙齿清洁。经回归调整后的牙齿清洁预测率在白人中明显高于非白人，其中黑人（43.2%，95%置信区间为40.6% - 45.9%）和亚裔及太平洋岛民（30.6%，95%置信区间为28.5% - 32.7%）的比率最低。当按医疗保险类型比较比率时，调整后的比率在有私人保险的白人中最高（57.4%，95%置信区间为56.1% - 58.7%），在参加医疗补助的亚裔及太平洋岛民中最低（25.4%，95%置信区间为21.5% - 29.2%）。
不到一半的孕妇接受了牙齿清洁，非白人和参加医疗补助的人比率最低。需要努力提高参加公共保险的、黑人、西班牙裔以及亚裔及太平洋岛民孕妇看牙医的次数。
To examine racial/ethnic differences in receipt of dental cleanings during pregnancy, overall and by health insurance type, using 2016–2018 Pregnancy Risk Assessment Monitoring System (PRAMS) survey data from 39 states and New York City. We used a weighted linear probability model to estimate receipt of a dental cleaning during pregnancy. Key explanatory variables included race/ethnicity (Hispanic, White, Black, Asian and Pacific Islander (API), and other racial groups) and health insurance type (Medicaid, private, and other). Among a weighted sample of 5,301,753 individuals, 45.9% received a dental cleaning during pregnancy. Regression-adjusted predicted rates of dental cleanings were significantly higher among White than non-White individuals, with the lowest rates observed among Black (43.2%, 95% CI=40.6% to 45.9%) and API individuals (30.6%, 95% CI=28.5% to 32.7%). When comparing rates by health insurance type, adjusted rates were highest among privately insured White individuals (57.4%, 95% CI=56.1% to 58.7%) and lowest among Medicaid enrolled API individuals (25.4%, 95% CI=21.5% to 29.2%). Fewer than half of pregnant individuals received dental cleanings, with the lowest rates observed for non-White individuals and Medicaid-enrolled individuals. Efforts are needed to increase dental visits among publicly insured, Black, Hispanic, and API pregnant individuals.
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影响因子：
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作者：
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DOI：
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发表时间：
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