Division of Newborn Medicine, Children's Hospital Boston, 300 Longwood Avenue, Enders 961, Boston, MA 02115, USA.
Matern Child Health J. 2011 Aug;15(6):722-9. doi: 10.1007/s10995-010-0643-2.
To describe and assess racial/ethnic differences in maternal oral health experiences during their most recent pregnancy. We analyzed 2004-06 data from the CDC Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance system that collects data on pregnancy and postpartum experiences of mothers who have recently delivered a live infant. Ten states included in the analysis had a ≥70% weighted response rate and three standard questions pertaining to oral health. A total of 35,267 white non-Hispanic (WNH), black non-Hispanic (BNH) and Hispanic women were included in the analysis. We used weighted percentages/standard errors and multivariate logistic regression, controlling for selected descriptive characteristics. Only 41% of all women received oral health counseling during pregnancy. In the multivariate analyses, compared to WNH women, BNH women were more likely to have a dental problem (OR 1.19, CI 1.05-1.35). BNH and Hispanic women were less likely to obtain dental care during pregnancy (OR 0.87, CI 0.77-0.98; OR 0.77, CI 0.64-0.91 respectively) and were less likely to ever have had a teeth cleaning (OR 0.64, CI 0.52-0.78; 0.36, OR CI 0.29-0.46 respectively) when compared to WNH women. In addition, BNH and Hispanic women were less likely to have a teeth cleaning before (OR 0.82, CI 0.72-0.94; OR 0.60, CI 0.50-0.72 respectively) as well as during pregnancy (OR 0.68, CI 0.59-0.78; OR 0.74, CI 0.61-0.90) when compared to WNH women. Significant racial/ethnic disparities in maternal oral health experiences exist. Most women are not offered dental counseling during pregnancy.
描述并评估最近一次怀孕期间，不同种族/族裔的产妇口腔健康体验差异。我们分析了 2004-06 年美国疾病控制与预防中心妊娠风险评估监测系统（PRAMS）的数据，该系统是一个基于人群的监测系统，收集了最近分娩活婴的母亲的妊娠和产后经历的数据。分析中包括了 10 个州，这些州的加权回复率≥70%，并包含三个与口腔健康相关的标准问题。共有 35267 名白人非西班牙裔（WNH）、黑非西班牙裔（BNH）和西班牙裔妇女被纳入分析。我们使用加权百分比/标准误差和多变量逻辑回归，控制了选定的描述性特征。只有 41%的妇女在怀孕期间接受了口腔健康咨询。在多变量分析中，与 WNH 妇女相比，BNH 妇女更有可能出现牙齿问题（OR 1.19，CI 1.05-1.35）。BNH 和西班牙裔妇女在怀孕期间更不可能获得牙科护理（OR 0.87，CI 0.77-0.98；OR 0.77，CI 0.64-0.91），也更不可能进行过牙齿清洁（OR 0.64，CI 0.52-0.78；0.36，OR CI 0.29-0.46），与 WNH 妇女相比。此外，与 WNH 妇女相比，BNH 和西班牙裔妇女在怀孕前（OR 0.82，CI 0.72-0.94；OR 0.60，CI 0.50-0.72）以及怀孕期间（OR 0.68，CI 0.59-0.78；OR 0.74，CI 0.61-0.90）进行牙齿清洁的可能性更小。产妇口腔健康体验存在显著的种族/族裔差异。大多数妇女在怀孕期间没有接受牙科咨询。
