种族,族裔和其他障碍 在怀孕期间获得牙科护理的障碍
Hyewon Lee1, Richa Deshpande2, Emma K T Benn2
1Global Maternal and Child Oral Health Center, Seoul National University, Dental Research Institute & School of Dentistry, Seoul, South Korea. hyewonlee@snu.ac.kr.
Journal of racial and ethnic health disparities
|April 26, 2024
概括
在怀孕期间获得牙科护理的种族和种族差异在存在障碍时是显著的. 解决这些障碍,比如改善牙科覆盖和教育,可以减少差距.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 在美国,有色人种妇女历史上口腔健康状况较差,牙科服务利用率较低.
- 怀孕期间牙科护理的障碍包括覆盖范围,语言,提供者的可用性,安全性,成本和感知到的好处.
研究的目的:
- 检查种族/族裔是否改变了怀孕期间牙科护理获取和使用障碍之间的关联.
主要方法:
- 从怀孕风险评估监测系统 (PRAMS) 中对62,189名近期出生史 (2016-2019) 的妇女进行横截面研究.
- 使用了多个逻辑回归模型,通过屏障相互作用术语对种族/种族进行了分析.
主要成果:
- 牙科保险和怀孕期间感知到的口腔健康益处与使用牙科服务的几率明显更高有关.
- 对所有分析的障碍物 (调整后的p值<0.001) 观察到有统计学意义的种族/种族效应变化.
结论:
- 在怀孕期间寻求牙科护理的种族/种族差异在报告障碍的女性中是显著的.
- 在没有报告障碍的女性中,差距大幅减少.
- 缓解策略包括改善牙科覆盖,提供者可用性,口腔健康教育和负担能力.
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