Volume 3, Number 1 (Spring 2016)                   JECH 2016, 3(1): 20-27 | Back to browse issues page



DOI: 10.21859/jech-03013

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bayat F, Karimi-Shahanjarini A, Bashirian S, Faradmal J. Assessment of Dental Care and its Related Barriers in Pregnant Women of Hamadan City. JECH. 2016; 3 (1) :20-27
URL: http://jech.umsha.ac.ir/article-1-168-en.html

1- MSc, Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
2- Associate Professor, Social Determinants of Health Research Center and Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. , karimi.a@umsha.ac.ir
3- Assistant Professor, Social Determinants of Health Research Center and Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran.
4- Associate Professor, Modeling of Noncommunicable Diseases Research Center, Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract:   (1292 Views)

Background and Objectives: Oral health behaviors of pregnant women are important due to their effects on mother and child’s health. The objective of this study was to investigate dental care and its related barriers among pregnant women in Hamadan city, Iran.

Materials and Methods: This cross-sectional study was carried out on 280 pregnant women in Hamadan city in 2012. We used stratified cluster sampling to select the subjects and a researcher-made questionnaire was used. The questionnaire included demographic information, common dental problems, visit of a dentist during pregnancy and tooth brushing, as well as the perceived barriers of these two behaviors. The reliability and validity of the tool were evaluated using estimates of internal consistency and the opinions of a panel of experts, respectively. Data were analyzed in SPSS-16 using logistic regression test.

Results: The mean age of pregnant women was 27.2 ± 4.88 years. Tooth brushing after each meal and use of mouthwash rates were 12% and 20%, respectively. Half of the participants had not seen a dentist during their current pregnancy. The most important barriers to brush twice a day were impatience and lack of energy. Dental visit barriers were cost, low priority, and stress related to dentistry. Factors associated with no dental visit included poor economic status (P= 0.011) and working outside of home (P= 0.045).

Conclusions: Given the important adverse outcomes associated with poor oral health on mothers and babies, interventions to reduce the barriers of dental cares are crucial.

Full-Text [PDF 194 kb]   (514 Downloads)    
Type of Study: Research Article | Subject: Special
Received: 2016/02/26 | Accepted: 2016/05/29

References
1. Krejci CB, Bissada NF. Women’s health: periodontitis and its relation to hormonal changes, adverse pregnancy outcomes and osteoporosis .Oral Health Prev Dent. 2012;10(1):83-92. [PubMed]
2. Christensen LB, Jeppe-Jensen D, Petersen PE. Self-reported gingival conditions and self-care in the oral health of Danish women during pregnancy. J Clin Periodontol. 2003;30(11):949-53. [PubMed]
3. Orloff NC, Hormes JM. Pickles and ice cream! Food cravings in pregnancy: hypotheses, preliminary evidence, and directions for future research. Front Psychol. 2014;5:1076. [DOI] [PubMed]
4. Rashidi Maybodi F, Haerian-Ardakani A, Vaziri F, Khabbazian A, Mohammadi-Asl S. CPITN changes during pregnancy and maternal demographic factors ‘impact on periodontal health. Iran J Reprod Med. 2015; 13(2): 107-12. [PubMed]
5. Shub A, Wong C, Jennings B, Swain JR, Newnham JP. Maternal periodontal disease and perinatal mortality. Aust N Z J Obstet Gynaecol. 2009; 49(2): 130-6. [PubMed]
6. Polyzos NP, Polyzos IP, Mauri D, Tzioras S, Tsappi M, Cortinovis I, et al. Effect of periodontal disease treatment during pregnancy on preterm birth incidence: a metaanalysis of randomized trials. Am J Obstet Gynecol. 2009;200(3):225-32. [DOI] [PubMed]
7. Meyer K, Geurtsen W, Gunay H. An early oral health care program starting during pregnancy: results of a prospective clinical long-term study. Clin Oral Investig. 2010;14(3):257-64. [DOI] [PubMed]
8. Lydon-Rochelle MT, Krakowiak P, Hujoel PP, Peters RM. Dental care use and self-reported dental problems in relation to pregnancy. Am J Public Health. 2004;94(5):765-71. [PubMed]
9. Rahman MM, Hassan MR, Islam MZ, Ahmad MS, Alam MM, Islam KM. Oral Health Status of Pregnant Women attended the Mothers and Children Welfare Center (MCWC) in Bangladesh. City Dent Coll J. 2013;10(2):1-4.
10. Ressler-Maerlender J, Krishna R, Robison V. Oral health during pregnancy: current research. J Womens Health (Larchmt). 2005; 14(10): 880-2. [DOI]
11. Shamsi M, Hidarnia A, Niknami S. [A Survey of Oral Health Care Behavior in Pregnant Women of Arak: Application of Health Belief Model]. J Mazandaran Univ Med Sci. 2012;22(89):104-15.
12. Hajikazemi E, Oskouie F, Mohseny S, Nikpour S, Haghany H. The relationship between knowledge, attitude, and practice of pregnant women about oral and dental care. Eur J Scientific Res. 2008;24(4):556-62.
13. Al-Turck K. Self-reported dental care and dietary habits of Saudi pregnant women in prenatal clinic in Riyadh. Pakistan Oral Dent J. 2005; 25(1): 75-80.
14. Vasiliauskiene I. Oral health status of pregnant women. Stomatologija Baltic Dent Maxillofac J. 2003;5(2):57-61.
15. Ahmadian Yazdi A, Sanatkhani M. [A descriptive survey of the oral health on a group of the Asian prgnant women resident in the UK]. J Mashhad Dent Sch. 2004;27(3):93-9.
16. George A, Johnson M, Blinkhorn A, Ajwani S, Bhole S, Yeo AE, et al. The oral health status, practices and knowledge of pregnant women in south-western Sydney. Aust Dent J. 2013;58(1):26-33.
17. Martinez-Beneyto Y, Vera-Delgado MV, Perez L, Maurandi A. Self-reported oral health and hygiene habits, dental decay, and periodontal condition among pregnant European women. Int J Gynaecol Obstet. 2011;114(1):18-22. [DOI]
18. Gilbert AD, Nuttall NM. Self-reporting of periodontal health status. Br Dent J. 1999;186(5):241-4. [PubMed]
19. Al-Habashneh R, Aljundi SH, Alwaeli HA. Survey of medical doctors’ attitudes and knowledge of the association between oral health and pregnancy outcomes. Int J Dent Hyg. 2008;6(3):214-20. [PubMed]
20. Detman LA, Cottrell BH, Denis-Luque MF. Exploring dental care misconceptions and barriers in pregnancy. Birth. 2010;37(4):318-24. [DOI] [PubMed]
21. Saddki N, Yusoff A, Hwang YL. Factors associated with dental visit and barriers to utilisation of oral health care services in a sample of antenatal mothers in Hospital Universiti Sains Malaysia. BMC Public Health. 2010;10:75. [DOI]
22. Marchi KS, Fisher-Owen SA, Weintraub JA, Yu Z, Braveman PA. Most pregnant women in California do not receive dental care: findings from a population-based study. Public Health Rep. 2010;125(6):831-42. [PubMed]
23. Kavosi Z, Rashidian A, Pourmalek F, Majdzadeh R, Pourreza A, Mohammad K, et al. Measuring household exposure to catastrophic health care expenditures: a Longitudinal study in Zone 17 of Tehran. Hakim Res J. 2009;12(2):38-47.

Add your comments about this article : Your username or email:
Write the security code in the box

Send email to the article author


© 2015 All Rights Reserved | J Educ Community Health

Designed & Developed by : Yektaweb