The association of employment status and unwanted job loss with maternal oral health experiences: findings from the pregnancy risk assessment monitoring system.

The association of employment status and unwanted job loss with maternal oral health experiences: findings from the pregnancy risk assessment monitoring system.
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DOI:
10.1186/s12903-023-02869-4
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发表时间:
2023-03-24
期刊:
影响因子:
2.9
通讯作者:
de Porras, David Gimeno Ruiz
de Porras, David Gimeno Ruiz
中科院分区:
医学3区
文献类型:
--
作者:
Testa, Alexander;de Porras, David Gimeno Ruiz

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口腔健康是健康怀孕的重要组成部分。虽然大多数女性在怀孕期间全职工作,但研究忽视了职业状况和失业对怀孕期间口腔健康经历的影响。研究美国怀孕期间就业状况和失业对口腔健康经历的影响。数据来自妊娠风险评估监测系统(PRAMS) 2016-2020年的8个站点(佐治亚州、马萨诸塞州、明尼苏达州、密苏里州、北卡罗来纳州、纽约州、纽约市和威斯康星州)(n = 31,362)。采用多元逻辑回归评估怀孕期间职业状况(包括就业状况和不想要的失业)与口腔健康的关系。在产前经历意外失业的妇女在没有牙科保险、怀孕期间没有接受洗牙、出现口腔健康问题和未满足牙科保健需求的风险较高。在怀孕期间经历不想要的失业是一件重要的生活事件,与口腔健康状况恶化相对应。需要更多地关注不良生活事件,如失业,特别是在怀孕期间,作为口腔健康问题的一种机制,以及能否适当获得牙科卫生系统的挑战。在线版本包含补充材料,可在10.1186/s12903-023-02869-4获得。
Oral health is an essential component of a healthy pregnancy. While most women work full-time while pregnant, research has overlooked the impact of occupational status and job loss on oral health experiences during pregnancy. To examine the impact of employment status and job loss on oral health experiences during pregnancy in the United States. Data are from eight sites (Georgia, Massachusetts, Minnesota, Missouri, North Carolina, New York State, New York City, and Wisconsin) of the Pregnancy Risk Assessment Monitoring System (PRAMS) for the years 2016–2020 (n = 31,362). Multiple logistic regression is used to assess the relationship between occupational status (including employment status and unwanted job loss) during pregnancy and oral health. Women who experienced an unwanted job loss in the prenatal period were at elevated risk of not having dental insurance, not receiving a dental cleaning during pregnancy, having an oral health problem, and having unmet dental care needs. Experiencing unwanted job loss around the time of pregnancy is an important life event that corresponds to worse oral health experiences. There is a need for greater focus on adverse life events, such as job loss, especially during pregnancy, as a mechanism for oral health issues and challenges with proper access to dental health systems. The online version contains supplementary material available at 10.1186/s12903-023-02869-4.
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