Improving the performance of pregnant women in oral and dental health based on the Health Belief Model

Document Type : Review Article

Authors

1 Instructor, Department of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. of Nursing, Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Assistant professor, Department of Obstetrics and Gynecology, Women's Health Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 M.Sc. of Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Abstract

Introduction: Physiological changes in the mother's body during pregnancy cause more sensitivity of this group to dental and oral diseases which could have a significant impact on maternal and neonatal health. However, the frequent examinations during pregnancy are an opportunity for training oral and dental health to pregnant mothers.
Methods: This two-group experimental study was performed with pretest - posttest on 144 eligible pregnant women referred for controlling prenatal care to Mashhad Health Care Centers. Participants were randomly divided into two groups of intervention and control. Training sessions were held for the intervention group. Data were collected by demographic questionnaire and viewing performance questionnaire which was about brushing and flossing. Data were analyzed using SPSS software version 11.5 and using descriptive and analytical statistics. PResults: The results showed that before the intervention, the means and standard deviations of the mothers’ performance in experimental and control groups were not significantly different (P=0.08). However, after the intervention, the mothers’ mean performance was significantly increased in the intervention group compared to the control group (P <0.0001) and compared with the pre-intervention phase (P <0.0001).
Conclusion: It seems that training based on health belief model can be considered as an effective and low-cost method to improve the performance of oral and dental health in pregnant women

Keywords


  1. Shamsi M, Hidarnia A. Niknami S. The survey of oral health in women with pregnancy in Arak city apply health belief model. J Mazandaran Univ Med Sci 2012; 22(89):104-15. (Persian).
  2. Shamsi M, Hidarnia A, Niknami S, Rafiee M, Zareban I, Karimy M. The effect of educational program on increasing oral health behavior among pregnant women: applying health belief model. Health Educ Health Prom 2014; 1(2):21-36.
  3. Offenbacher S, Lieff S, Boggess KA, Murtha AP, Madianos PN, Champagne CM, et al. Maternal periodontitis and prematurity. Part I: Obstetric outcome of prematurity and growth restriction. Ann Periodontol 2001; 6(1):164-74.
  4. Bahri N, Iliati HR, Bahri N, Sajjadi M, Boloochi T. Effects of oral and dental health education program on knowledge, attitude and short-time practice of pregnant women (Mashhad-Iran). J Mashhad Dent Sch 2012; 36(1):1-12.
  5. Basir L, Kanehmasjedi M, Dashtbozorgi B. Evaluation of the effect of repetition of oral health education in 9-10 years old students’ plaque index. Jundishapur Sci Med J 2009; 8(2):219-29. (Persian).
  6. Boggess KA, Urlaub DM, Moos MK, Polinkovsky M, El-Khorazaty J, Lorenz C. Knowledge and beliefs regarding oral health among pregnant women. J Am Dent Assoc 2011; 142(11):1275-82.
  7. Rahimi F, Shojaeezade D, Zeraati H, Akbarian M. Oral health care based on educational health belief model in child. J Health 2011; 2(1):74-81. (Persian).
  8. Sharifirad G, Entezari MH, Kamran A, Azadbakht L. The effectiveness of nutritional education on the knowledge of diabetic patients using the health belief model. J Res Med Sci 2009; 14(1):1-6.
  9. Ekhtiari YS, Majlessi F, Foroushani AR, Shakibazadeh E. Effect of a self-care educational program based on the health belief model on reducing low birth weight among pregnant iranian women. Int J Prev Med 2014; 5(1):76-82.
  10. Tsunematsu M, Kawasaki H, Masuoka Y, Kakehashi M. Factors affecting breast cancer screening behavior in Japan--assessment using the health belief model and conjoint analysis. Asian Pac J Cancer Prev 2013; 14(10):6041-8.
  11. Jeihooni AK, Hidarnia A, Kaveh M, Hajizadeh E, Askari A. Survey of osteoporosis preventive nutritional behaviors based health belief model in sample of Iranian women. Midd East J Sci Res 2014; 21(4):595-601.
  12. Kloetzel MK, Huebner CE, Milgrom P, Littell CT, Eggertsson H. Oral health in pregnancy: educational needs of dental professionals and office staff. J Public Health Dent 2012; 72(4):279-86.
  13. Hollister MC, Anema MG. Health behavior models and oral health: a review. J Dent Hyg 2004; 78(3):6.
  14. Cardenas LM, Ross DD. Effects of an oral health education program for pregnant women. J Tenn Dent Assoc 2010; 90(2):23-6.
  15. Acharya S, Bhat PV. Factors affecting oral health‐related quality of life among pregnant women. Int J Dent Hyg 2009; 7(2):102-7.