scholarly journals A Successful Dental Care Referral Program for Low-Income Pregnant Women in New York

Author(s):  
Stefanie L. Russell ◽  
Steven J. Kerpen ◽  
Jill M. Rabin ◽  
Ronald P. Burakoff ◽  
Chengwu Yang ◽  
...  

Despite evidence-based guidelines that advocate for dental care during pregnancy, dental utilization among pregnant women remains low, especially among low-income and racial–ethnic minority women. We investigated self-reported dental care referral and self-reported dental care attendance among a group of 298 low-income, largely racial–ethnic minority pregnant women attending two suburban prenatal care clinics that had integrated dental care referrals into their prenatal care according to these guidelines. We administered a questionnaire that asked women: (1) whether they had been referred for care by their prenatal care provider; (2) whether they had been seen by a dentist during pregnancy. Among those women who were eligible for a dental care referral (those who reported having dental symptoms, and those not having a recent dental visit), we found that 73.0% reported that they had indeed been referred for dental care by their prenatal provider, while the remaining women reported either no referral (23.5%, n = 67) or were not sure whether they had been referred (3.5%, n = 10). Among those who reported a dental care referral, 67.3% (n = 140) reported that they saw a dentist during their pregnancy, while of those who reported no dental care referral only 35.1% (n = 27) reported a dental visit (Chi-Sq. = 24.1, df = 1, p < 0.001). Having received a dental referral was a significant predictor of reporting a dental visit during pregnancy, with women who received a referral being 4.6 times more likely to report a dental visit during pregnancy compared to those women who did not report a referral. These results demonstrate that vulnerable pregnant women referred for dental care by their prenatal provider will indeed seek and utilize dental care when offered. This dental referral program may serve as a model for improving the utilization of dental care among this population.

2015 ◽  
Vol 18 (4) ◽  
pp. 850-855 ◽  
Author(s):  
Yukiko Washio ◽  
Amy A. Mericle ◽  
Heather Cassey ◽  
Angela M. Daubert ◽  
Kimberly C. Kirby

2019 ◽  
Vol 22 (10) ◽  
pp. 1711-1717 ◽  
Author(s):  
Laura R Stroud ◽  
Chrystal Vergara-Lopez ◽  
Meaghan McCallum ◽  
Allison E Gaffey ◽  
Alana Corey ◽  
...  

Abstract Introduction Smoking during pregnancy remains widespread and is causally associated with infant morbidity and mortality. Despite links between menthol cigarette use and decreased smoking cessation, little is known regarding rates or characteristics of pregnant menthol cigarette smokers. Methods Participants were drawn from two low-income, racially/ethnically diverse cohorts of pregnant smokers recruited from 2006 to 2015 (N = 166, Mage = 25 ± 5). Demographics, menthol cigarette use, daily cigarette use, quit status, and consecutive weeks quit were assessed by prospective interviews. Nicotine dependence was assessed using the Fagerström Test of Nicotine Dependence. Nicotine levels were assessed via saliva cotinine. Results High rates of menthol use were found in both cohorts (85% and 87%). Across both cohorts, menthol smokers were more likely to identify as racial/ethnic minorities, were less educated, and reported lower income than non-menthol smokers (ps &lt; .03). Menthol smokers also reported fewer continuous weeks quit (8.4 vs. 14.5 weeks quit; p &lt; .03) and a tendency toward decreased likelihood of quitting smoking over pregnancy (29% vs. 48%; p &lt; .08) in unadjusted but not in covariate-adjusted analyses. No differences emerged in cigarettes per day, nicotine dependence or nicotine exposure. Conclusions We found very high rates of menthol cigarette use in pregnant smokers—particularly among racial/ethnic minority and low socioeconomic status smokers—and some evidence for associations with reduced smoking cessation in pregnancy. Consideration of pregnant smokers as a uniquely vulnerable population is warranted in evaluating regulation of menthol in cigarettes. Further research is needed regarding the impact of menthol on smoking persistence in pregnancy and on maternal and infant health outcomes. Implications This study highlights high rates of menthol cigarette use in pregnant women in the Northeast, United States, with evidence for higher rates of menthol use among racial/ethnic minority, less educated and low-income pregnant smokers, and preliminary evidence for associations between menthol cigarette use and reduced smoking cessation. Consideration of the effects of menthol on smoking persistence in pregnant women and on the health of their offspring is warranted in the development of regulations regarding menthol in cigarettes.


Author(s):  
Mary E. Northridge ◽  
Ivette Estrada ◽  
Eric W. Schrimshaw ◽  
Ariel P. Greenblatt ◽  
Sara S. Metcalf ◽  
...  

2017 ◽  
Vol 19 (7) ◽  
pp. 722-730 ◽  
Author(s):  
Leah L. Zullig ◽  
Yuanyuan Liang ◽  
Shruthi Vale Arismendez ◽  
Aron Trevino ◽  
Hayden B. Bosworth ◽  
...  

Author(s):  
Meghana A. Limaye ◽  
Meralis Lantigua-Martinez ◽  
Megan E. Trostle ◽  
Christina A. Penfield ◽  
Erin M. Conroy ◽  
...  

During the coronavirus disease 2019 (COVID-19) pandemic in New York City, telehealth was rapidly implemented for obstetric patients. Though telehealth for prenatal care is safe and effective, significant concerns exist regarding equity in access among low-income populations. We performed a retrospective cohort study evaluating utilization of telehealth for prenatal care in a large academic practice in New York City, comparing women with public and private insurance. We found that patients with public insurance were less likely to have at least one telehealth visit than women with private insurance (60.9 vs. 87.3%, p < 0.001). After stratifying by borough, this difference remained significant in Brooklyn, one of the boroughs hardest hit by the pandemic. As COVID-19 continues to spread around the country, obstetric providers must work to ensure that all patients, particularly those with public insurance, have equal access to telehealth. Key Points


2017 ◽  
Vol 4 (6) ◽  
pp. 1051-1060 ◽  
Author(s):  
Sarah L. Goff ◽  
Kathleen M. Mazor ◽  
Haley Guhn-Knight ◽  
Yara Youssef Budway ◽  
Lorna Murphy ◽  
...  

2014 ◽  
Vol 46 (3) ◽  
pp. 312-323 ◽  
Author(s):  
Robert A. Hahn ◽  
Veda Rammohan ◽  
Benedict I. Truman ◽  
Bobby Milstein ◽  
Robert L. Johnson ◽  
...  

2017 ◽  
Vol 5 ◽  
pp. 168-174 ◽  
Author(s):  
Glenn Flores ◽  
Alberto Portillo ◽  
Hua Lin ◽  
Candy Walker ◽  
Marco Fierro ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document