孕妇口腔卫生服务的使用与妊娠期糖尿病和妊娠高血压疾病的关系：来自2016-2020年妊娠风险评估监测系统的见解

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association Pub Date : 2025-03-01 DOI:10.1016/j.adaj.2024.11.013

Nozomi Sasaki PhD, MPH, Jinman Pang PhD, MS, Simona Surdu MD, PhD, Sage Shirey MA, Theekshana Fernando MBBS, MPH, Jean Moore DrPH

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引用次数: 0

摘要

背景：作者调查了孕期使用预防性口腔保健服务或去牙医或牙科诊所就诊是否与妊娠期糖尿病和妊娠期高血压疾病有关。方法：对2016-2020年妊娠风险评估监测系统中206080份未加权回复的数据进行描述性统计和多变量logistic回归分析。根据社会人口统计学和生活方式特征、健康史、地理和调查年份对回归估计进行了调整。结果：被诊断为妊娠期糖尿病（7.0%）或妊娠期高血压疾病（13.3%）的妇女在怀孕期间接受预防性口腔保健和去牙医或牙科诊所就诊的比例低于没有这些健康结果的妇女。未接受预防性口腔保健的妇女患妊娠期糖尿病的几率比接受预防性口腔保健的妇女高1.13倍（95% CI, 1.06 - 1.20），患妊娠期高血压疾病的几率比接受预防性口腔保健的妇女高1.08倍（95% CI, 1.03 - 1.13）。妊娠期缺少必要的牙医或牙科诊所就诊与妊娠期高血压疾病的几率（95% CI, 1.13 - 1.44）比无牙齿问题的孕妇高1.28倍。结论：在怀孕期间使用口腔保健预防服务和去牙医或牙科诊所就诊与妊娠期糖尿病和妊娠期高血压疾病的发生率降低有关。实际意义：卫生保健专业人员应强调获得口腔保健服务的重要性，以促进孕妇的口腔和整体健康。牙医需要提高他们治疗孕妇的知识和意愿，特别是那些有妊娠并发症的孕妇。

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Use of oral health services among pregnant women and associations with gestational diabetes and hypertensive disorders of pregnancy

Background

The authors examined whether use of preventive oral health care services or visits to a dentist or dental clinic for problems during pregnancy is associated with gestational diabetes and hypertensive disorders of pregnancy.

Methods

Data from the 2016-2020 Pregnancy Risk Assessment Monitoring System, comprising 206,080 unweighted responses, were analyzed using descriptive statistics and multivariable logistic regression. The regression estimates were adjusted for sociodemographic and lifestyle characteristics, health history, geography, and survey year.

Results

Women who received a diagnosis of gestational diabetes (7.0%) or hypertensive disorders of pregnancy (13.3%) had lower rates of preventive oral health care and visits to a dentist or dental clinic for problems during pregnancy than those who did not have these health outcomes. Women who did not receive preventive oral health care had 1.13-fold greater odds (95% CI, 1.06 to 1.20) of having gestational diabetes and 1.08-fold greater odds (95% CI, 1.03 to 1.13) of having hypertensive disorders of pregnancy than those who did. Lack of needed visits to a dentist or dental clinic during pregnancy was associated with 1.28-fold greater odds (95% CI, 1.13 to 1.44) of having hypertensive disorders of pregnancy than in women without dental problems.

Conclusions

Using oral health care preventive services and visits to a dentist or dental clinic for problems during pregnancy was associated with decreased odds of having gestational diabetes and hypertensive disorders of pregnancy.

Practical Implications

Health care professionals should emphasize the importance of obtaining oral health care services to promote oral and overall health among pregnant women. Dentists need to improve their knowledge and willingness to treat pregnant women, especially those with pregnancy complications.

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来源期刊

Journal of the American Dental Association 医学-牙科与口腔外科

CiteScore

5.30

自引率

10.30%

发文量

221

审稿时长

34 days

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