272611 Maternal Characteristics Associate With Dental Cleaning In The Perinatal Period Massachusetts PRAMS, 20072009

Monday, October 29, 2012

Angela Koenig, Candidate MD/MPH , Masters in Public Health, Tufts University School of Medicine, Boston, MA
Emily Lu, MPH , Bureau of Family Health and Nutrition- Pregnancy Risk Assessment Monitoring System (PRAMS), Massachusetts Dept. of Public Health, Boston, MA
Hafsatou Diop, MD, MPH , Bureau of Family Health and Nutrition- Pregnancy Risk Assessment Monitoring System (PRAMS), Massachusetts Department of Public Health, Boston, MA
Background: Poor oral health is prevalent among women in the perinatal period. Significant racial and ethnic disparities exist in the perinatal period, however, little is known about other risk factors associated with lower rates of dental cleaning among new mothers. Study Question: What maternal characteristics and health behaviors are associated with dental cleaning before and during pregnancy in Massachusetts? Methods: We analyzed 20072009 data from Massachusetts PRAMS population-based survey of women who delivered a live-born infant with a weighted response rate of 70%. We examined maternal characteristics of 4,385 women associated with dental cleaning 12 months before and during pregnancy using chi-square and multivariate analyses. Results: The prevalence of dental cleaning was 65% before pregnancy and 44% during pregnancy. Race, age, education, insurance status, and specific health indicators were significantly associated with rates of dental cleaning. Women who reported good health were 24% (95% CI=0.76;0.98) less likely to have their teeth cleaned before pregnancy. Women with more than 6 life stressors were 29% (95% CI=0.51;0.97) less likely to get their teeth cleaned during pregnancy. Women taking prenatal vitamins every day were 15% (95% CI= 1.04;1.27) more likely to get their teeth cleaned before pregnancy. Conclusion: Our study identified specific, previously undetermined maternal characteristics associated with rates of oral care in pregnancy that could be targeted for intervention. Public Health Implications: These data provide the opportunity to develop a stronger, integrated approach between public health, medical, and dental professionals to improve the rates of dental cleaning in vulnerable reproductive-aged populations.

Learning Areas:
Clinical medicine applied in public health
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Assess maternal health behaviors associated with lower rates of dental cleaning in the perinatal period Identify vulnerable populations of reproductive-aged women who may benefit from oral health education

Keywords: Pregnancy, Oral Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted this research in my first year of medical school working towards my MD/MPH, under the guidance of my two preceptors in the Bureau of Family Health and Nutrition within the Massachusetts Department of Public Health. Although I initiated the project, conducted the literature review and analyzed the data using the Massachusetts Pregnancy Risk Assessment Monitoring System with minimal oversight, all of my research and analysis has been reviewed by my preceptors.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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