المؤلفون: Malecki, Kristen¹ kmalecki@wisc.edu, Wisk, Lauren E.¹, Walsh, Matthew¹, McWilliams, Christine¹, Eggers, Shoshannah¹, Olson, Melissa²

المصدر: American Journal of Public Health. Jul2015 Supplement, Vol. 105, pS466-S474. 9p.

مصطلحات موضوعية: *COST of dental care, *GOVERNMENT agencies, *DENTISTS, *INCOME, *POVERTY, *DATA analysis, *SOCIOECONOMIC factors, *ODDS ratio, ORAL hygiene -- Social aspects, HEALTH surveys, DENTAL care utilization, HEALTH promotion, DIAGNOSIS of dental caries, EVALUATION of dental services, AGE distribution, CONFIDENCE intervals, ETHNIC groups, HEALTH services accessibility, HEALTH status indicators, MARRIAGE, EVALUATION of medical care, MEDICAL care costs, MEDICAL screening, ORAL hygiene, PREVENTIVE dentistry, PRIMARY health care, PUBLIC health, RACE, SURVEYS, DATA analysis software, PSYCHOLOGY

مصطلحات جغرافية: WISCONSIN, UNITED States

مستخلص: Objectives. We used objective oral health screening and survey data to explore individual-, psychosocial-, and community-level predictors of oral health status in a statewide population of adults. Methods. We examined oral health status in a sample of 1453 adult Wisconsin residents who participated in the Survey of the Health of Wisconsin Oral Health Screening project, conducted with the Wisconsin Department of Health Services during 2010. Results. We found significant disparities in oral health status across all individual-, psychosocial-, and community-level predictors. More than 15% of participants had untreated cavities, and 20% did not receive needed oral health care. Individuals who self-reported unmet need for dental care were 4 times as likely to have untreated cavities as were those who did not report such a need, after controlling for sociodemographic and behavioral factors. Conclusions. Our results suggested that costs were a primary predictor of access to care and poor oral health status. The results underscored the role that primary care, in conjunction with dental health care providers, could play in promoting oral health care, particularly in reducing barriers (e.g., the costs associated with unmet dental care) and promoting preventive health behaviors (e.g., teeth brushing). [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Witt, Whitney P.¹ whitney.witt@truvenhealth.com, Hyojun Park², Wisk, Lauren E.³, Cheng, Erika R.^4,5, Mandell, Kara², Chatterjee, Debanjana², Zarak, Dakota⁶

المصدر: American Journal of Public Health. May2015, Vol. 105 Issue 5, p1044-1052. 9p.

مصطلحات موضوعية: *RESEARCH, *RESEARCH funding, *SOCIOECONOMIC factors, *ODDS ratio, BIRTH weight, CHI-squared test, CONFIDENCE intervals, MEDICAL cooperation, PSYCHOLOGICAL stress, DATA analysis software

مصطلحات جغرافية: UNITED States

مستخلص: Objectives. We sought to determine whether the effects of preconception stressful life events (PSLEs) on birth weight differed by neighborhood disadvantage. Methods. We drew our data from the Early Childhood Longitudinal Study, Birth Cohort (2001-2002; n = 9300). We created a neighborhood disadvantage index (NDI) using county-level data from the 2000 US Census. We grouped the NDI into tertiles that represented advantaged, middle advantaged, and disadvantaged neighborhoods. Stratified multinomial logistic regressions estimated the effect of PSLEs on birth weight, controlling for confounders. Results. We found a gradient in the relationship between women's exposure to PSLEs and having a very low birth weight (VLBW) infant by NDI tertile; the association was strongest in disadvantaged neighborhoods (adjusted odd ratio [AOR] = 1.62; 95% confidence interval [Cl] = 1.04, 2.53), followed by middle (AOR = 1.39; 95% Cl = 1.00, 1.93) and advantaged (AOR = 1.29; 95% Cl = 0.91, 1.82) neighborhoods. We observed a similar gradient for women with chronic conditions and among minority mothers. Conclusions. Women who experienced PSLEs, who had chronic conditions, or were racial/ethnic minorities had the greatest risk of having VLBW infants if they lived in disadvantaged neighborhoods; this suggests exacerbation of risk within disadvantaged environments. Interventions to reduce rates of VLBW should focus on reducing the deleterious effects of stressors and on improving neighborhood conditions. [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Witt, Whitney P.¹ (AUTHOR) whitneywitt@gmail.com, Cheng, Erika R.¹ (AUTHOR), Wisk, Lauren E.¹ (AUTHOR), Litzelman, Kristin¹ (AUTHOR), Chatterjee, Debanjana¹ (AUTHOR), Mandell, Kara¹ (AUTHOR), Wakeel, Fathima¹ (AUTHOR)

المصدر: American Journal of Public Health. Feb2014 Supplement, Vol. 104 Issue S1, pS73-S80. 8p. 3 Charts, 1 Graph.

مصطلحات موضوعية: *DEMOGRAPHY, *INTERVIEWING, *MULTIVARIATE analysis, *RESEARCH funding, *STATISTICAL sampling, *DATA analysis, *SOCIOECONOMIC factors, *DESCRIPTIVE statistics, RISK factors in premature labor, AGE distribution, CHI-squared test, CONFIDENCE intervals, EPIDEMIOLOGY, LONGITUDINAL method, MATERNAL age, MATERNAL-fetal exchange, RACE, PSYCHOLOGICAL stress, SURVEYS, LOGISTIC regression analysis, ENVIRONMENTAL exposure, DATA analysis software, PREGNANCY

مصطلحات جغرافية: UNITED States

مستخلص: Objectives. We determined whether and to what extent a woman's exposure to stressful life events prior to conception (PSLEs) was associated with preterm birth and whether maternal age modified this relationship. Methods. We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitudinal Study, Birth Cohort, a nationally representative sample of US women and children born in 2001, to investigate the impact of PSLEs on preterm birth in the United States. We estimated the effect of exposure on preterm birth with weighted logistic regression, adjusting for maternal sociodemographic and health factors and stress during pregnancy. Results. Of the women examined, 10.9% had a preterm birth. In adjusted analyses, women aged 15 to 19 years who experienced any PSLE had over a 4-fold increased risk for having a preterm birth. This association differed on the basis of the timing of the PSLE. Conclusions. Findings suggest that adolescence may be a sensitive period for the risk of preterm birth among adolescents exposed to PSLEs. Clinical, programmatic, and policy interventions should address upstream PSLEs, especially for adolescents, to reduce the prevalence of preterm birth and improve maternal and child health. [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Witt, Whitney P.¹ (AUTHOR) whitneywitt@gmail.com, Cheng, Erika R.¹ (AUTHOR), Wisk, Lauren E.¹ (AUTHOR), Litzelman, Kristin¹ (AUTHOR), Chatterjee, Debanjana¹ (AUTHOR), Mandell, Kara¹ (AUTHOR), Wakeel, Fathima¹ (AUTHOR)

المصدر: American Journal of Public Health. Feb2014 Supplement, Vol. 104 Issue S1, pS81-S89. 9p. 3 Charts, 1 Graph.

مصطلحات موضوعية: *DEMOGRAPHY, *REGRESSION analysis, *RESEARCH funding, *STATISTICAL sampling, *DATA analysis, *SOCIOECONOMIC factors, *DESCRIPTIVE statistics, BIRTH size, BIRTH weight, LOW birth weight, CHI-squared test, CONFIDENCE intervals, EPIDEMIOLOGY, LONGITUDINAL method, MATERNAL-fetal exchange, PSYCHOLOGICAL stress, SURVEYS, LOGISTIC regression analysis, ENVIRONMENTAL exposure, BODY mass index, DATA analysis software, PREGNANCY

مصطلحات جغرافية: UNITED States

مستخلص: Objectives. We sought to determine if and to what extent a woman's exposure to stressful life events prior to conception (PSLEs)were associated with subsequent infant birth weight by using a nationally representative sample of US women. Methods. We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitudinal Study, Birth Cohort in 2001. Weighted regressions estimated the effect of exposure on very low and low birth weight, adjusting for maternal sociodemographic and health factors and stress during pregnancy. Results. Twenty percent of women experienced any PSLE. In adjusted analyses, exposed women were 38% more likely to have a very low birth weight infant than nonexposed women. Furthermore, the accumulation of PSLEs was associated with reduced infant birth weight. Conclusions. This was the first nationally representative study to our knowledge to investigate the impact of PSLEs on very low and low birth weight in the United States. Interventions aimed to improve birth outcomes will need to shift the clinical practice paradigm upstream to the preconception period to reduce women's exposure to stress over the life course and improve the long-term health of children. [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Witt, Whitney P.¹ (AUTHOR) whitneywitt@gmail.com, Cheng, Erika R. (AUTHOR), Wisk, Lauren E. (AUTHOR), Litzelman, Kristin (AUTHOR), Chatterjee, Debanjana (AUTHOR), Mandell, Kara (AUTHOR), Wakeel, Fathima (AUTHOR)

المصدر: American Journal of Public Health. Jan2014 Supplement, Vol. 104 Issue S1, pS73-S80. 8p. 3 Charts, 1 Graph.

مصطلحات موضوعية: *RESEARCH funding, *DATA analysis, *DESCRIPTIVE statistics, CONCEPTION, CONFIDENCE intervals, EPIDEMIOLOGY, PREMATURE infants, LIFE change events, MATERNAL age, PSYCHOLOGICAL stress, TEENAGE mothers, LOGISTIC regression analysis, DATA analysis software

مصطلحات جغرافية: UNITED States

مستخلص: Objectives. We determined whether and to what extent a woman's exposure to stressful life events prior to conception (PSLEs) was associated with preterm birth and whether maternal age modified this relationship. Methods. We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitudinal Study, Birth Cohort, a nationally representative sample of US women and children born in 2001, to investigate the impact of PSLEs on preterm birth in the United States. We estimated the effect of exposure on preterm birth with weighted logistic regression, adjusting for maternal sociodemographic and health factors and stress during pregnancy. Results. Of the women examined, 10.9% had a preterm birth. In adjusted analyses, women aged 15 to 19 years who experienced any PSLE had over a 4-fold increased risk for having a preterm birth. This association differed on the basis of the timing of the PSLE. Conclusions. Findings suggest that adolescence may be a sensitive period for the risk of preterm birth among adolescents exposed to PSLEs. Clinical, programmatic, and policy interventions should address upstream PSLEs, especially for adolescents, to reduce the prevalence of preterm birth and improve maternal and child health. [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Witt, Whitney P.¹ (AUTHOR) whitneywitt@gmail.com, Cheng, Erika R. (AUTHOR), Wisk, Lauren E. (AUTHOR), Litzelman, Kristin (AUTHOR), Chatterjee, Debanjana (AUTHOR), Mandell, Kara (AUTHOR), Wakeel, Fathima (AUTHOR)

المصدر: American Journal of Public Health. Jan2014 Supplement, Vol. 104 Issue S1, pS81-S89. 9p. 3 Charts, 1 Graph.

مصطلحات موضوعية: *INTERVIEWING, *RESEARCH funding, *SELF-evaluation, *DATA analysis, *SOCIOECONOMIC factors, *DESCRIPTIVE statistics, BIRTH size, BIRTH weight, CHI-squared test, CONCEPTION, CONFIDENCE intervals, EPIDEMIOLOGY, LONGITUDINAL method, EVALUATION of medical care, PSYCHOLOGY of mothers, PSYCHOLOGICAL stress, MULTIPLE regression analysis, DATA analysis software, PREGNANCY

مصطلحات جغرافية: UNITED States

مستخلص: Objectives. We sought to determine if and to what extent a woman's exposure to stressful life events prior to conception (PSLEs) were associated with subsequent infant birth weight by using a nationally representative sample of US women. Methods. We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitudinal Study, Birth Cohort in 2001. Weighted regressions estimated the effect of exposure on very low and low birth weight, adjusting for maternal sociodemographic and health factors and stress during pregnancy. Results. Twenty percent of women experienced any PSLE. In adjusted analyses, exposed women were 38% more likely to have a very low birth weight infant than nonexposed women. Furthermore, the accumulation of PSLEs was associated with reduced infant birth weight. Conclusions. This was the first nationally representative study to our knowledge to investigate the impact of PSLEs on very low and low birth weight in the United States. Interventions aimed to improve birth outcomes will need to shift the clinical practice paradigm upstream to the preconception period to reduce women's exposure to stress over the life course and improve the long-term health of children. [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)