lunes, 6 de octubre de 2014

Preventing Chronic Disease | Oral Health Conditions and Dental Visits Among Pregnant and Nonpregnant Women of Childbearing Age in the United States, National Health and Nutrition Examination Survey, 1999–2004 - CDC

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Preventing Chronic Disease | Oral Health Conditions and Dental Visits Among Pregnant and Nonpregnant Women of Childbearing Age in the United States, National Health and Nutrition Examination Survey, 1999–2004 - CDC



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Oral Health Conditions and Dental Visits Among Pregnant and Nonpregnant Women of Childbearing Age in the United States, National Health and Nutrition Examination Survey, 1999–2004

Alejandro Azofeifa, DDS, MSc, MPH; Lorraine F. Yeung, MD, MPH; C. J. Alverson, MS; Eugenio Beltrán-Aguilar, DMD

Suggested citation for this article: Azofeifa A, Yeung LF, Alverson CJ, Beltrán-Aguilar E. Oral Health Conditions and Dental Visits Among Pregnant and Nonpregnant Women of Childbearing Age in the United States, National Health and Nutrition Examination Survey, 1999–2004. Prev Chronic Dis 2014;11:140212. DOI: http://dx.doi.org/10.5888/pcd11.140212External Web Site Icon.
PEER REVIEWED

Abstract

Introduction
Oral diseases can be prevented or improved with regular dental visits. Our objective was to assess and compare national estimates on self-reported oral health conditions and dental visits among pregnant women and nonpregnant women of childbearing age by using data from the National Health and Nutrition Examination Survey (NHANES).
Methods
We analyzed self-reported oral health information on 897 pregnant women and 3,971 nonpregnant women of childbearing age (15–44 years) from NHANES 1999–2004. We used χ2 and 2-sample t tests to assess statistical differences between groups stratified by age, race/ethnicity, poverty, and education. We applied the Bonferroni adjustment for multiple comparisons.
Results
Our data show significant differences in self-reported oral health conditions and dental visits among women, regardless of pregnancy status, when stratified by selected sociodemographic characteristics. Significant differences were also found in self-reported oral health conditions and dental visits between pregnant and nonpregnant women, especially among young women, women from minority race/ethnicity groups, and women with less than high school education.
Conclusion
We found disparities in self-reported oral health conditions and use of dental services among women regardless of pregnancy status. Results highlight the need to improve dental service use among US women of childbearing age, especially young pregnant women, those who are non-Hispanic black or Mexican American, and those with low family income or low education level. Prenatal visits could be used as an opportunity to encourage pregnant women to seek preventive dental care during pregnancy.

Acknowledgments

The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. This study received no specific grant from any funding agency in the public, commercial, or nonprofit sectors. No financial disclosures were reported by the authors of this article. The authors report no conflicts of interest. Parts of the results of this article were presented at the 41st annual meeting of the American Association for Dental Research, Tampa, Florida, March 21–24, 2012.

Author Information

Corresponding Author: Alejandro Azofeifa, DDS, MSc, MPH, Division of Birth Defects and Developmental Disabilities, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-86 Atlanta, GA 30333. Telephone: 404-498-3858. E-mail:alejoazo@hotmail.com.
Author Affiliations: Lorraine F. Yeung, C. J. Alverson, Eugenio Beltrán-Aguilar, Centers for Disease Control and Prevention, Atlanta, Georgia.

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