Abstract Despite increasing recognition of the importance
of oral health to overall health, dental care utilization
remains low in the US. Given the established link between
maternal oral health and child oral health, this study
examined factors related to preventive dental care utilization
at two critical time points, before and during pregnancy.
Data were obtained from a sample of 6,171 women
who delivered a live birth during 2004–2008 and completed
the Maryland Pregnancy Risk Assessment Monitoring
System postpartum survey. Multinomial logistic
analyses examined associations between predisposing and
enabling factors with dental cleaning before and during
pregnancy. Women with less than a high school education
or a history of physical abuse and non-Hispanic black and
Hispanic women were less likely to report teeth cleaning
before and during pregnancy. Having no insurance at the
start of pregnancy was associated with significantly lower
risk of teeth cleaning before pregnancy and both before and
during pregnancy. Receipt of oral health counseling during
pregnancy was positively related to teeth cleaning during
pregnancy. Dental cleaning is associated with insurance,
oral health counseling and maternal factors such as race,
ethnicity, education and history of physical abuse. Better
integration of oral health into prenatal health care, particularly
among ethnic and racial minority groups, may be
beneficial to maternal and infant well-being. Oral health
promotion, disease prevention and health care should be a
part of the local, state and national health policy agendas.
Abstract Despite increasing recognition of the importance
of oral health to overall health, dental care utilization
remains low in the US. Given the established link between
maternal oral health and child oral health, this study
examined factors related to preventive dental care utilization
at two critical time points, before and during pregnancy.
Data were obtained from a sample of 6,171 women
who delivered a live birth during 2004–2008 and completed
the Maryland Pregnancy Risk Assessment Monitoring
System postpartum survey. Multinomial logistic
analyses examined associations between predisposing and
enabling factors with dental cleaning before and during
pregnancy. Women with less than a high school education
or a history of physical abuse and non-Hispanic black and
Hispanic women were less likely to report teeth cleaning
before and during pregnancy. Having no insurance at the
start of pregnancy was associated with significantly lower
risk of teeth cleaning before pregnancy and both before and
during pregnancy. Receipt of oral health counseling during
pregnancy was positively related to teeth cleaning during
pregnancy. Dental cleaning is associated with insurance,
oral health counseling and maternal factors such as race,
ethnicity, education and history of physical abuse. Better
integration of oral health into prenatal health care, particularly
among ethnic and racial minority groups, may be
beneficial to maternal and infant well-being. Oral health
promotion, disease prevention and health care should be a
part of the local, state and national health policy agendas.
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