Author/Authors :
rahebi, donya golestan university of medical sciences - dental research center, faculty of dentistry, Gorgan, iran , valadbeigi, tannaz tehran university of medical sciences - student research committee, school of public health - department of epidemiology and biostatistics, Tehran, iran , hasani, jalil torbat jam faculty of medical sciences - department of public health, Torbat Jam, iran , hajipour, mahmoud shahid beheshti university of medical sciences - pediatric gastroenterology, hepatology, and nutrition research center, research institute for children’s health, tehran, iran , erfanpoor, saeed iran university of medical sciences - department of epidemiology, tehran, iran , etemad, koorosh shahid beheshti university of medical sciences - environmental and occupational hazards control research center, faculty of public health - department of epidemiology, Tehran, iran , yaghoobi, halime hormozgan university of medical sciences - mother and child welfare research center, Bandar Abbas, iran , zolfizadeh, fatemeh hormozgan university of medical sciences - mother and child welfare research center, Bandar Abbas, iran , esmaeilzadeh, firooz maragheh university of medical sciences - school of nursing and midwifery - department of health economic, Maragheh, iran , gholami, ali neyshabur university of medical sciences - noncommunicable diseases research center, Neyshabur, Iran , rajabi, abdolhalim golestan university of medical sciences - environmental health research center, faculty of health, Gorgan, iran
Abstract :
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.