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口腔保健服务的可及性:孕期面临的自我认知障碍——一项系统评价

Oral healthcare access: self-perceived barriers faced during pregnancy - a systematic review.

作者信息

Frey-Furtado Leonor, Fonseca Maeva, Melo Paulo, Listl Stefan, Pereira Maria Lurdes

机构信息

EPIUnit of Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.

Laboratory for Integrative and Translational Research in Population Health (ITR) of Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.

出版信息

BMC Public Health. 2025 Apr 14;25(1):1394. doi: 10.1186/s12889-025-22593-8.

DOI:10.1186/s12889-025-22593-8
PMID:40229781
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11995530/
Abstract

BACKGROUND

Pregnancy encompasses physiological changes that impact oral health. Despite oral health care's importance, pregnant women underutilize these services due to various barriers. This systematic review aims to assess the self-reported barriers that hinder pregnant women's access to oral healthcare worldwide.

METHODS

The PRISMA checklist was followed and PubMed, Web of Science, and Scopus were screened for articles. The barriers that prevent pregnant women from accessing oral healthcare were analysed based on three dimensions - availability, affordability, and acceptability.

RESULTS

From a total of 942 articles, 31 were selected. The predominant barriers were the costs of dental care, lack of literacy, namely the misconception about dental care safety to the foetus, and limited oral health awareness.

CONCLUSION

Addressing these barriers requires a comprehensive policy framework and resource allocation, integrating oral health into perinatal care, and raising awareness among non-dental healthcare professionals.

摘要

背景

怀孕包含影响口腔健康的生理变化。尽管口腔保健很重要,但由于各种障碍,孕妇对这些服务的利用率很低。本系统评价旨在评估阻碍全球孕妇获得口腔保健服务的自我报告障碍。

方法

遵循PRISMA清单,对PubMed、科学网和Scopus进行文章筛选。基于可及性、可负担性和可接受性三个维度,分析了阻碍孕妇获得口腔保健服务的障碍。

结果

在总共942篇文章中,选取了31篇。主要障碍包括牙科护理费用、文化程度低,即对胎儿牙科护理安全性的误解,以及口腔健康意识有限。

结论

解决这些障碍需要一个全面的政策框架和资源分配,将口腔健康纳入围产期护理,并提高非牙科医疗专业人员的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5366/11995530/45f6cd7dc4ed/12889_2025_22593_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5366/11995530/5e23c23de020/12889_2025_22593_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5366/11995530/6f6a10df7be1/12889_2025_22593_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5366/11995530/45f6cd7dc4ed/12889_2025_22593_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5366/11995530/5e23c23de020/12889_2025_22593_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5366/11995530/6f6a10df7be1/12889_2025_22593_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5366/11995530/45f6cd7dc4ed/12889_2025_22593_Fig3_HTML.jpg

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本文引用的文献

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Evid Based Dent. 2024 Dec;25(4):216. doi: 10.1038/s41432-024-01043-1. Epub 2024 Aug 26.
2
Assessment of women's needs and wishes regarding interprofessional guidance on oral health in pregnancy - a qualitative study.评估女性在孕期口腔健康方面对跨专业指导的需求和意愿 - 一项定性研究。
BMC Pregnancy Childbirth. 2024 Jul 11;24(1):471. doi: 10.1186/s12884-024-06675-w.
3
Race, Ethnicity, and Other Barriers to Access Dental Care During Pregnancy.
种族、族裔及孕期获得牙科护理的其他障碍
J Racial Ethn Health Disparities. 2025 Jun;12(3):1715-1723. doi: 10.1007/s40615-024-02001-4. Epub 2024 Apr 26.
4
Perceptions and determinants of oral health care among Iranian pregnant women: a qualitative study.伊朗孕妇对口腔保健的认知和影响因素:一项定性研究。
BMJ Open. 2024 Jan 29;14(1):e080033. doi: 10.1136/bmjopen-2023-080033.
5
Knowledge and attitudes on oral health of women during pregnancy and their children: an online survey.孕期女性及其子女口腔健康知识和态度的在线调查。
BMC Oral Health. 2024 Jan 16;24(1):85. doi: 10.1186/s12903-023-03732-2.
6
Unfavourable beliefs about oral health and safety of dental care during pregnancy: a systematic review.怀孕期间对口腔健康和牙科护理安全性的不利信念:系统评价。
BMC Oral Health. 2023 Oct 15;23(1):762. doi: 10.1186/s12903-023-03439-4.
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Int J Dent Hyg. 2024 Feb;22(1):209-218. doi: 10.1111/idh.12728. Epub 2023 Aug 27.
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Evidence-Informed Oral Health Policy Making: Opportunities and Challenges.循证口腔健康政策制定:机遇与挑战。
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JDR Clin Trans Res. 2024 Apr;9(2):180-184. doi: 10.1177/23800844231189485. Epub 2023 Jul 24.