Utilization of dental care in Iranian pregnant women: Findings from a population-based study
Donya Rahebi1, Tannaz Valadbeigi2, Jalil Hasani3, Mahmoud Hajipour4, Saeed Erfanpoor5, Koorosh Etemad6, Halime Yaghoobi7, Fatemeh Zolfizadeh7, Firooz Esmaeilzadeh8, Ali Gholami9, Abdolhalim Rajabi10
1 Dental Research Center, Faculty of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran
2 Department of Epidemiology and Biostatistics, Student Research Committee, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Public Health, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran
4 Pediatric Gastroenterology, Hepatology, and Nutrition Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran
6 Department of Epidemiology, Environmental and Occupational Hazards Control Research Center, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
7 Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
8 Department of Health Economic, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran
9 Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran
10 Environmental Health Research Center, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran
Dr. Abdolhalim Rajabi
Department of Biostatistics and Epidemiology, School of Health, Golestan University of Medical Sciences, Hirkan Blvd., Gorgan 1449614535
Source of Support: None, Conflict of Interest: None
Background: Although 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 examine the prevalence of not receipt dental care and also determinants of that during pregnancy.
Materials and Methods: This population-based study was conducted on 4071 mothers in 10 provinces of Iran, during 2014–2015. We calculated the prevalence of not receipt of dental care, and reasons for nonreceipt of care. We used logistic regression to estimate odds of nonreceipt of care by demographics variables. In the analyses, the level of statistical significance was set at P < 0.05.
Results: Overall, 54.70% of women had no dental visit during pregnancy. In mothers who had a history of stillbirth, neonatal death and live birth, the prevalence of not receipt dental care during pregnancy were 54.56%, 48.92%, and 58.76%, respectively. The logistic regression analyses showed that parity second-to-fourth birth than first birth (odds ratio [OR] 1.37 confidence interval [CI] 95% 1.17–1.59, residence in rural (OR 1.68 CI 95% 1.45–1.95), and not intended pregnancy (OR 1.32 CI 95% 1.03–1.68) associated with not received dental care during pregnancy.
Conclusion: Most pregnant women in this study received insufficient dental care. The need for dental care during pregnancy must be promoted widely among women of reproductive age, and family barriers to dental care should be addressed.