Association between dental visits during pregnancy and setting for prenatal care

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Divesh Byrappagari BDS, MSD, Lisa Cohn MS, Lindsay Sailor BA, Sarah Clark MPH
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引用次数: 0

Abstract

Objectives

Federally Qualified Health Centers (FQHCs) may be well positioned to facilitate dental visits during pregnancy for low-income women. We sought to compare receipt of dental visits during pregnancy for women who received prenatal care at an FQHC versus a non-FQHC setting.

Methods

We analyzed Michigan Medicaid administrative data for all live birth deliveries between April 2018 and December 2020. We used billing data to categorize the predominant setting for prenatal care as occurring at a FQHC or a non-FQHC and claims data to identify dental visits during pregnancy (in the 9 months prior to delivery). We employed bivariate and multivariate analyses to explore the relationship between setting for prenatal care and dental visits during pregnancy.

Results

Women who received prenatal care at an FQHC versus non-FQHC had a higher proportion of dental visits during pregnancy (31.85% vs. 19.37%, p < 0.0001). In multivariate analyses, the strongest predictors of having a dental visit during pregnancy were FQHC prenatal care setting, having a dental emergency visit, having ≥3 prenatal visits, and having Medicaid coverage throughout pregnancy. Hispanic or Black race/ethnicity and 2020 delivery year were predictors of a lower likelihood of a dental visit. These predictors were consistent for the overall population and for the subset who had no dental visits pre-pregnancy.

Conclusion

Medicaid-enrolled women who receive prenatal care at an FQHC are more likely to have a dental visit during pregnancy than their counterparts who receive prenatal care in a non-FQHC setting.

孕期牙科就诊与产前护理环境之间的关系。
目的:联邦合格医疗中心(FQHC)在促进低收入妇女孕期牙科就诊方面可能处于有利地位。我们试图比较在联邦合格保健中心和非联邦合格保健中心接受产前保健的妇女在怀孕期间接受牙科检查的情况:我们分析了 2018 年 4 月至 2020 年 12 月期间密歇根州医疗补助计划(Medicaid)管理的所有活产分娩数据。我们利用账单数据将产前检查的主要地点分为在 FQHC 或非 FQHC 进行,并利用索赔数据确定孕期(分娩前 9 个月)的牙科就诊情况。我们采用双变量和多变量分析来探讨产前护理环境与孕期牙科就诊之间的关系:与在非 FQHC 环境中接受产前护理的妇女相比,在 FQHC 接受产前护理的医疗补助参保妇女更有可能在怀孕期间接受牙科就诊。
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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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