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    Oral health knowledge, behavior, and care seeking among pregnant and recently-delivered women in rural Nepal: A qualitative study

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    Author
    Lubon, A.J.
    Erchick, D.J.
    Khatry, S.K.
    Date
    2018
    Journal
    BMC Oral Health
    Publisher
    BioMed Central Ltd.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.1186/s12903-018-0564-9
    Abstract
    Background: Oral health behavior and attitudes of pregnant women in low-income countries are rarely examined, yet should be considered when designing preventative or therapeutic studies to reduce burden of oral diseases. We aimed to understand dental care-seeking behavior, as well as oral health knowledge and attitudes of oral health among pregnant women in rural Nepal. Methods: Semi-structured in-depth interviews (n = 16) and focus group discussions (3 groups, n = 23) were conducted among pregnant and recently-delivered women in Sarlahi, Nepal. Transcripts were translated from the local language to English then analyzed using a hybrid approach to thematic coding with Atlas.ti version 7. Results: Women felt confident describing the signs and symptoms of tooth decay and gum disease, but were not knowledgeable about where to receive care for tooth and/or gum pain and relied heavily on the knowledge of their community. Some women used a toothbrush and toothpaste at least once a day to clean their teeth, but many reported the traditional use of a branch of a local shrub or tree as their teeth cleaning instrument. Women suggested a willingness to consider using an oral rinse throughout pregnancy, perceiving that it might have a positive impact on infant health. Conclusions: Future studies should focus on providing adequate and sustainable resources for pregnant women in Nepal and other low income settings to engage in good oral health behaviors (possibly supported through community-based workers), to maintain dental hygiene, and to access qualified dentists as a means of improving their oral health. Copyright 2018 The Author(s).
    Sponsors
    This study was funded by the Bill & Melinda Gates Foundation through grants OPP1131701 and OPP1084399.
    Keyword
    Dental care seeking behavior
    Nepal
    Oral health
    Oral health behaviors
    Periodontal disease
    Pregnancy
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047981074&doi=10.1186%2fs12903-018-0564-9&partnerID=40&md5=9e946a2a7d860a976068857417089e9a; http://hdl.handle.net/10713/9300
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12903-018-0564-9
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