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Dental Care-Seeking and Information Acquisition During Pregnancy: A Qualitative Study.
Int J Environ Res Public Health. 2019 07 23; 16(14)IJ

Abstract

BACKGROUND

Pregnant women are at risk of oral health problems. This qualitative study aims to understand dental care-seeking behaviours of pregnant women and their oral health-related information acquisition, to identify barriers to and motivators for, dental visits, and further explore their expectations and possible strategies to improve oral health care during pregnancy.

METHODS

Semi-structured interviews were conducted with 30 pregnant women (after 32 gestational weeks) enrolled in the antenatal care programme in a public hospital in Hong Kong. Two main areas of interest were probed: Dental care-seeking behaviour and oral health information acquisition. Their expectations and suggestions on oral health care service for pregnant women were also explored. An inductive thematic approach was adopted to analyse the data.

RESULTS

Pregnant women's dental care-seeking behaviour was deterred by some internal factors, such as misunderstandings on oral health, and priority on other issues over oral health. External factors such as inconvenient access to dental service during pregnancy also affected their care-seeking behaviours. Oral health information was passively absorbed by pregnant women through mass media and the social environment, which sometimes led to confusion. Oral health information acquisition from antenatal institutions and care providers was rare. Greater attention was paid to dental visit when they obtained proper information from previous dental visit experience or family members. A potential strategy to improve oral health care suggested by the interviewees is to develop a health care system strengthened by inter-professional (antenatal-dental) collaboration. Efficient oral health information delivery, convenient access to dental service, and improved 'quality' of dental care targeting the needs of pregnant women were identified as possible approaches to improve dental care for this population.

CONCLUSION

Dental care-seeking behaviour during pregnancy was altered by various internal and external factors. A lack of, or conflict between, information sources result in confusion that can restrict utilisation of dental service. Integrating dental care into antenatal service would be a viable way to improve dental service utilisation.

Authors+Show Affiliations

Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China. mcmwong@hku.hk.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31340485

Citation

Liu, Pearl Pei, et al. "Dental Care-Seeking and Information Acquisition During Pregnancy: a Qualitative Study." International Journal of Environmental Research and Public Health, vol. 16, no. 14, 2019.
Liu PP, Wen W, Yu KF, et al. Dental Care-Seeking and Information Acquisition During Pregnancy: A Qualitative Study. Int J Environ Res Public Health. 2019;16(14).
Liu, P. P., Wen, W., Yu, K. F., Gao, X., & Wong, M. C. M. (2019). Dental Care-Seeking and Information Acquisition During Pregnancy: A Qualitative Study. International Journal of Environmental Research and Public Health, 16(14). https://doi.org/10.3390/ijerph16142621
Liu PP, et al. Dental Care-Seeking and Information Acquisition During Pregnancy: a Qualitative Study. Int J Environ Res Public Health. 2019 07 23;16(14) PubMed PMID: 31340485.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dental Care-Seeking and Information Acquisition During Pregnancy: A Qualitative Study. AU - Liu,Pearl Pei, AU - Wen,Weiye, AU - Yu,Ka Fung, AU - Gao,Xiaoli, AU - Wong,May Chun Mei, Y1 - 2019/07/23/ PY - 2019/07/03/received PY - 2019/07/20/revised PY - 2019/07/22/accepted PY - 2019/7/26/entrez PY - 2019/7/26/pubmed PY - 2019/12/25/medline KW - antenatal care KW - dental care seeking KW - information behaviour KW - oral health KW - pregnancy KW - qualitative methods JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 16 IS - 14 N2 - BACKGROUND: Pregnant women are at risk of oral health problems. This qualitative study aims to understand dental care-seeking behaviours of pregnant women and their oral health-related information acquisition, to identify barriers to and motivators for, dental visits, and further explore their expectations and possible strategies to improve oral health care during pregnancy. METHODS: Semi-structured interviews were conducted with 30 pregnant women (after 32 gestational weeks) enrolled in the antenatal care programme in a public hospital in Hong Kong. Two main areas of interest were probed: Dental care-seeking behaviour and oral health information acquisition. Their expectations and suggestions on oral health care service for pregnant women were also explored. An inductive thematic approach was adopted to analyse the data. RESULTS: Pregnant women's dental care-seeking behaviour was deterred by some internal factors, such as misunderstandings on oral health, and priority on other issues over oral health. External factors such as inconvenient access to dental service during pregnancy also affected their care-seeking behaviours. Oral health information was passively absorbed by pregnant women through mass media and the social environment, which sometimes led to confusion. Oral health information acquisition from antenatal institutions and care providers was rare. Greater attention was paid to dental visit when they obtained proper information from previous dental visit experience or family members. A potential strategy to improve oral health care suggested by the interviewees is to develop a health care system strengthened by inter-professional (antenatal-dental) collaboration. Efficient oral health information delivery, convenient access to dental service, and improved 'quality' of dental care targeting the needs of pregnant women were identified as possible approaches to improve dental care for this population. CONCLUSION: Dental care-seeking behaviour during pregnancy was altered by various internal and external factors. A lack of, or conflict between, information sources result in confusion that can restrict utilisation of dental service. Integrating dental care into antenatal service would be a viable way to improve dental service utilisation. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/31340485/Dental_Care_Seeking_and_Information_Acquisition_During_Pregnancy:_A_Qualitative_Study_ DB - PRIME DP - Unbound Medicine ER -