The role of indigenous health workers in promoting oral health during pregnancy: a scoping review.
The role of indigenous health workers in promoting oral health during pregnancy: a scoping review.
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DOI：
10.1186/s12889-018-5281-4
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发表时间：
2018-03-20
影响因子：
4.5
通讯作者：
George A
中科院分区：
文献类型：
--
作者：
Villarosa AC;Villarosa AR;Salamonson Y;Ramjan LM;Sousa MS;Srinivas R;Jones N;George A
幼儿龋齿是世界范围内最常见的儿童慢性疾病。澳大利亚土著居民和托雷斯海峡岛民儿童患龋齿的可能性高出两倍，促成因素包括母亲口腔健康状况差和牙科服务利用不足。在全球范围内，土著卫生工作者在提供文化上胜任的口腔保健方面处于独特的地位，因为他们对社区的需求有着深刻的理解。本范围审查旨在确定土著卫生工作者在促进全球孕产妇口腔健康方面的作用。对六个电子数据库进行了系统检索，以获得相关的已发表文献和灰色文献，并在确定研究有限的情况下，将其扩大到包括非牙科保健专业人员和整个生命周期内的其他土著人口。22篇论文符合纳入标准，重点关注土著卫生工作者在孕产妇口腔保健中的作用，口腔健康培训计划的类型和评估计划有效性的筛选工具。关于土著卫生工作者在促进产妇口腔健康方面的作用，缺乏同行审查的证据，大多数研究都集中在其他非牙科卫生专业人员身上。然而，有报告称，土著卫生工作者支持幼儿口腔健康。虽然在产前期间为非牙科保健专业人员确定了一些口腔健康筛查工具和培训方案，但没有为土著保健工作者制定具体的筛查工具。虽然来自土著社区的卫生工作者在促进孕产妇口腔健康方面的作用尚未明确界定，但他们有潜力在“推动”孕产妇口腔健康筛查和教育方面发挥关键作用，特别是在有足够的组织支持的情况下，需要进一步研究。
Early childhood caries is the most common chronic childhood disease worldwide. Australian Aboriginal and Torres Strait Islander children are twice more likely to develop dental decay, and contributing factors include poor maternal oral health and underutilisation of dental services. Globally, Indigenous health workers are in a unique position to deliver culturally competent oral healthcare because they have a contextual understanding of the needs of the community. This scoping review aimed to identify the role of Indigenous health workers in promoting maternal oral health globally. A systematic search was undertaken of six electronic databases for relevant published literature and grey literature, and expanded to include non-dental health professionals and other Indigenous populations across the lifespan when limited studies were identified. Twenty-two papers met the inclusion criteria, focussing on the role of Indigenous health workers in maternal oral healthcare, types of oral health training programs and screening tools to evaluate program effectiveness. There was a paucity of peer-reviewed evidence on the role of Indigenous health workers in promoting maternal oral health, with most studies focusing on other non-dental health professionals. Nevertheless, there were reports of Indigenous health workers supporting oral health in early childhood. Although some oral health screening tools and training programs were identified for non-dental health professionals during the antenatal period, no specific screening tool has been developed for use by Indigenous health workers. While the role of health workers from Indigenous communities in promoting maternal oral health is yet to be clearly defined, they have the potential to play a crucial role in ‘driving’ screening and education of maternal oral health especially when there is adequate organisational support, warranting further research.
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影响因子：
168.9
作者：
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作者：
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