Adverse childhood experiences and dental cleaning during pregnancy: Findings from the North and South Dakota PRAMS, 2017–2021

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-04-24 DOI:10.1111/jphd.12614
Alexander Testa PhD, Dylan B. Jackson PhD, Allison Crawford PhD, RN, Rahma Mungia BDS, MSc, DDPHRCS, Kyle T. Ganson PhD, MSW, Jason M. Nagata MD, MSc
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Abstract

Objective

Research demonstrates that adverse childhood experiences (ACEs)—that is, experiences of abuse, neglect, and household dysfunction—are related to lower preventive dental care utilization in childhood and adolescence. However, limited research has explored the connection between ACEs and preventive dental care utilization in adulthood, and no research has examined this relationship during pregnancy. The current study extends existing research by investigating the relationship between ACEs and dental cleaning and dental care utilization during pregnancy among a sample of women who delivered live births in North Dakota and South Dakota.

Methods

Data are from the 2017 to 2021 Pregnancy Risk Assessment Monitoring System (PRAMS) in North Dakota and South Dakota (n = 7391). Multiple logistic regression is used to examine the relationship between the number of ACEs (0, 1, 2, 3 or 4 or more) and dental cleaning during pregnancy.

Results

Relative to respondents with 0 ACEs, those with 4 or more ACEs were significantly less likely to report having dental care during pregnancy (OR = 0.757, 95% CI = 0.638, 0.898). By racial and ethnic background, the results showed that the significant associations are concentrated among White and Native American respondents.

Conclusions

The results suggest that exposure to 4 or more ACEs is associated with a significantly lower likelihood of dental cleaning during pregnancy among women who delivered a live birth in North Dakota and South Dakota. Further investigations are necessary to understand the mechanisms underlying the relationship between ACEs and dental cleaning during pregnancy and replicate the findings in other geographic contexts.

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童年不良经历与孕期洗牙:北达科他州和南达科他州 PRAMS 调查结果,2017-2021 年。
研究表明,童年的不良经历(ACEs)--即遭受虐待、忽视和家庭功能失调的经历--与童年和青少年时期预防性牙科保健利用率较低有关。然而,有关 ACE 与成年后预防性牙科保健利用率之间关系的研究却很有限,而且还没有研究对孕期的这种关系进行过调查。本研究通过调查北达科他州和南达科他州活产妇女样本中的 ACE 与孕期洗牙和牙科保健利用率之间的关系,对现有研究进行了扩展。方法数据来自 2017 年至 2021 年北达科他州和南达科他州的妊娠风险评估监测系统(PRAMS)(n = 7391)。多重逻辑回归用于研究ACE数量(0、1、2、3或4个或以上)与孕期洗牙之间的关系。结果与ACE为0的受访者相比,ACE为4个或以上的受访者报告孕期进行牙科护理的可能性明显较低(OR = 0.757,95% CI = 0.638,0.898)。结论:研究结果表明,在北达科他州和南达科他州分娩活产的妇女中,4 次或 4 次以上的 ACE 与孕期洗牙的可能性显著降低有关。有必要进行进一步调查,以了解ACE与孕期洗牙之间关系的内在机制,并在其他地区复制研究结果。
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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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