ORIGINAL ARTICLE
Sociodemographic Disparities and Self-reported Oral Health Problems Associated with Pregnancy: A Case-control Study in Morocco
 
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1
Laboratory of Human Ecology, Department of Biology, School of Sciences Semlalia, Cadi Ayyad University, Marrakesh. MOROCCO
 
2
High Institute of Nursing and Technical Health, Marrakesh, MOROCCO
 
3
Department of orthodontics, School of dentistry of Rabat, Mohamed V university, Rabat, MOROCCO *
 
 
Online publication date: 2020-05-03
 
 
Publication date: 2020-05-03
 
 
Electron J Gen Med 2020;17(5):em249
 
KEYWORDS
ABSTRACT
Background:
Dental and periodontal diseases are a public health problem over the world, however little is known about individual characteristics or behaviors associated with self-reported oral status during pregnancy. This cross-sectional study examines the relationships between pregnancy and Dental and Periodontal Health (DPH), socio-demographic factors and DPH, and health behavioral factors and DPH.

Study design:
This study adopted a cross-sectional, descriptive and correlational research design to investigate the current oral health related health behavior, and socio-demographic disparities in pregnant and non-pregnant women in the MARRAKESH region in Morocco.

Methods:
Participants (n=539, 251 pregnant, and 288 non-pregnant women), recruited from two health centers in the Marrakesh region (urban and rural), completed questionnaires addressing: Education, economic status, dental insurance, self-reported DPH, oral hygiene practices, and dental care utilization.

Results:
162 women were urban and 87 were rural in the pregnant group, while 226 women were urban vs 62 in the non-pregnant group. Also, 181 women were educated and 68 were illiterate in the pregnant group while 238 women were educated and 50 were illiterate in the non-pregnant women group. Moreover, pregnant women brush less frequently than non-pregnant women, dental visits were more important amongst non-pregnant women than pregnant women, and only 37 pregnant women visited a dentist while 82 pregnant women visited a dental quack.

Conclusion:
This study highlights the effect of pregnancy and sociodemographic disparities on self-reported DPH, and provides useful findings for preventive and therapeutic interventions.

REFERENCES (31)
1.
Dye BA, Thornton-Evans G, Li X, Iafolla TJ. Dental caries and tooth loss in adults in the United States, 2011–2012. NCHS data brief, no 197. Hyattsville, MD: National Center for Health Statistics 2015. Available at: https://www.cdc.gov/nchs/data/... PMID:25973996.
 
2.
Pushpa T, Kumar KA, Suresh M, Abhinav V, Kumar BJ, Meghnath D, et al. Oral hygiene practices and their socio-demographic correlates among Nepalese adult: evidence from non communicable diseases risk factors STEPS survey Nepal 2013. BMC Oral Health 2016;16:105. https://doi.org/10.1186/s12903... PMid:27686858 PMCid:PMC5041565.
 
3.
Hybels CF, Wu B, Landerman LR, Liang J, Bennett JM, and Plassman BL. Trends in Decayed Teeth among Middle-Aged and Older Adults in the United States: Socioeconomic Disparities Persist Over Time. J Public Health Dent. 2016 Sep;76(4):287-94. https://doi.org/10.1111/jphd.1... PMid:27061828 PMCid:PMC5055403.
 
4.
Nishi M, Harding M, Kelleher V, Whelton H, Allen F. Knowledge of caries risk factors/indicators among Japanese and Irish adult patients with different socio-economic profiles: a cross-sectional study. BMC Oral Health 2017;17:55. https://doi.org/10.1186/s12903... PMid:28209191 PMCid:PMC5314636.
 
5.
Vergnes JN, Kaminski M, Lelong N, Musset AM , Sixou M and al. Frequency and Risk Indicators of Tooth Decay among Pregnant Women in France: A Cross-Sectional Analysis. PLoS ONE 2012;7:5. https://doi.org/10.1371/journa... PMid:22586442 PMCid:PMC3346733.
 
6.
La Marca-Ghaemmaghami P, Ehlert U. Stress during pregnancy. Experienced stress, stress hormones, and protective factors. Eur Psychol 2015;20:102-19. https://doi.org/10.1027/1016-9....
 
7.
Xie Y, Xiong X, Elkind-Hirsch KE, Pridjian G, Maney P, Delarosa RL, et al. Change of periodontal disease status during and after pregnancy 2013. J Periodontol 2013;84(6):725-31. https://doi.org/10.1902/jop.20... PMid:22873653.
 
8.
Balan P, He HG, Cao F, Wong ML, Chong YS and al. Oral Health in Pregnant Chinese Women in Singapore: A Call to Go beyond the Traditional Clinical Care. Healthcare 2018;6:77. https://doi.org/10.3390/health... PMid:29987265 PMCid:PMC6163358.
 
9.
Chen LW, Low Y L, Fok D, Han WM, Chong YS, Gluckman P and al. Dietary changes during pregnancy and the postpartum period in Singaporean Chinese,Malay and Indian women: The GUSTO birth cohort study. Public Health Nutr 2014;17:1930-8. https://doi.org/10.1017/S13689... PMid:23806144.
 
10.
Tettamanti L, Lauritano D, Nardone M, Gargari M, Silvestre JR, Gavoglio P, Tagliabue A. Pregnancy and periodontal disease: does exist a two-way relationship? Oral Implantol (Rome) 2017 Apr-Jun;10(2):112-8. https://doi.org/10.11138/orl/2... PMid:29876036 PMCid: PMC5965070.
 
11.
Eke PI, Dye BA, Wei L, Thornton-Evans GO, Genco RJ. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res 2012;91(10):914-20. https://doi.org/10.1177/002203... PMid:22935673.
 
12.
Figuero E, Carrillo-de-Albornoz A, Martın C, Tobıas A, Herrera D. Effect of pregnancy on gingival inflammation in systemically healthy women: a systematic review. J Clin Periodontol 2013;40:457-73. https://doi.org/10.1111/jcpe.1... PMID: 23557432.
 
13.
González-Jaranay, Téllez L, Roa-López A, Gómez-Moreno G, Moreu G. Periodontal status during pregnancy and postpartum. PLoS One 2017 May 19;12(5):e0178234. https://doi.org/10.1371/journa... PMid:28538740 PMCid:PMC5438174.
 
14.
Wu Y.M, Ren F, Chen LL, Sun WL, Liu J, et al. Possible socioeconomic and oral hygiene behavioural risk factors for self-reported periodontal diseases in women of childbearing age in a Chinese population. Oral Health Prev. Dent 2014;12:171-81. https://doi.org/10.3290/j.ohpd....
 
15.
Hartnett E, Haber J, Krainovich-Miller B, Bella A, Vasilyeva A, Lange Kessler J. Oral Health in Pregnancy. J Obstet Gynecol Neonatal Nurs 2016 Jul-Aug;45(4):565-73. https://doi.org/10.1016/j.jogn... PMid:27281467.
 
16.
Capasso F, Vozza I, Capuccio V, Vestri AR, Polimeni A, Ottolenghi L. Correlation among periodontal health status, maternal age and pre-term low birth weight. Am. J. Dent 2016;29:197–200. Available at: https://europepmc.org/article/....
 
17.
Daalderop LA, Wieland BV, Tomsin K, Reyes L, Kramer BW, et al. Periodontal Disease and Pregnancy Outcomes: Overview of Systematic Reviews. JDR Clin Trans Res 2018 Jan;3(1):10-27. https://doi.org/10.1177/238008... PMid:30370334 PMCid:PMC6191679.
 
18.
Wallace B, Browne AJ, Varcoe C, et al. Self-reported oral health among a community sample of people experiencing social and health inequities: crosssectional findings from a study to enhance equity in primary healthcare settings. BMJ Open 2015;5:e009519. https://doi.org/10.1136/bmjope... PMid:26700285 PMCid:PMC4691735.
 
19.
Boggess KA, Edelstein BL. Oral Health in Women During Preconception and Pregnancy: Implications for Birth Outcomes and Infant Oral Health. Matern Child Health J. 2006 Sep;10(Suppl 1):169-74. https://doi.org/10.1007/s10995... PMid:16816998 PMCid:PMC1592159.
 
20.
High Commission for the Plan, Note on the first results of the General Census of Population and Housing 2014. Available at: https://www.hcp.ma/Repartition....
 
21.
Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am. Family Phys., 2008;77:1139-44. Available at: https://www.aafp.org/afp/2008/....
 
22.
Addi RA, Benksim A, Zouini M, Cherkaoui M. A Cross-sectional Study of Socio-demographic Characteristics of Pregnant Women on the Dental and Periodontal Health. Asian Journal of Epidemiology 2018;11:14-9. https://doi.org/10.3923/aje.20....
 
23.
Chung LH, Gregorich SE, Armitage GC, Vargas JG, and. Adams SH. Sociodemographic disparities and behavioral factors in clinical oral health status during pregnancy. Community Dent Oral Epidemiol. 2014 April;42(2):151-9. https://doi.org/10.1111/cdoe.1... PMid:24117710 PMCid: PMC3960354.
 
24.
Wu M, Chen, SW, Jiang SY. Relationship between Gingival Inflammation and Pregnancy. Hindawi Publishing Corporation Mediators of Inflammation 2015;11:Article ID 623427. https://doi.org/10.1155/2015/6... PMid:25873767 PMCid:PMC4385665.
 
25.
Rashidi Maybodi F, Haerian-Ardakani A, Vaziri F, Khabbazian A, Mohammadi-Asl S. CPITN changes during pregnancy and maternal demographic factors ‘impact on periodontal health. Iran J Reprod Med 2015;13:107-12. PMID:26000000.
 
26.
Piscoya MD, Ximenes RA, Silva GM, Jamelli SR, Coutinho SB. Periodontitis-associated risk factors in pregnant Women. CLINICS 2012;67(1):27-33. https://doi.org/10.6061/clinic... PMID:22249477.
 
27.
Karunachandra NN, Perera I, Fernando G. Oral health status during pregnancy: rural-urban comparisons of oral disease burden among antenatal women in Sri Lanka. Rural and Remote Health 2012;12:1902. Available at: www.rrh.org.au/journal/article/1902.
 
28.
Mashoto KO, Astrom AN, Skeie MS, Masalu JR. Socio-demographic disparity in oral health among the poor: a cross sectional study of early adolescents in Kilwa district, Tanzania. BMC Oral Health 2010;10:7. https://doi.org/10.1186/1472-6... PMid:20406452 PMCid:PMC2868779.
 
29.
Kumari S, Mishra SK, Mishra P. An evidence-based review on quackery in dentistry. BLDE University Journal of Health Sciences 2018;3:75-8. Available at: http://www.bldeujournalhs.in/a....
 
30.
Reddy KV, Bansal V, Singh PK, Bhambal A, Gupta M and al. Perceptions Regarding Treatment by Dental Quacks and Self-Rated Oral Health Among the Residents of Bhopal City, Central India. J Indian Assoc Public Health Dent 2017; 15:84-8. Available at: http://www.jiaphd.org/article.....
 
31.
Thomas J III, Paulet M, Rajpura JR. Consistency between Self-Reported and Recorded Values for Clinical Measures. Cardiology Research and Practice 2016;6:Article ID 4364761. https://doi.org/10.1155/2016/4... PMid:26942034 PMCid:PMC4752969.
 
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