Disparities in Unmet Dental Need and Dental Care Received by Pregnant Women in Maryland
- 408 Downloads
To examine prenatal dental care needs, utilization and oral health counseling among Maryland women who delivered a live infant during 2001–2003 and identify the factors associated with having a dental visit and having an unmet dental need during pregnancy. Pregnancy Risk Assessment Monitoring System is an ongoing population based surveillance system that collects information of women’s attitudes and experiences before, during, and shortly after pregnancy. Logistic regression was used to model dental visits and unmet dental need using predictor variables for Maryland 2001–2003 births. Less than half of all women reported having a dental visit and receiving oral health advice during pregnancy. Twenty-five percent of women reported a need for dental care, of which 33 % did not receive dental care despite their perceived need. Multivariate modeling revealed that racial minorities, women who were not married and those with annual income <$40,000 were least likely to have a dental visit. Women who were not married, had low annual income, were older than 40 years of age, had an unintended pregnancy and received prenatal care later than desired were most likely to have an unmet dental need during pregnancy. Despite reported needs and existing recommendations to include oral health as a component of prenatal care, less than half of pregnant women have a dental visit during their pregnancy. One-third of women with a dental problem did not have a dental visit highlighting the unmet need for dental care during pregnancy.
KeywordsPregnancy Dental visits Unmet need Disparities Oral health Prenatal care
This research was supported by Office of Science Policy and Analysis of the NIH, NIDCR. The views expressed in this article are that of the authors and do not necessarily represent the views of the National Institutes of Health or the US Government.
- 4.Madianos, P. N., Bobetsis, G. A., Kinane, D. F. (2002). Is periodontitis associated with an increased risk of coronary heart disease and preterm and/or low birth weight births? Journal of Clinical Periodontology 29(Suppl 3):22,36; discussion 37–38.Google Scholar
- 5.Hwang, S. S., Smith, V. C., McCormick, M. C., Barfield, W. D. (2011). The association between maternal oral health experiences and risk of preterm birth in 10 states, pregnancy risk assessment monitoring system, 2004–2006. Maternal and Child Health Journal. Google Scholar
- 8.Chambrone, L., Pannuti, C. M., Guglielmetti, M. R., & Chambrone, L. A. (2011). Evidence grade associating periodontitis with preterm birth and/or low birth weight: II: A systematic review of randomized trials evaluating the effects of periodontal treatment. Journal of Clinical Periodontology, 38(10), 902–914.CrossRefPubMedGoogle Scholar
- 18.Berkowitz, R. J. (2006). Mutans streptococci: Acquisition and transmission. Pediatric Dentistry28(2):106,9; discussion 192–198.Google Scholar
- 29.Gomez, S. S., Weber, A. A., Emilson, C. G. (2001). A prospective study of a caries prevention program in pregnant women and their children five and six years of age. ASDC Journal of Dentistry for Children 68(3):191, 5, 152.Google Scholar
- 37.D’Angelo, D., Williams, L., Morrow, B., Cox, S., Harris, N., Harrison, L., et al. (2007). Preconception and interconception health status of women who recently gave birth to a live-born infant–pregnancy risk assessment monitoring system (PRAMS), United States, 26 reporting areas, 2004. MMWR Surveillance Summaries, 56(10), 1–35.Google Scholar
- 40.Kloetzel, M. K., Huebner, C. E., Milgrom, P., Littell, C. T., Eggertsson, H. (2012). Oral health in pregnancy: Educational needs of dental professionals and office staff. Journal of Public Health Dentistry.Google Scholar
- 42.Kim, A. J., Lo, A. J., Pullin, D. A., Thornton-Johnson, D. S., Karimbux, N. Y. (2012). Scaling and root planing treatment for periodontitis to reduce preterm birth and low birth weight: A systematic review and meta-analysis of randomized controlled trials. Journal of periodontology.Google Scholar
- 43.“PRAMS home” [Internet]. (2012). http://www.cdc.gov/PRAMS/index.htm.
- 44.Detailed PRAMS methodology [Internet]. (2012). http://www.cdc.gov/prams/methodology.htm.
- 46.Centers for Disease Control and Prevention (CDC). (2010). Perceived health needs and receipt of services during pregnancy—Oklahoma and South Carolina, 2004–2007. MMWR. Morbidity and Mortality Weekly Report, 59(23), 710–714.Google Scholar
- 47.Thompson, T. A., Cheng, D., Strobino, D. (2012). Dental cleaning before and during pregnancy among Maryland mothers. Maternal and Child Health Journal.Google Scholar
- 49.California Dental Association Foundation, American College of Obstetricians and Gynecologists, District IX. (2010). Oral health during pregnancy and early childhood: Evidence-based guidelines for health professionals. Journal of the California Dental Association 38(6):391,403, 405–440.Google Scholar