Author ORCID Identifier

https://orcid.org/0009-0001-2602-4364

Date of Award

Summer 8-7-2024

Degree Type

Thesis

Degree Name

Master of Public Health (MPH)

Department

Public Health

First Advisor

Dr. Ike Okosun

Second Advisor

Yomi Bello

Abstract

Introduction: Maternal oral health is crucial for the well-being of both the growing child and the pregnant mother. Poor oral health can result in dental emergencies, greater risk of low-birth-weight babies, and pre-eclampsia. However, there is limited understanding of the relationship between pregnancy and the utilization of dental healthcare services by women.

Aim: This study compares the use of dental healthcare services by pregnant and non-pregnant women.

Methods: National Health and Examination Survey demographic and oral health data from 2013-2018 were utilized. Multivariable logistic regression analysis was conducted to establish the relationship between pregnancy and the utilization of dental healthcare services, while controlling for confounding factors.

Results: The analysis revealed that pregnant women were 2.281 times more likely to not to use dental healthcare services compared to non-pregnant women. Additionally, black pregnant women were 1.046 times more likely to not visit the dentist compared to women of other racial/ethnic groups. Widowed pregnant women were 1.376 times more likely to not seek dental healthcare services, while separated women were 1.18 times more likely not to use dental services. Women living with their partner were 1.143 times more likely not to utilize dental healthcare services. Other factors associated with lower dental healthcare services use included having three or more children under the age of 5 years (OR=1.50) and an annual income of less than $20,000 (OR=5.00), after adjusting for other independent variables.

Conclusion: The study's results call for developing and targeting public health messages regarding dental health services among pregnant women. These messages should be race-specific and encourage regular use of dental services.

DOI

https://doi.org/10.57709/37369794

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