Prenatal Oral Health Counseling by Primary Care Physicians: Results of a National Survey.

Objectives Limited information exists on the extent oral health is addressed in the context of prenatal care. This study sought to investigate characteristics of primary care physicians (PCP) who provide oral health counseling to pregnant women. Methods The study relied upon data from the 2013 Surve...

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Publicado en:Maternal & Child Health Journal Vol. 22; no. 7; pp. 1033 - 1042
Autores principales: Byrd, M. Gentry, Quinonez, Rocio B., Rozier, R. Gary, Phillips, Ceib, Mehegan, Marian, Martinez, Ledia, Divaris, Kimon
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jul2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2018
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      pub: Springer Nature
      place: New York, New York
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        atl: Prenatal Oral Health Counseling by Primary Care Physicians: Results of a National Survey.
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          Byrd, M. Gentry
          Quinonez, Rocio B.
          Rozier, R. Gary
          Phillips, Ceib
          Mehegan, Marian
          Martinez, Ledia
          Divaris, Kimon
        affil: Department of Pediatric Dentistry, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA
      sug:
        subj:
          Oral Health In Pregnancy
          Oral Hygiene In Pregnancy
          Counseling In Pregnancy
          Prenatal Care
          Physicians, Family
          Professional Knowledge
          Medical Practice
          Human
          Pregnancy
          Secondary Analysis
          Surveys
          Analysis of Covariance
          Bivariate Statistics
          Multiple Regression
          Primary Health Care
          P-Value
          Confidence Intervals
          Questionnaires
          Random Sample
          Expectant Mothers
          Summated Rating Scaling
          Scales
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
          Middle Age
          Aged
          Dental Health Education
          Health Promotion
          Outpatients
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objectives Limited information exists on the extent oral health is addressed in the context of prenatal care. This study sought to investigate characteristics of primary care physicians (PCP) who provide oral health counseling to pregnant women. Methods The study relied upon data from the 2013 Survey of PCP on Oral Health. Provision of oral health counseling to pregnant women (sometimes vs. rarely/never) was the primary outcome. Covariates included respondents’ demographic and practice characteristics, oral health-related training, knowledge, attitudes, preparedness and clinical behaviors. The analytical strategy included bivariate tests and multivariable Poisson regression modeling, accounting for the survey design; inference was based upon marginal effects estimation. Results Two-thirds of PCP (233 out of 366 respondents) reported providing oral health counseling to pregnant women. In bivariate comparisons, female PCP, PCP with oral health-specific instruction during medical training, favorable oral health-related attitudes, behaviors, preparedness, and knowledge were more likely to provide counseling (p < 0.05). Multivariable analyses confirmed the independent associations of female gender [marginal effect = + 9.7 percentage points (p.p.); 95% confidence interval (CI) = 0.0-19.0], years in practice (− 0.4 p.p. for each added year; 95% CI = − 0.09 to 0.0), oral health continuing education (+ 13.2 p.p.; 95% CI = 2.6-23.8), preparedness (+ 23.0 p.p.; 95% CI = 16.9-29.0) and oral health counseling of adult patients with other conditions (+ 8.8 p.p.; 95% CI = 4.6-13.3) with prenatal oral health counseling. Conclusions for Practice A considerable proportion of PCP nationwide counsel pregnant patients on oral health. Provider attributes including education and preparedness appear as promising targets for interventions aimed to enhance pregnant women’s oral health and care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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