Evidence map›Paper›PMID 29859084›Full record

ArticleBMC oral health2018

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

A J Lubon, D J Erchick, S K Khatry, S C LeClerq, N K Agrawal, M A Reynolds, J Katz, L C Mullany

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC oral health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01177111 phase3completednot on this map

Impact of Sunflower Seed Oil Massage on Neonatal Mortality and Morbidity in Nepal

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2010 to 2017Enrolled29,260ConditionsNeonatal Mortality, Neonatal SepsisArmsSunflower seed oil, Mustard seed oil
NCT02788786 phase2completednot on this map

Feasibility and Acceptability of Daily Oral Rinse in Pregnant Women and Impact on Oral Inflammatory Biomarkers in Rural Nepal

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2016 to 2016Enrolled175ConditionsPeriodontitis, Premature Birth of NewbornArmsChlorhexidine, Cetylpyridinium chloride, Salt and Water
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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  11. Different Risk Factors for Erosive Tooth Wear in Rural and Urban Nepal: A National Study.International journal of environmental research and public health · 2021
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  14. Dental Care-Seeking and Information Acquisition During Pregnancy: A Qualitative Study.International journal of environmental research and public health · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

A J LubonDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street W5009, Baltimore, MD, 21205, USA.
D J ErchickDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street W5009, Baltimore, MD, 21205, USA.
S K KhatryNepal Nutrition Intervention Project - Sarlahi (NNIPS), Krishna Galli, Lalitpur, Kathmandu, Nepal.
S C LeClerqDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street W5009, Baltimore, MD, 21205, USA.
N K AgrawalDepartment of Dentistry, Institute of Medicine, Tribhuhvan University, Kathmandu, Nepal.
M A ReynoldsDepartment of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA.
J KatzDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street W5009, Baltimore, MD, 21205, USA.
L C MullanyDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street W5009, Baltimore, MD, 21205, USA. lmullany@jhu.edu.ORCID 0000-0003-4668-9803
Johns Hopkins University · USNepal Development Research Institute · NPTribhuvan University · NPUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral 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.

methodsSemi-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.

resultsWomen 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.

conclusionsFuture 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.

trial registrationClinicalTrials.gov Identifier: NCT01177111 (Nepal Oil Massage Study) and NCT02788786 (Pilot Trial).

Indexed as

Health Knowledge, Attitudes, PracticeOral HealthPatient Acceptance of Health CareAdolescentAdultDental CariesDeveloping CountriesFemaleHealth BehaviorHumansNepalPeriodontal DiseasesPregnancyPregnant PeopleQualitative ResearchRural HealthDental care seeking behaviorNepalOral healthOral health behaviorsPeriodontal diseasePregnancy

Identifiers

PMID29859084
PMCPMC5984796
OpenAlexW2807651708

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.