怀孕期间的牙医访问与产前护理设置之间的关联
Divesh Byrappagari1, Lisa Cohn2, Lindsay Sailor3
1Dental Public Health and Outreach, University of Detroit Mercy School of Dentistry, Detroit, Michigan, USA.
Journal of public health dentistry
|January 4, 2024
概括
在联邦合格卫生中心 (FQHC) 接受产前护理的妇女在怀孕期间比非FQHC机构的妇女更有可能去看牙医. 这突出了FQHCs.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 口腔健康 口腔健康
背景情况:
- 联邦合格卫生中心 (FQHCs) 服务于低收入人群,并可以改善获得基本医疗保健服务的机会.
- 怀孕期间的牙科护理对于母亲和婴儿的健康至关重要,但在获得牙科护理方面存在差异.
- 了解医疗机构在促进产前牙科护理方面的作用,对于公共卫生倡议至关重要.
研究的目的:
- 为了比较在FQHCs与非FQHC设置中接受产前护理的妇女在怀孕期间接受牙科检查的可能性.
- 在医疗补助人口中确定与怀孕期间牙科访问利用相关的因素.
主要方法:
- 分析2018年4月至2020年12月期间密歇根医疗补助计划的活产行政数据.
- 根据计费数据,分类产前护理环境为FQHC或非FQHC.
- 两变量和多变量统计分析,以确定产前护理设置和怀孕期间牙科访问之间的关联.
主要成果:
- 在FQHC接受产前护理的妇女在怀孕期间访问牙科的比例明显高 (31.85%) 与非FQHC (19.37%) 相比.
- FQHC产前护理设置,牙科急诊,多次产前检查和连续的医疗补助覆盖是怀孕期间牙科检查的强有力的预测因素.
- 西班牙裔或黑人种族/种族以及2020年分娩年与牙科诊所访问的可能性较低有关.
结论:
- 在FQHC接受产前护理的Medicaid注册妇女在怀孕期间更有可能获得牙科护理.
- FQHC在促进贫困人口获得产前牙科护理方面发挥着重要作用.
- 在FQHC设置中的有针对性的干预措施可以进一步提高怀孕期间的口腔健康.
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