伊朗孕妇的牙科护理利用情况：一项基于人群的研究结果

Utilization of dental care in Iranian pregnant women: Findings from a population-based study.

作者信息

Rahebi Donya, Valadbeigi Tannaz, Hasani Jalil, Hajipour Mahmoud, Erfanpoor Saeed, Etemad Koorosh, Yaghoobi Halime, Zolfizadeh Fatemeh, Esmaeilzadeh Firooz, Gholami Ali, Rajabi Abdolhalim

机构信息

Dental Research Center, Faculty of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran.

Department of Epidemiology and Biostatistics, Student Research Committee, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Dent Res J (Isfahan). 2021 Apr 6;18:26. eCollection 2021.

PMID:34249252

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8248262/

Abstract

BACKGROUND

Although dental care attendance during pregnancy has been recommended by guidelines and institutions, the demand for dental services is still low among pregnant women. The aim of this study was to examine the prevalence of not receipt dental care and also determinants of that during pregnancy.

MATERIALS AND METHODS

This population-based study was conducted on 4071 mothers in 10 provinces of Iran, during 2014-2015. We calculated the prevalence of not receipt of dental care, and reasons for nonreceipt of care. We used logistic regression to estimate odds of nonreceipt of care by demographics variables. In the analyses, the level of statistical significance was set at < 0.05.

RESULTS

Overall, 54.70% of women had no dental visit during pregnancy. In mothers who had a history of stillbirth, neonatal death and live birth, the prevalence of not receipt dental care during pregnancy were 54.56%, 48.92%, and 58.76%, respectively. The logistic regression analyses showed that parity second-to-fourth birth than first birth (odds ratio [OR] 1.37 confidence interval [CI] 95% 1.17-1.59, residence in rural (OR 1.68 CI 95% 1.45-1.95), and not intended pregnancy (OR 1.32 CI 95% 1.03-1.68) associated with not received dental care during pregnancy.

CONCLUSION

Most pregnant women in this study received insufficient dental care. The need for dental care during pregnancy must be promoted widely among women of reproductive age, and family barriers to dental care should be addressed.

摘要

背景

尽管指南和机构都建议孕期进行牙齿护理，但孕妇对牙科服务的需求仍然很低。本研究的目的是调查孕期未接受牙齿护理的患病率及其决定因素。

材料与方法

这项基于人群的研究于2014 - 2015年在伊朗10个省份的4071名母亲中进行。我们计算了未接受牙齿护理的患病率以及未接受护理的原因。我们使用逻辑回归来估计人口统计学变量导致未接受护理的几率。在分析中，统计学显著性水平设定为<0.05。

结果

总体而言，54.70%的女性在孕期未进行牙科就诊。在有死产、新生儿死亡和活产史的母亲中，孕期未接受牙齿护理的患病率分别为54.56%、48.92%和58.76%。逻辑回归分析表明，与第一胎相比，第二至第四胎的经产情况（比值比[OR] 1.37，95%置信区间[CI] 1.17 - 1.59）、农村居住情况（OR 1.68，95% CI 1.45 - 1.95）以及意外怀孕（OR 1.32，95% CI 1.03 - 1.68）与孕期未接受牙齿护理有关。