Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx

Background: Pregnant women have been identified as a special adult population that is particularly vulnerable to oral diseases. The aims of this study were (1) to determine the prevalence of oral disease risk factors and (2) to examine the association between having a dental visit in the last 12 mon...

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Main Authors: Megan Cloidt, Parth Shah, Erica Robles, Molly Findley, Nadia Laniado
Format: Article
Language:English
Published: Mary Ann Liebert 2025-01-01
Series:Women's Health Reports
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Online Access:https://www.liebertpub.com/doi/10.1089/whr.2024.0187
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author Megan Cloidt
Parth Shah
Erica Robles
Molly Findley
Nadia Laniado
author_facet Megan Cloidt
Parth Shah
Erica Robles
Molly Findley
Nadia Laniado
author_sort Megan Cloidt
collection DOAJ
description Background: Pregnant women have been identified as a special adult population that is particularly vulnerable to oral diseases. The aims of this study were (1) to determine the prevalence of oral disease risk factors and (2) to examine the association between having a dental visit in the last 12 months and obvious tooth decay among a sample of pregnant women with low income. Methods: This cross-sectional study analyzed the outcomes of oral health risk assessments for 554 pregnant women in a municipal hospital in the Bronx, New York. Descriptive statistical analyses were performed to examine the characteristics of the study population. Simple and multivariable logistic regression analyses were conducted to examine the association between having a dental visit in the last 12 months and obvious tooth decay. Results: Overall, 28.2% of participants had a dental visit in the last 12 months and 87.7% had dental insurance. Over half of individuals reported frequent consumption of sugary beverages (52.2%). Nearly 30% of the participants showed signs of obvious tooth decay. There was no statistically significant association between last dental visit and obvious tooth decay (odds ratio = 1.02, 95% confidence interval [0.67–1.56]). Conclusions: The high prevalence of unmet oral health needs despite widespread dental insurance coverage in this study sample suggests other barriers to oral health care beyond insurance coverage. The findings from this study underscore the complexity of oral disease and the potential role that targeted, interprofessional efforts can have on the promotion of oral health in vulnerable pregnant women.
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spelling doaj-art-98f24d6428d94ded94c691242a8f31132025-08-20T02:30:49ZengMary Ann LiebertWomen's Health Reports2688-48442025-01-016136036810.1089/whr.2024.0187Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the BronxMegan Cloidt0Parth Shah1Erica Robles2Molly Findley3Nadia Laniado4Department of Dentistry/OMFS, Jacobi Medical Center, Bronx, New York, USA.Department of Dentistry/OMFS, Jacobi Medical Center, Bronx, New York, USA.Department of Dentistry/OMFS, Jacobi Medical Center, Bronx, New York, USA.Department of Obstetrics & Gynecology, Jacobi Medical Center, Bronx, New York, USA.Department of Dentistry/OMFS, Jacobi Medical Center, Bronx, New York, USA.Background: Pregnant women have been identified as a special adult population that is particularly vulnerable to oral diseases. The aims of this study were (1) to determine the prevalence of oral disease risk factors and (2) to examine the association between having a dental visit in the last 12 months and obvious tooth decay among a sample of pregnant women with low income. Methods: This cross-sectional study analyzed the outcomes of oral health risk assessments for 554 pregnant women in a municipal hospital in the Bronx, New York. Descriptive statistical analyses were performed to examine the characteristics of the study population. Simple and multivariable logistic regression analyses were conducted to examine the association between having a dental visit in the last 12 months and obvious tooth decay. Results: Overall, 28.2% of participants had a dental visit in the last 12 months and 87.7% had dental insurance. Over half of individuals reported frequent consumption of sugary beverages (52.2%). Nearly 30% of the participants showed signs of obvious tooth decay. There was no statistically significant association between last dental visit and obvious tooth decay (odds ratio = 1.02, 95% confidence interval [0.67–1.56]). Conclusions: The high prevalence of unmet oral health needs despite widespread dental insurance coverage in this study sample suggests other barriers to oral health care beyond insurance coverage. The findings from this study underscore the complexity of oral disease and the potential role that targeted, interprofessional efforts can have on the promotion of oral health in vulnerable pregnant women.https://www.liebertpub.com/doi/10.1089/whr.2024.0187access to health caredental careoral healthpregnancyprenatal caresocial determinants of health
spellingShingle Megan Cloidt
Parth Shah
Erica Robles
Molly Findley
Nadia Laniado
Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx
Women's Health Reports
access to health care
dental care
oral health
pregnancy
prenatal care
social determinants of health
title Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx
title_full Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx
title_fullStr Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx
title_full_unstemmed Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx
title_short Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx
title_sort addressing oral health disparities in pregnancy oral health risk factors and clinical findings at a safety net hospital in the bronx
topic access to health care
dental care
oral health
pregnancy
prenatal care
social determinants of health
url https://www.liebertpub.com/doi/10.1089/whr.2024.0187
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