Lisa H. Chung|Steven E. Gregorich|Gary C. Armitage|Judy Gonzalez?Vargas|Sally Adams
Sociodemographic disparities and behavioral factors in clinical oral health status during pregnancy
University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco
although oral health oh problems common pregnancy little known individual characteristics behaviors relating clinically assessed oh pregnancy crosssectional study describes clinical oh status sample pregnant women examines relationships sociodemographic factors oh behavioral factors oh influence behavior relationships sociodemographic clusters oh baseline data utilized pilot intervention study promoting oh pregnancyparticipants n 99 recruited centeringpregnancy prenatal care groups completed questionnaires addressing raceethnicity income education dental insurance oral hygiene practices dental care utilization clinical examinations periodontal probing depths pd bleeding probing bop plaque assessment visual detection untreated decay chisquares oneway anovas tukeys studentized range test planned comparisons conducted examine bivariable relationships sociodemographic behavioral characteristics oh status multivariable logistic regression analyses tested whether effects sociodemographic variables oh status might mediated behaviors including selfreported oral hygiene recent dental visitsfortyfive percent sample untreated decay mean percentage sites bop 18 bivariable analyses sociodemographic factors indicated compared whites hispanic women greater sites bop pd 5 mm plus bop plaque index pi scores 2 p 005 greater untreated decay chisquare 133 p 0001 lower income related greater untreated decay chisquare 76 p 001 compared highest education level lowest level group higher bop p 005 public dental insurance versus private associated greater bop pd 5 mm plus bop p 005 greater untreated decay chisquare 169 p 0001 regarding behaviors lacking past 6month dental visit related greater bop pd 5 mm plus bop pi 2 f range 6287 p 001005 greater untreated decay chisquare 120 p 0001 selfreported optimal oral hygiene related lower bop pd 5 mm plus bop f range 4567 p 005 mediation analyses indicated significant indirect effects racialethnic differences oh outcomes via recent dental visit range 1219 however significant differences hispanic white groups remainedthis study highlights sociodemographic disparities clinical oh pregnancy importance dental care provides useful findings tailoring interventions expectant mothers infants