Gold Jaana, Tomar Scott L
Department of Community Dentistry and Behavioral Science, University of Florida College of Dentistry, 1329 SW 16th Street, Box 103628, Gainesville, FL, 32610-3628, USA.
Department of Public Health, College of Graduate Health Studies, AT Still University, Kirksville, MO, USA.
Matern Child Health J. 2018 Nov;22(11):1617-1623. doi: 10.1007/s10995-018-2557-3.
Objectives To evaluate the women, infants, and children (WIC) Oral Health Program in a county in Florida. Methods The non-traditional interdisciplinary program of the current study was designed to reach at-risk populations with untreated dental diseases and limited access to care; it provides oral health education, dental screenings, preventive dental services, and referrals for women, children, and families at WIC offices. We evaluated the health status of patients enrolled in the program and the services provided. Results From 2013 to 2016, the program provided dental screenings for 576 children and 180 women. Caries prevalence for 3-5 year olds was 46.0%. Only 6.6% (12/114) of pregnant women were eligible for comprehensive dental care under Medicaid (< 21 years). Further, 71.2% (47/66) of all pregnant women had unmet dental care needs. Conclusions for Practice Our results suggested that many children and women had untreated dental diseases and need preventive services and dental care. Also, many pregnant women were not covered by Medicaid. This program demonstrates that collaboration with the WIC program can improve access to oral health services for underserved populations.
目的 评估佛罗里达州某县的妇女、婴儿和儿童（WIC）口腔健康项目。方法 本研究的非传统跨学科项目旨在覆盖患有未经治疗的牙病且获得医疗服务机会有限的高危人群；它在WIC办公室为妇女、儿童和家庭提供口腔健康教育、牙科检查、预防性牙科服务及转诊服务。我们评估了参与该项目的患者的健康状况以及所提供的服务。结果 2013年至2016年，该项目为576名儿童和180名妇女提供了牙科检查。3至5岁儿童的龋齿患病率为46.0%。在医疗补助计划（年龄<21岁）下，只有6.6%（12/114）的孕妇有资格获得全面的牙科护理。此外，所有孕妇中有71.2%（47/66）有未满足的牙科护理需求。实践结论 我们的结果表明，许多儿童和妇女患有未经治疗的牙病，需要预防性服务和牙科护理。而且，许多孕妇未被医疗补助计划覆盖。该项目表明，与WIC项目合作可以改善弱势群体获得口腔健康服务的机会。
