Associations Between Dental Care Approachability and Dental Attendance Among Women Pregnant With an Indigenous Child: A Cross-Sectional Study

Abstract Background Oral health during pregnancy is vital for both mother and child. Indigenous Australians face many barriers in accessing dental care. Service approachability is one of the key domains in accessing health services. There is little empirical evidence of the association between service approachability and dental care attendance or oral health outcome. The aim of this study is to examine the relationship between dental service approachability on dental care attendance and self-reported gum disease among South Australian women pregnant with an Aboriginal child.Methods Four hundred and twenty-seven women pregnant with an Aboriginal child completed questionnaires in both metropolitan and regional health settings in South Australia in 2011. Four variables related to approachability of dental services: (1) perception of need; (2) service-related health literacy; (3) oral health beliefs and; (4) trust and expectation of dental service. The association between service approachability-related factors, dental utilisation and self-reported gum disease during pregnancy were assessed using Generalised Poisson regression models, after adjusting for age, remoteness, employment status and education. Estimates were presented as adjusted prevalence ratios (APR).Results Most participants (85.8%) reported a need for dental care, had positive oral health beliefs (88.3%) and had expectations towards dental care (86.2%). Dental service utilisation during pregnancy was low (35.7%). Many participants (78.0%) expressed knowing what to do if they needed dental care, while most (39.8%) doubted that dental care would be available the next day. Poor health service literacy was identified as a risk factor for non-optimal dental attendance (APR=0.86, 95%CI: 0.74-0.99). Perceived need for dental care was positively associated with self-reported gum disease (APR= 1.24 95%CI 1.06-1.45).Conclusion Inability to navigate the dental care system was a risk factor for poor dental attendance among South Australian women pregnant with an Aboriginal child. Perceived need for dental care was associated with gum disease.

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Associations between dental care approachability and dental attendance among women pregnant with an Indigenous child: a cross-sectional study

BMC Oral Health ◽

10.1186/s12903-021-01816-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yuan Gao ◽

Xiangqun Ju ◽

Lisa Jamieson

Keyword(s):

Risk Factor ◽

Oral Health ◽

Health Beliefs ◽

Dental Care ◽

Dental Service ◽

Perceived Need ◽

Aboriginal Child ◽

Dental Attendance ◽

Oral Health Beliefs ◽

Gum Disease

Abstract Background Oral health during pregnancy is vital for both mother and child. Indigenous Australians face many barriers in accessing dental care. Service approachability is one of the key domains in accessing health services. There is little empirical evidence of the association between service approachability and dental care attendance or oral health outcome. The aim of this study is to examine the relationship between dental service approachability on dental care attendance and self-reported gum disease among South Australian women pregnant with an Aboriginal child. Methods Four hundred and twenty-seven women pregnant with an Aboriginal child completed questionnaires in both metropolitan and regional health settings in South Australia in 2011. Four variables related to approachability of dental services: (1) perception of need; (2) service-related health literacy; (3) oral health beliefs and; (4) trust and expectation of dental service. The association between service approachability-related factors, dental utilisation and self-reported gum disease during pregnancy were assessed using Generalised Poisson regression models, after adjusting for age, remoteness, employment status and education. Estimates were presented as adjusted prevalence ratios (APR). Results Most participants (85.8%) reported a need for dental care, had positive oral health beliefs (88.3%) and had expectations towards dental care (86.2%). Dental service utilisation during pregnancy was low (35.7%). Many participants (78.0%) expressed knowing what to do if they needed dental care, while most (39.8%) doubted that dental care would be available the next day. Poor health service literacy was identified as a risk factor for non-optimal dental attendance (APR = 0.86, 95%CI 0.74–0.99). Perceived need for dental care was positively associated with self-reported gum disease (APR = 1.24, 95%CI 1.06–1.45). Conclusion Inability to navigate the dental care system was a risk factor for poor dental attendance among South Australian women pregnant with an Aboriginal child. Perceived need for dental care was associated with gum disease.

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Determinants of Dental Care Attendance during Pregnancy: A Systematic Review

Caries Research ◽

10.1159/000481407 ◽

2018 ◽

Vol 52 (1-2) ◽

pp. 139-152 ◽

Cited By ~ 13

Author(s):

Juliana Schaia Rocha ◽

Letícia Yumi Arima ◽

Renata Iani Werneck ◽

Samuel Jorge Moysés ◽

Márcia Helena Baldani

Keyword(s):

Oral Health ◽

Latin American ◽

Dental Care ◽

Dental Service ◽

Behavioral Factors ◽

Service Usage ◽

Dental Services ◽

Perceived Need ◽

Utilization Of Dental Services ◽

Year 2000

Despite the fact that dental care attendance during pregnancy has been recommended by guidelines and institutions, the demand for dental services is still low among pregnant women. The aim of this study was to identify and analyze the determinants of dental care attendance during pregnancy. We performed a systematic literature search in the electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Brazilian Library in Dentistry, Cumulative Index to Nursing and Allied Health Literature, and Medline using relevant keywords. Studies were filtered by publication year (2000-2016) and language (English, Portuguese, Spanish, and French). The included studies were assessed for quality. Their characteristics and statistically significant factors were reported. Fourteen papers were included in the review. The prevalence of dental service usage during pregnancy ranged from 16 to 83%. Demographic factors included women's age, marital status, parity, and nationality. The socioeconomic factors were income, educational level, and type of health insurance. Many psychological and behavioral factors played a role, including oral health practices, oral health and pregnancy beliefs, and health care maintenance. Referred symptoms of gingivitis, dental pain, or dental problems were perceived need. Demographic, socioeconomic, psychological, behavioral factors and perceived need were associated with the utilization of dental services during pregnancy. More well-designed studies with reliable outcomes are required to confirm the framework described in this review.

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A Multi-Level Approach to Understanding Oral Health Beliefs and Practices in Rural Ethiopia - A Qualitative Study

SSRN Electronic Journal ◽

10.2139/ssrn.3487744 ◽

2019 ◽

Author(s):

Safaa Suliman Ahmed ◽

Shruti Chhabra ◽

Lubna AlNasser ◽

Amanuel Gebremeskel ◽

Sonia Ehrlich Sachs

Keyword(s):

Oral Health ◽

Qualitative Study ◽

Health Beliefs ◽

Beliefs And Practices ◽

Rural Ethiopia ◽

Multi Level ◽

Oral Health Beliefs ◽

Health Beliefs And Practices

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The Impact of Maternal Self-Efficacy and Oral Health Beliefs on Early Childhood Caries in Latino Children

Frontiers in Public Health ◽

10.3389/fpubh.2017.00228 ◽

2017 ◽

Vol 5 ◽

Cited By ~ 6

Author(s):

Anne R. Wilson ◽

Matthew J. Mulvahill ◽

Tamanna Tiwari

Keyword(s):

Early Childhood ◽

Oral Health ◽

Health Beliefs ◽

Self Efficacy ◽

Early Childhood Caries ◽

Latino Children ◽

Oral Health Beliefs ◽

The Impact ◽

Childhood Caries

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Dental Visits during Pregnancy: Pregnancy Risk Assessment Monitoring System Analysis 2012–2015

JDR Clinical & Translational Research ◽

10.1177/23800844211028541 ◽

2021 ◽

pp. 238008442110285

Author(s):

H. Lee ◽

E. Tranby ◽

L. Shi

Keyword(s):

Risk Assessment ◽

Oral Health ◽

Prenatal Care ◽

Service Utilization ◽

Dental Care ◽

White Women ◽

Dental Service ◽

Pregnancy Risk ◽

Lower Odds ◽

Dental Visits

Objectives: This study aimed to update dental service utilization during pregnancy and to evaluate whether there are persistent disparities in dental care during pregnancy by race/ethnicity and Medicaid status. Methods: This retrospective secondary data analysis examined dental service utilization during and prior to pregnancy and met dental or oral health needs using the Pregnancy Risk Assessment Monitoring System (PRAMS) data sets on 75,876 women between 2012 and 2015. Results: Only about half of the women (51.7%) reported that they had at least 1 dental visit for cleaning during their most recent pregnancy. One of 5 women (19.7%) experienced dental problems during pregnancy, and 34.4% of these women did not visit dentists to address the problems. Non-Hispanic Black women had 14% lower odds of visiting dentists for cleaning during pregnancy compared to non-Hispanic White women (odds ratio [OR], 0.86; 95% CI confidence interval [CI], 0.80–0.92). There was no difference in dental visits prior to pregnancy between non-Hispanic Black and White women. Women enrolled in Medicaid showed significantly lower odds of visiting dentists for cleaning during pregnancy compared to women covered by private health insurance (OR, 0.55; 95% CI, 0.52–0.58). Conclusion for Practice: Oral health, as an integral part of primary care, needs to be included in the standard prenatal care through oral health education and timely dental care during pregnancy. With mounting evidence of persisting disparities in dental service utilization during pregnancy, both public and private prenatal programs and policies should address specific barriers in accessing and using dental care during pregnancy, especially for women from socially disadvantaged backgrounds. Knowledge Transfer Statement: The current study updated the previous findings with more recent multiyear PRAMS data (2012–2015) and found the Black-White disparity and disparity among Medicaid-enrolled women in visiting dentists during pregnancy persist. The results of this study can be used by policymakers and practitioners to integrate oral health into prenatal care for pregnant women from marginalized backgrounds to achieve oral health parity.

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Cross-sectional study of oral health care service, oral health beliefs and oral health care education of caregivers in nursing homes

Geriatric Nursing ◽

10.1016/j.gerinurse.2021.11.010 ◽

2022 ◽

Vol 43 ◽

pp. 138-145

Author(s):

Adalheidur Svana Sigurdardottir ◽

Olof Gudny Geirsdottir ◽

Alfons Ramel ◽

Inga Bergmann Arnadottir

Keyword(s):

Health Care ◽

Oral Health ◽

Health Beliefs ◽

Care Service ◽

Health Care Service ◽

Oral Health Care ◽

Cross Sectional Study ◽

Health Care Education ◽

Cross Sectional ◽

Oral Health Beliefs

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A Cross-Sectional Analysis of Oral Health Spending Over the Lifespan in Commercial and Medicaid Insured Populations

10.1101/2021.05.17.21256858 ◽

2021 ◽

Author(s):

Eric Tranby ◽

Julie Frantsve-Hawley ◽

Myechia Minter-Jordan ◽

James Thommes ◽

Matt Jacob ◽

...

Keyword(s):

Oral Health ◽

Oral Cancer ◽

Dental Care ◽

Care Delivery ◽

Health Spending ◽

Dental Service ◽

Fee For Service ◽

Cross Sectional ◽

Medical Spending ◽

Ibm Watson

Background: Life course theory creates a better framework to understand how oral health needs and challenges align with specific phases of the lifespan, care models, social programs, and changes in policy. Methods): Data are from the 2018 IBM Watson Multi-State Medicaid Marketscan Database (31 million claims) and the 2018 IBM Watson Dental Commercial and Medicare Supplemental Claims Database (45 million claims). Analysis compares per enrollee spending fee-for-service dental claims and medical spending on dental care from ages 0 to 89. Results: Dental utilization and spending are lower during the first 4 years of life and in young adulthood than in other periods of life. Stark differences in the timing, impact, and severity of caries, periodontal disease, and oral cancer are seen between those enrolled in Medicaid and commercial dental plans. Early childhood caries and oral cancer occur more frequently and at younger ages in Medicaid populations. Conclusions: This unique lifespan analysis of the U.S. multi-payer dental care system demonstrates the complexities of the current dental service environment and a lack of equitable access to oral healthcare. Practical Implications: Health policies should be focused on optimizing care delivery to provide effective preventive care at specific stages of the lifespan.

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Traditional oral health beliefs and practices of Bulang people in Yunnan, China

Journal of Investigative and Clinical Dentistry ◽

10.1111/jicd.12281 ◽

2017 ◽

Vol 9 (1) ◽

Cited By ~ 1

Author(s):

Shinan Zhang ◽

Edward C. M. Lo ◽

Chun‐Hung Chu

Keyword(s):

Oral Health ◽

Health Beliefs ◽

Beliefs And Practices ◽

Oral Health Beliefs ◽

Health Beliefs And Practices

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Oral Health Beliefs in Diverse Populations

Advances in Dental Research ◽

10.1177/08959374970110020601 ◽

1997 ◽

Vol 11 (2) ◽

pp. 235-243 ◽

Cited By ~ 40

Author(s):

T.T. Nakazono ◽

P.L. Davidson ◽

R.M. Andersen

Keyword(s):

Oral Health ◽

Health Beliefs ◽

Health Belief ◽

Female Gender ◽

Oral Disease ◽

Validity And Reliability ◽

Self Rated Health ◽

Preventive Practices ◽

Oral Health Beliefs ◽

The Impact

Using data from population-based samples of adults participating in the ICS-II USA study, and using principal components analysis, we constructed oral health belief measures corresponding to the Health Belief Model (HBM) dimensions. Tests of validity and reliability were performed. Scales measuring perceived benefit of preventive practices and seriousness of oral disease had the highest validity and reliability. We used multiple regression analysis to examine sociodemographic predictors of perceived benefits of preventive practices. Race-ethnicity and age cohort were significant predictors among Baltimore and San Antonio adults. White adults and middle-aged persons in both research locations were more likely to believe in the benefit of preventive practices. Female gender, higher educational attainment, and better self-rated health were significant indicators of more positive oral health beliefs in every research location. Results also characterize persons who place lower value on preventive practices (i.e., males, less-educated persons, and those reporting poorer self-rated health). The design of effective dental public health messages and outreach efforts requires an analysis of the individual's health orientation and the factors influencing oral health beliefs. Oral health education interventions designed to improve health beliefs should contain an evaluation component for assessing the impact of education on health practices and oral health status.

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