Volume 11, Issue 1 (2023)                   Health Educ Health Promot 2023, 11(1): 53-61 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bashirian S, Barati M, Barati M, Khazaei S, Jenabi E, Gholami L et al . Determinants of Tooth Brushing Behavior among Pregnant Women: An Application of the Pender’s Health Promotion Model. Health Educ Health Promot 2023; 11 (1) :53-61
URL: http://hehp.modares.ac.ir/article-5-65183-en.html
1- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
4- Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
5- “Dental Research Center” and “Department of Periodontology, School of Dentistry”, Hamadan University of Medical Sciences, Hamadan, Iran
6- Department of Community Oral Health, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (1193 Views)
Aims: It is very important to maintain oral health during pregnancy because it has short- and long-term effects on the health of women and children. This study aimed to identify the factors affecting tooth brushing behavior among pregnant women based on Pender’s Health Promotion Model.
Instruments & Methods: This cross-sectional descriptive-analytical study was performed on 275 pregnant women under the coverage of the health centers of Arak, Iran, selected by cluster sampling method in 2021. Data were collected using a questionnaire, which was constructed and validated in this study. The questionnaire contained items about demographic variables and Health Promotion Model constructs. Data were analyzed in SPSS 18 software using regression models.
Findings: The mean age of participants was 29.67±5.54. Only 24% of pregnant women brushed twice a day or more. Perceived Self-efficacy (β=0.157, p=0.020), perceived barriers of action (β= -0.138, p=0.049), and interpersonal influence (modeling) (β=0.188, p=0.002) had significant relationships with commitment to a plan of action. The pregnant women who had more self-efficacy (OR: 1.114, 95% CI: 1.012-1.225) and more commitment to a plan of action (OR: 1.802, 95% CI: 1.509-2.153) were more likely to brush their teeth twice or more a day.
Conclusion: Perceived self-efficacy and commitment to a plan of action are determinant factors of brushing behavior in pregnant women based on Pender’s Health Promotion Model.
 
Full-Text [PDF 1600 kb]   (1410 Downloads) |   |   Full-Text (HTML)  (190 Views)  
Article Type: Descriptive & Survey | Subject: Oral Health Education/Promotion
Received: 2022/11/2 | Accepted: 2023/01/19 | Published: 2023/02/7
* Corresponding Author Address: Health Faculty, Hamadan University of Medical Science, Shahid Fahmide Boulevard, Hamadan, Iran. Postal Code: 8138380509 (barati85@gmail.com)

References
1. Cordero MJA, Leon-Rios XA, Rivero-Blanco T, Rodriguez-Blanque R, Expósito-Ruiz M, Gil-Montoya JA. Quality of life during pregnancy and its influence on oral health: a systematic review. J Oral Res. 2019;8(1):74-81. [Link] [DOI:10.17126/joralres.2019.011]
2. Marla V, Srii R, Roy DK, Ajmera H. The Importance of oral health during pregnancy: a review. MedicalExpress. 2018;5:mr18002. [LinkLinkLinkLinkLinkLinkLinkLinkLinkLinkLinkLinkLinkLinkLinkLinkLink] [DOI:10.5935/MedicalExpress.2018.mr.002]
3. Bashirian S, Barati M, Barati M, Khazaei S, Jenabi E, Gholami L, et al. Assessment of the Community Periodontal Index of Treatment Needs (CPITN) in pregnant women referring to the health centers in Arak, Iran. Cumhuriyet Dent J. 2022;25(3):258-62. [Link]
4. Khalighinejad N, Aminoshariae A, Kulild JC, Mickel A. Apical periodontitis, a predictor variable for preeclampsia: a case-control study. J Endod. 2017;43(10):1611-4. [Link] [DOI:10.1016/j.joen.2017.05.021]
5. Kumar A, Sharma DS, Verma M, Lamba AK, Gupta MM, Sharma S, et al. Association between periodontal disease and gestational diabetes mellitus-A prospective cohort study. J Clin Periodontol. 2018;45(8):920-31. [Link] [DOI:10.1111/jcpe.12902]
6. Figueiredo MGOP, Takita SY, Dourado BMR, Mendes HdS, Terakado EO, Nunes HRdC, et al. Periodontal disease: Repercussions in pregnant woman and newborn health-A cohort study. PLoS One. 2019;14(11):e0225036. [Link] [DOI:10.1371/journal.pone.0225036]
7. Bi WG, Emami E, Luo Z-C, Santamaria C, Wei SQ. Effect of periodontal treatment in pregnancy on perinatal outcomes: a systematic review and meta-analysis. J Matern Fet Neonat Med. 2021;34(19):3259-68. [Link] [DOI:10.1080/14767058.2019.1678142]
8. Daalderop L, Wieland B, Tomsin K, Reyes L, Kramer B, Vanterpool S, et al. Periodontal disease and pregnancy outcomes: overview of systematic reviews. JDR Clin Transl Res. 2018;3(1):10-27. [Link] [DOI:10.1177/2380084417731097]
9. Wu M, Chen S-W, Jiang S-Y. Relationship between gingival inflammation and pregnancy. Mediat Inflammat. 2015;2015:ID623427. [Link] [DOI:10.1155/2015/623427]
10. Kaur M, Geisinger ML, Geurs NC, Griffin R, Vassilopoulos PJ, Vermeulen L, et al. Effect of intensive oral hygiene regimen during pregnancy on periodontal health, cytokine levels, and pregnancy outcomes: a pilot study. J Periodontol. 2014;85(12):1684-92. [Link] [DOI:10.1902/jop.2014.140248]
11. Geisinger ML, Geurs NC, Bain JL, Kaur M, Vassilopoulos PJ, Cliver SP, et al. Oral health education and therapy reduces gingivitis during pregnancy. J Clin Periodontol. 2014;41(2):141-8. [Link] [DOI:10.1111/jcpe.12188]
12. Lertpimonchai A, Rattanasiri S, Arj‐Ong Vallibhakara S, Attia J, Thakkinstian A. The association between oral hygiene and periodontitis: a systematic review and meta‐analysis. Int Dent J. 2017;67(6):332-43. [Link] [DOI:10.1111/idj.12317]
13. Shamsi M, Hidarnia A, Niknami S. A survey of oral health care behavior in pregnant women of Arak: Application of health belief model. J Mazandaran Univ Med Sci. 2012;22(89):104-15. [Persian] [Link]
14. Afshar MK, Torabi M, Bahremand M, Afshar MK, Najmi F, Mohammadzadeh I. Oral health literacy and related factors among pregnant women referring to health government institute in Kerman, Iran. Pesqui Bras Odontopediatria Clin Integr. 2020;20. [Link] [DOI:10.1590/pboci.2020.011]
15. Deghatipour M, Ghorbani Z, Ghanbari S, Arshi S, Ehdayivand F, Namdari M, et al. Oral health status in relation to socioeconomic and behavioral factors among pregnant women: a community-based cross-sectional study. BMC Oral Health. 2019;19(1):117. [Link] [DOI:10.1186/s12903-019-0801-x]
16. Bayat F, Karimi-Shahanjarini A, Bashirian S, Faradmal J. Assessment of dental care and its related barriers in pregnant women of Hamadan city. J Educ Community Health. 2016;3(1):20-7. [Persian] [Link] [DOI:10.21859/jech-03013]
17. Maybury C, Horowitz AM, La Touche-Howard S, Child W, Battanni K, Qi Wang M. Oral health literacy and dental care among low-income pregnant women. Am J Health Behav. 2019;43(3):556-68. [Link] [DOI:10.5993/AJHB.43.3.10]
18. Gonik B, Wilson E, Mayberry M, Joarder BY. Pregnant patient knowledge and behavior regarding perinatal oral health. Am J Perinatol. 2017;34(07):663-7. [Link] [DOI:10.1055/s-0036-1597134]
19. Asa'ad FA, Rahman G, Al Mahmoud N, Al Shamasi E, Al Khuwaileidi A. Periodontal disease awareness among pregnant women in the central and eastern regions of S audi A rabia. J Invest Clin Dent. 2015;6(1):8-15. [Link] [DOI:10.1111/jicd.12061]
20. George A, Johnson M, Blinkhorn A, Ajwani S, Bhole S, Yeo A, et al. The oral health status, practices and knowledge of pregnant women in south‐western Sydney. Aust Dent J. 2013;58(1):26-33. [Link] [DOI:10.1111/adj.12024]
21. Palupi R, Juzika O, Romadhoni SF. Impact of social support on the periodontal health among population of pregnant women in Javanese ethnic group. Indian J Public Health Res Dev. 2019;10(10):1046-50. [Link] [DOI:10.5958/0976-5506.2019.02962.0]
22. Rahmani A, Hamanajm SA, Allahqoli L, Fallahi A. Factors affecting dental cleaning behaviour among pregnant women with gingivitis. Int J Dent Hyg. 2019;17(3):214-20. [Link] [DOI:10.1111/idh.12387]
23. Lamarca GA, Leal MdC, Leao AT, Sheiham A, Vettore MV. The different roles of neighbourhood and individual social capital on oral health-related quality of life during pregnancy and postpartum: a multilevel analysis. Community Dent Oral Epidemiol. 2014;42(2):139-50. [Link] [DOI:10.1111/cdoe.12062]
24. Gambhir RS, Nirola A, Gupta T, Sekhon TS, Anand S. Oral health knowledge and awareness among pregnant women in India: A systematic review. J Indian Soc Periodontol. 2015;19(6):612-7. [Link] [DOI:10.4103/0972-124X.162196]
25. Hoerler SB, Jenkins S, Assad D. Evaluating oral health in pregnant women: knowledge, attitudes and practices of health professionals. Am Dent Hyg Assoc. 2019;93(1):16-22. [Link]
26. Acharya S, Acharya S, Mahapatra U. Knowledge, attitudes, and practices among gynecologists regarding oral health of expectant mothers and infants in Bhubaneswar City, Odisha. J Indian Soc Pedod Prev Dent. 2018;36(3):240-3. [Link] [DOI:10.4103/JISPPD.JISPPD_27_18]
27. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th Edition. Pearson; 2010. [Link]
28. Bashirian S, Jenabi E, Barati M, Khazaei S, Seyedzadeh-Sabounchi S, Barati M. Oral health intervention during pregnancy: a systematic review. Curr Women Health Rev. 2023;19(3):3-12. [Link] [DOI:10.2174/1573404818666220512152735]
29. Ebrahimipour S EH, Alibakhshian F, Mohamadzadeh M. Effect of education based on the theory of planned behavior on adoption of oral health behaviors of pregnant women referred to health centers of Birjand in 2016. J Int Soc Prev Community Dent. 2016;6(6):584-9. [Link] [DOI:10.4103/2231-0762.195514]
30. Jeihooni AK, Jamshidi H, Kashfi SM, Avand A, Khiyali Z. The effect of health education program based on health belief model on oral health behaviors in pregnant women of Fasa city, Fars province, south of Iran. J Int Soc Prev Community Dent. 2017;7(6):336-43. [Link] [DOI:10.4103/jispcd.JISPCD_339_17]
31. Bahri N, Tohidinik HR, Bahri N, Iliati HR, Moshki M, Darabi F. Educational intervention to improve oral health beliefs and behaviors during pregnancy: a randomized-controlled trial. J Egyp Public Health Assoc. 2015;90(2):41-5. [Link] [DOI:10.1097/01.EPX.0000464139.06374.a4]
32. Rahmani A, Allahqoli L, Hashemian M, Ghanei Gheshlagh R, Nemat-Shahrbabaki B. Effect education based on trans-theoretical model on reduction of the prevalence of gingivitis among pregnant women: Application of telegram social network. Sci J Kurdistan Univ Med Sci. 2019;24(2):74-83. [Persian] [Link] [DOI:10.29252/sjku.24.2.74]
33. Shahnazi H, Hosseintalaei M, Ghashghaei FE, Charkazi A, Yahyavi Y, Sharifirad G. Effect of educational intervention on perceived susceptibility self-efficacy and DMFT of pregnant women. Iran Red Crescent Med J. 2016;18(5):e24960. [Link] [DOI:10.5812/ircmj.24960]
34. Ghaffari M, Rakhshanderou S, Safari‐Moradabadi A, Torabi S. Oral and dental health care during pregnancy: Evaluating a theory‐driven intervention. Oral Dis. 2018;24(8):1606-14. [Link] [DOI:10.1111/odi.12928]
35. 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 Promot. 2013;1(2):21-36. [Link]
36. Jamieson LM, Parker E, Broughton J, Lawrence H, Armfield J. Are stage of change constructs relevant for subjective oral health in a vulnerable population? Community Dent Health. 2015;32(2):111-6. [Link]
37. Hosseintalaei M, Shahnazi H, Mohammadi M. The relationship of perceived susceptibility and self-efficacy with the decayed, missing, and filled teeth in pregnant women: A study based on the health belief model. Biomed Res. 2017;28(18):8142-8. [Link]
38. Al Khamis S, Asimakopoulou K, Newton T, Daly B. The effect of dental health education on pregnant women's adherence with toothbrushing and flossing-A randomized control trial. Community Dent Oral Epidemiol. 2017;45(5):469-77. [Link] [DOI:10.1111/cdoe.12311]
39. Anderson C, Harris MS, Kovarik R, Skelton J. Discovering expectant mothers' beliefs about oral health: an application of the centering pregnancy smiles® program. Int Q Community Health Educ. 2010;30(2):115-40. [Link] [DOI:10.2190/IQ.30.2.c]
40. Lawshe CH. A quantitative approach to content validity. Personn Psychol. 1975;28(4):563-75. [Link] [DOI:10.1111/j.1744-6570.1975.tb01393.x]
41. DeVon HA, Block ME, Moyle‐Wright P, Ernst DM, Hayden SJ, Lazzara DJ, et al. A psychometric toolbox for testing validity and reliability. J Nurs Scholarsh. 2007;39(2):155-64. [Link] [DOI:10.1111/j.1547-5069.2007.00161.x]
42. Martínez-Beneyto Y, Vera-Delgado MV, Pérez L, Maurandi A. Self-reported oral health and hygiene habits, dental decay, and periodontal condition among pregnant European women. Int J Gynaecol Obstet. 2011;114(1):18-22. [Link] [DOI:10.1016/j.ijgo.2011.03.003]
43. Amin M, ElSalhy M. Factors affecting utilization of dental services during pregnancy. J Periodontol. 2014;85(12):1712-21. [Link] [DOI:10.1902/jop.2014.140235]
44. Honkala S, Al‐Ansari J. Self‐reported oral health, oral hygiene habits, and dental attendance of pregnant women in Kuwait. J Clin Periodontol. 2005;32(7):809-14. [Link] [DOI:10.1111/j.1600-051X.2005.00770.x]
45. Avula H, Mishra A, Arora N, Avula J. KAP Assessment of oral health and adverse pregnancy outcomes among pregnant women in Hyderabad, India. Oral Health Prev Dent. 2013;11(3):261-70. [Link]
46. Lasisi T, Abdus-Salam R. Pattern of oral health among a population of pregnant women in Southwestern Nigeria. Arch Basic Appl Med. 2018;6:99-103. [Link]
47. Haghi R, Ashouri A, Karimy M, Rouhani-Tonekaboni N, Kasmaei P, Pakdaman F, et al. The role of correlated factors based on Pender health promotion model in brushing behavior in the 13-16 years old students of Guilan, Iran. Ital J Pediatr. 2021;47(1):1-10. [Link] [DOI:10.1186/s13052-021-01063-y]
48. Banaye Jedd M, Babazadeh T, Hashemian Z, Moradi F, Ghavami Z. Cognitive-behavioral determinants of oral health in students: an application of Pender's Health Promotion Model. J Educ Community Health. 2016;3(2):1-8. [Persian] [Link] [DOI:10.21859/jech-03021]
49. Vakili M, Rahaei Z, Nadrian H, YarMohammadi P. Determinants of oral health behaviors among high school students in Shahrekord, Iran based on Health Promotion Model. Am Dent Hyg Assoc. 2011;85(1):39-48. [Link]
50. Kim Y-I. A study on the effective factor of an oral health promotion behavior for adolescents. Korean J Health Serv Manag. 2017;11(2):129-42. [Link] [DOI:10.12811/kshsm.2017.11.2.129]
51. Charkazi A, Berdi Ozouni-Davaji R, Bagheri D, Mansourian M, Qorbani M, Safari O, et al. Predicting oral health behavior using the health promotion model among school students: a cross-sectional survey. Int J Pediatr. 2016;4(7):2069-77. [Link]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.