What Child Oral Health–Related Behaviors Can First-time Mothers Actualize? A Pragmatic Prospective Study
| Autor: | L. Lytle, William F. Vann, Kimon Divaris, J. Alvey, Jessica Y. Lee |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Health Behavior Mothers Oral Health Oral health Rendering (computer graphics) 03 medical and health sciences 0302 clinical medicine Pregnancy Original Reports North Carolina Humans Medicine Prospective Studies Child Prospective cohort study General Dentistry 030505 public health business.industry Infant 030206 dentistry Child Preschool Family medicine Female Health information 0305 other medical science business |
| Zdroj: | JDR Clin Trans Res |
| ISSN: | 2380-0852 2380-0844 |
| DOI: | 10.1177/2380084419892554 |
| Popis: | Introduction:First-time pregnant women are considered to be receptive to health information, rendering the prenatal period an opportune time to provide helpful information on the importance of child-related oral health. However, little is known about pregnant women’s knowledge of child oral health–related behaviors (COHBs) during pregnancy and their implementation after birth. We sought to address this knowledge gap by a prospective investigation of intended and actualized oral health behaviors among first-time pregnant women.Methods:We examined relationships between intended and actualized COHBs and their correlations with changes in oral health knowledge, health literacy, general self-efficacy, and dental neglect in a cohort of first-time pregnant clients at Women, Infants, and Children sites in North Carolina—participants of a large community-based study. The COHBs were related to diet (i.e., frequency of fruit juice and sweet snacks consumption and nighttime bottle-feeding) and oral hygiene practices (e.g., performance of daily oral hygiene and use of fluoridated toothpaste). Analyses relied on descriptive statistics and bivariate tests (Student’s t and McNemar’s). Data were collected from 48 participants (White, 44%; African American, 40%; Native American, 17%) at baseline and again at least 12 months after the birth of their first child.Results:On average, most mothers actualized 3 of 5 COHBs (range, 1 to 4). Significant differences between before and after birth were noted for frequency of sweet snacks consumption and putting the baby in bed with a bottle. No correlation was found between knowledge, literacy, self-efficacy, neglect, and sociodemographic characteristics and COHB actualization.Conclusion:Our findings suggest that first-time mothers in the studied population are likely to implement some but not all positive intended COHBs during pregnancy. Interventions are needed to assist women in implementing these practices. We support that, for prenatal interventional efforts to reap positive benefits, messaging should be personalized and include specific guidance on how to implement these recommendations.Knowledge Transfer Statement:A knowledge gap exists in our understanding of the relationship between first-time mothers’ intended and actualized child oral health behaviors, with implications in the optimal timing of infant and early childhood oral health messaging. Our findings suggest that first-time mothers are likely to implement some but not all positive behaviors that they intended to adopt during pregnancy. Interventions are needed to assist women in implementing these practices. |
| Databáze: | OpenAIRE |
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