Factors related to the decision to receive dental services of pregnant women at Thanyaburi Hospital, Prathum Thani Province
Keywords:
Pregnant women, Decision making, Dental service utilization, Beliefs and attitudes, Dental anxietyAbstract
The objective of this study, “Factors Related to the Decision to Receive Dental Services of Pregnant Women at Thanyaburi Hospital, Prathum Thani Province,” is to examine the factors associated with the decision to seek dental care among pregnant women attending antenatal care at Thanyaburi Hospital, Pathum Thani Province. It is a cross-sectional descriptive study conducted with a sample of 269 pregnant women aged 18 years and older, calculated using a logistic regression analysis formula. The research tool is a questionnaire developed from a literature review, consisting of four parts: 1) personal factors, 2) health factors, 3) service factors, and 4) decision to seek dental care. Data was analyzed using multiple logistic regression to present odds ratios and 95% confidence intervals (CI), with statistical significance set at 0.05.
The study results revealed three factors significantly associated with pregnant women's decisions to seek dental services: 1) age: pregnant women aged 30 years and older were 2.546 times more likely to seek dental services than those under 30 (Adjusted OR = 2.546, 95% CI = 1.355 - 4.782, p = 0.004), 2) beliefs/attitudes about oral health: those with high-level beliefs and attitudes about oral health were 3.358 times more likely to seek dental services compared to those with low-level beliefs (Adjusted OR = 3.358, 95% CI = 1.715 - 6.574, p < 0.001), and 3) anxiety about dental treatment: pregnant women with low-level anxiety about dental treatment were 8.463 times more likely to seek dental services than those with high-level anxiety (Adjusted OR = 8.463, 95% CI = 2.141 - 33.455, p = 0.002).
References
Kawar N, Gajem YA. Oral health knowledge and practices among pregnant women in North Jordan. Int J Dent Hyg. 2013; 11(2): 74-81.
Department of Health, Ministry of Public Health. Oral health status and dental service utilization among pregnant women, 2023. J Dent Public Health. 2023;28(1):1–8. (in Thai)
Ide M, Papapanou PN. Epidemiology of association between maternal periodontal disease and adverse pregnancy outcomes - Systematic review. J Clin Periodontol. 2013; 40(SUPPL. 14).
Cigna Corporation. Healthy smiles for mom and baby: Insights into expecting and new mothers' oral health habits. 2015.
Dental Public Health Division, Department of Health. The 8th Thailand national oral health survey 2017. Nonthaburi: Veterans General Printing Office; 2018. (in Thai)
Saddki N, Yusoff A, Hwang YL. Factors associated with dental visit and barriers to utilisation of oral health care services in a sample of antenatal mothers in Hospital Universiti Sains Malaysia. BMC Public Health. 2010; 10:1-11.
Rocha JS, Arima LY, Werneck RI, Moysés SJ, Baldani MH. Determinants of dental care attendance during pregnancy: A systematic review. Caries Res. 2018;52(1–2): 139–52.
Bahramian H, Mohebbi SZ, Khami MR, Quinonez RB. Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach. BMC Pregnancy Childbirth. 2018; 18(1): 1-11.
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995; 36(1): 1-10.
Rocha JS, Arima L, Chibinski AC, Werneck RI, Moysés SJ, Baldani MH. Barriers and facilitators to dental care during pregnancy: a systematic review and meta-synthesis of qualitative studies. Cad Saude Publica. 2018; 34(8).
Bahramian H, Mohebbi SZ, Khami MR, Quinonez RB. Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach. BMC Pregnancy Childbirth. 2018; 18(1): 153.
Lin W, Yin W, Fahmidah N, Zhang F, Yao L, Zhu S. Factors influencing the utilization of dental services during pregnancy: A systematic review. BMC Oral Health. 2022; 22(1): 45.
Sookamwang K, Prathanani B, Ruenruengsan S. Factors related to dental service utilization among pregnant women attending antenatal care at Sunpasitthiprasong Hospital, Ubon Ratchathani Province. J Health Sci Res. 2019;12(1):35-45. (in Thai)
Kanjanatawee S, Limruangrong P, Wongviriya S. Factors influencing dental service utilization among pregnant women in Nakhon Ratchasima Province. J Dent Res Chiang Mai Univ. 2020;24(2):117-28. (in Thai)
Dental Public Health Database. Percentage of pregnant women receiving oral health check-ups and dental scaling [Internet]. Nonthaburi: Thanyaburi Hospital; 2022 [cited 2023 Mar 30]. Available from: https://hdcservice.moph.go.th/hdc/reports/report. (in Thai)
Wayne DW. Biostatistics: a foundation of analysis in the health sciences. 7th ed. New York: John Wiley & Sons; 1999.
Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Stat Med. 1998; 17(14): 1623-34.
Pungma R, Chaisuwan C, Udomsap W. Relationship between satisfaction and dental service utilization among people in Northern Thailand, 2023. J Health Syst Res. 2023;21(2):14–28. (in Thai)
Pungma R, Chaisuwan C, Udomsap W. Factors associated with dental service utilization among pregnant women in Kamalasai District, Kalasin Province. J Public Health Res Khon Kaen Univ. 2023;16(2):45–57. (in Thai)
Rovinelli RJ, Hambleton RK. On the use of content specialists in the assessment of criterion-referenced test item validity. Dutch Journal of Educational Research. 1977; 2:49-60.
Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951; 16(3): 297-334.
Nunnally JC. Psychometric theory. 2nd ed. New York: McGraw-Hill; 1978.
Ministry of Public Health, Department of Health, Division of Consumer Protection in Mental Health, Research and System Development Unit. Guidelines for ethical clearance of human research, Department of Health. Bangkok: Department of Health, Ministry of Public Health; 2022. (in Thai)
Mishra P, Pandey CM, Singh U, Gupta A, Sahu C, Keshri A. Descriptive statistics and normality tests for statistical data. Ann Card Anaesth. 2019; 22(1): 67-72.
Moons KG, Altman DG, Reitsma JB, Ioannidis JP, Macaskill P, Steyerberg EW, et al. Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis (TRIPOD): explanation and elaboration. Ann Intern Med. 2015; 162(1): 1-14.
Bloom BS. Learning for mastery. Evaluation Comment. 1968; 1(2): 1-12.
Unjai K, Kaewkham P, Phumokkarat N. Predictive factors of oral health behavior and dental service utilization among pregnant women. Thai Red Cross Nurs J. 2019;34(1):39–51. (in Thai)
Hamamci N, Başaran G, Uysal E. Dental Anxiety and Fear in Pregnant Women: A Questionnaire-Based Study. Atatürk Üniv Diş Hek Fak Derg. 2009; 19(3): 205-10.
Albasry Z, Aljohani R. Dental Utilization Pattern and Factors Associated with Dental Anxiety among Pregnant Women in Saudi Arabia. Risk Manag Healthc Policy. 2020; 13: 1823-33.
Phonphichai P, Kamonpadisakol K, Chokritthamongkol N, Khamsorn P. Factors associated with dental service utilization behavior among pregnant women. J Dent Public Health. 2022;52(2):242–53. (in Thai)
Spielberger CD. Anxiety and behavior. New York: Academic Press; 1966.
Marchi KS, Fisher-Owens SA, Weintraub JA, Yu Z, Braveman PA. Most pregnant women in California do not receive dental care: findings from a population-based study. Public Health Rep. 2010; 125(6): 831-42.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 University of Phayao
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ผู้นิพนธ์ต้องรับผิดชอบข้อความในบทนิพนธ์ของตน มหาวิทยาลัยพะเยาไม่จำเป็นต้องเห็นด้วยกับบทความที่ตีพิมพ์เสมอไป ผู้สนใจสามารถคัดลอก และนำไปใช้ได้ แต่จะต้องขออนุมัติเจ้าของ และได้รับการอนุมัติเป็นลายลักษณ์อักษรก่อน พร้อมกับมีการอ้างอิงและกล่าวคำขอบคุณให้ถูกต้องด้วย
The authors are themselves responsible for their contents. Signed articles may not always reflect the opinion of University of Phayao. The articles can be reproduced and reprinted, provided that permission is given by the authors and acknowledgement must be given.
