Overcoming early childhood caries disease burden through the words of mothers (WOM project)

通过母亲的话语克服儿童早期龋齿疾病负担（WOM项目）

• 批准号: 10810957
• 负责人: Vanessa Pardi
• 金额: $ 15.1万
• 依托单位: EAST CAROLINA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-06 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10810957
• 关键词: 5 year old; Address; Adopted; Adoption; Affect; Applications Grants; Behavior; Caring; Child; Child Health; Childhood; Chronic Disease; Communication; Communities; County; Data; Dental; Dental Care; Dental caries; Dentists; Development; Discipline of obstetrics; Disease; Education; Environment; Face; Family; Fostering; Future; Gingivitis; Goals; Health; Health Personnel; Health behavior; Health education; Healthcare; Infant; Infrastructure; Intervention; Interview; Knowledge; Life; Location; Longevity; Low Birth Weight Infant; Low income; Medicaid; Methods; Midwife; Monitor; Mothers; Mouth Diseases; National Institute of Dental and Craniofacial Research; North Carolina; Occupations; Oral health; Outcome; Pain; Parents; Participant; Periodontitis; Persons; Photography; Play; Policies; Population; Postpartum Period; Pre-Eclampsia; Pregnancy; Pregnant Women; Premature Birth; Prevalence; Prevention; Preventive; Preventive dental care; Process; Provider; Recording of previous events; Research; Research Technics; Risk; Risk Assessment; Role; Rural; Sampling; Schools; System; Time; US State; United States National Institutes of Health; Visit; Voice; Woman; Women' s Health; aged; base; behavior change; burden of illness; community based participatory research; design; disparity elimination; early childhood; evidence base; experience; family support; health care availability; improved; innovation; motherhood; pedagogy; perinatal period; pregnant; prenatal; prevent; preventive intervention; programs; response; social health determinants; theories; virtual delivery

PROJECT ABSTRACT Although oral health is an integral part of overall health for pregnant women, studies show that only 23-59% of women went to the dentist while pregnant. In North Carolina, the Medicaid for Pregnant Women (MPW) program provides dental services to women during pregnancy. However, dental utilization by low-income pregnant women in North Carolina ranged from 1–26%. Pregnant women should have regular dental visits to avoid gingivitis and periodontitis, which are associated with increased risk of pre-eclampsia, preterm birth, and low birth weight infants. Dental visits during pregnancy are important for the treatment of current issues and for receiving education on their oral health and their child's oral health. We believe that identifying and addressing the oral health barriers experienced by this population, as well as creating a welcoming, culturally sensitive environment, will positively influence pregnant women's own oral health and their children's. To achieve this goal, we will use a community-based participatory research approach called photovoice. First, we will determine barriers to maintaining good oral health behaviors and accessing dental care among low-income pregnant women and mothers of infants. Second, we will determine the perspectives of women's health care providers/midwives/obstetricians on barriers faced by pregnant women on maintaining good oral health and identify sustainable interventions that could support them on this behavior. We will partner with the community to develop options that support family participation in preventive oral healthcare and develop practical solutions to remove barriers and enable family-level behavior changes that are sustainable. Our ultimate goal is to have data that will inform the development of a community-engaged oral health program targeting pregnant women that will aim to improve their oral health and that of their children during early childhood.

项目摘要 尽管口腔健康是孕妇整体健康不可或缺的一部分，但研究表明，只有23%-59%的 女性在怀孕期间会去看牙医。在北卡罗来纳州，孕妇医疗补助(MPW)计划 为怀孕期间的妇女提供牙科服务。然而，低收入孕妇对牙齿的利用 北卡罗来纳州的女性比例从1%到26%不等。孕妇应定期看牙医，以避免 牙周炎和牙周炎，这与先兆子痫、早产和低风险相关 出生体重婴儿。怀孕期间的牙科检查对于治疗当前的问题和 接受有关其口腔健康及其子女口腔健康的教育。我们相信，识别和处理 这些人口所经历的口腔健康障碍，以及创造一个受欢迎的、对文化敏感的 环境会对孕妇的口腔健康和孩子的健康产生积极的影响。 为了实现这一目标，我们将使用一种基于社区的参与式研究方法，称为PhotoVoice。首先，我们将确定 低收入人群维持良好口腔健康行为和获得牙科保健的障碍 孕妇和婴儿的母亲。第二，确定妇女健康的视角 护理提供者/助产士/产科医生关于孕妇在保持良好口腔方面面临的障碍 并确定可持续的干预措施，以支持他们的这一行为。我们将成为合作伙伴 与社区一起制定支持家庭参与预防性口腔保健的选择方案，并制定 消除障碍并实现可持续的家庭行为改变的实用解决方案。我们的终极 目标是获得数据，为社区参与的口腔健康计划的发展提供信息 将致力于改善自己和孩子在幼儿时期的口腔健康的孕妇。