Long-term effectiveness of the midwifery initiated oral health-dental service program on maternal oral health knowledge, preventative dental behaviours and the oral health status of children in Australia

被引:5
作者
George, Ajesh [1 ,2 ,3 ,4 ,5 ]
Kong, Ariana [1 ,2 ]
Sousa, Mariana S. [1 ,2 ,6 ]
Villarosa, Amy [1 ,2 ]
Ajwani, Shilpi [1 ,3 ,7 ,8 ]
Dahlen, Hannah G. [1 ,5 ,10 ]
Bhole, Sameer [1 ,3 ,7 ,8 ,11 ]
Yaacoub, Albert [3 ,9 ]
Srinivas, Ravi [1 ,2 ,3 ,10 ]
Johnson, Maree [11 ]
机构
[1] Western Sydney Univ, Australian Ctr Integrat Oral Hlth ACIOH, Sch Nursing & Midwifery, Liverpool, Australia
[2] Ingham Inst Appl Med Res, Liverpool, Australia
[3] Univ Sydney, Fac Med & Hlth, Sch Dent, Surry Hills, Australia
[4] La Trobe Univ, La Trobe Rural Hlth Sch, Bendigo, Australia
[5] Western Sydney Univ, Translat Hlth Res Inst, Campbelltown, NSW, Australia
[6] Univ Technol Sydney, Fac Hlth, IMPACCT Improving Palliat Aged & Chron Care Clin, Broadway, Australia
[7] Sydney Dent Hosp, Oral Hlth Serv, Sydney Local Hlth Dist, Surry Hills, Australia
[8] Sydney Inst Women Children & Families, Sydney Local Hlth Dist, Surry Hills, Australia
[9] Oral Hlth Serv, Nepean Blue Mt Local Hlth Dist, Kingswood, NSW, Australia
[10] Oral Hlth Serv, South Western Sydney Local Hlth Dist, Liverpool, Australia
[11] Australian Catholic Univ, Fac Hlth Sci, Sydney, NSW, Australia
关键词
Oral health; dental decay; caries; pregnancy; mother; COST-EFFECTIVENESS; PREGNANCY; EDUCATION; FAMILIES; MEMORY; CARIES; WOMEN; SOUTH; RISK;
D O I
10.1080/00016357.2022.2108896
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background The Midwifery Initiated Oral Health-Dental Service was developed to train midwives to promote maternal oral health, and a large trial showed it substantially improved the oral health, knowledge and behaviours of pregnant women. Aim Evaluate the long-term effectiveness of the program (post-trial) on maternal oral health knowledge, dental behaviours, and early childhood caries in offspring. Methods A prospective cohort study involving 204 women and children 3-4 years (followed after trial) was conducted in Sydney, Australia from 2017 to 2019. Results The program did not have a significant impact on the study measures. Mothers who received the program did have comparatively better knowledge around preventative behaviours to reduce early childhood caries and significantly more mothers were engaging in a key behaviour of using a cup to feed their child. Overall maternal oral health knowledge and level of education did have a protective effect on the dental decay of children. Higher knowledge and levels of education reduced the odds of having a dmft of one or more by over half (OR 0.473), and almost 80% (OR 0.212) respectively. Conclusions Although the MIOH-DS program was not effective, there is still value in exploring other complementary interventions to improve maternal oral health, especially for disadvantaged families. Future research should focus on co-designing an antenatal and postnatal oral health intervention and exploring its long-term impact on the oral health of children.
引用
收藏
页码:164 / 175
页数:12
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