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

项目摘要 虽然口腔健康是孕妇整体健康的一个组成部分，但研究表明， 孕妇去看牙医。在北卡罗来纳州，孕妇医疗补助计划（MPW） 为怀孕妇女提供牙科服务。然而，低收入孕妇的牙科使用率 北卡罗来纳州的妇女比例为1- 26%。孕妇应定期看牙医，以避免 牙龈炎和牙周炎，这与先兆子痫，早产和低血糖的风险增加有关。 婴儿出生体重怀孕期间的牙科访问对于当前问题的治疗和 接受有关口腔健康及子女口腔健康的教育。我们认为， 这一人群所经历的口腔健康障碍，以及创造一个欢迎，文化敏感， 孕妇的口腔健康，尤其是孕妇的口腔健康，将对孕妇及其子女的口腔健康产生积极的影响。实现这一 为了实现这一目标，我们将采用一种名为“照片之声”的社区参与式研究方法。首先，我们将确定 低收入人群保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，我们将确定妇女健康的前景 保健提供者/助产士/产科医生关于孕妇在保持良好口腔健康方面面临的障碍 健康和确定可持续的干预措施，可以支持他们的这种行为。我们将合作 与社区合作，制定支持家庭参与预防性口腔保健的方案， 切实可行的解决方案，以消除障碍，使家庭一级的行为变化是可持续的。我们的最终 我们的目标是获得数据，为社区参与的口腔健康计划的发展提供信息， 这将有助于改善孕妇及其子女在幼儿期的口腔健康。

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.