Fadavi Shahrbanoo, Sevandal Maureen C, Koerber Anne, Punwani Indru
Department of Pediatric Dentistry, University of Illinois, Chicago, USA.
Pediatr Dent. 2009 Sep-Oct;31(5):405-8.
This study's purpose was to compare dental visits and oral health knowledge of African American (AA) and Hispanic American (HA) pregnant adolescents in a community health clinic.
Demographics, oral health knowledge, oral hygiene, and dental visits during pregnoncy were surveyed by anonymous questionnaire to adolescents who were pregnant at the time of the study or within the last year.
Responses from 50 AA and 61 HA adolescents between 12 and 20 years old were analyzed. Fourteen percent of AAs and 26 percent of HAs saw a dentist during pregnancy, while 26 percent of AAs and 16 percent of HAs reported regular 6-month visits when not pregnant. Fifty-two percent of AAs and 43 percent of HAs knew that oral health problems could affect the pregnancy or growth of the baby. Thirty-four percent of AAs and 56 percent of HAs knew that pregnancy was related to gum problems (P = .02). Logistic regression revealed the predictors of a dental visit during pregnancy, including living with a boyfriend/husband (P = .02, odds ratio = 4.4, confidence interval = 13-153) and dental visits when not pregnant (P < .001, OR = 13.6, CI = 3.7-50.5).
Minority pregnant adolescents had only limited dental visits whether or not they were pregnant and possessed limited knowledge of oral health and pregnancy outcomes.
本研究旨在比较社区健康诊所中非洲裔美国（AA）和西班牙裔美国（HA）怀孕青少年的牙科就诊情况和口腔健康知识。
通过匿名问卷对在研究期间或过去一年内怀孕的青少年进行调查，内容包括人口统计学、口腔健康知识、口腔卫生以及孕期的牙科就诊情况。
分析了50名12至20岁的非洲裔美国青少年和61名西班牙裔美国青少年的回复。14%的非洲裔美国人和26%的西班牙裔美国人在孕期看过牙医，而26%的非洲裔美国人和16%的西班牙裔美国人报告在未怀孕时定期每6个月就诊一次。52%的非洲裔美国人和43%的西班牙裔美国人知道口腔健康问题会影响胎儿的怀孕或生长。34%的非洲裔美国人和56%的西班牙裔美国人知道怀孕与牙龈问题有关（P = .02）。逻辑回归显示了孕期牙科就诊的预测因素，包括与男友/丈夫同住（P = .02，优势比 = 4.4，置信区间 = 13 - 153）以及未怀孕时的牙科就诊情况（P < .001，OR = 13.6，CI = 3.7 - 50.5）。
少数族裔怀孕青少年无论是否怀孕，牙科就诊次数都有限，并且对口腔健康和怀孕结果的知识了解有限。
