ArticleBMC oral health2021
Associations between dental care approachability and dental attendance among women pregnant with an Indigenous child: a cross-sectional study.
Article in BMC oral health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.
- Barriers and facilitators of oral health care utilization among pregnant women: a mixed-methods systematic review.Systematic reviews · 2026Pooled it
- Oral healthcare access: self-perceived barriers faced during pregnancy - a systematic review.BMC public health · 2025Pooled it
- Oral Hygiene Practices, Knowledge, and Awareness of Periodontal Disease Among Pregnant Women Visiting the Antenatal Clinic at Korle-Bu Teaching Hospital.Public health challenges · 2026Article
- Social and Preventive Factors That Explain Oral Health among Pregnant Women in the Canton of Cuenca, Ecuador.Healthcare (Basel, Switzerland) · 2023Article
- The association of employment status and unwanted job loss with maternal oral health experiences: findings from the pregnancy risk assessment monitoring system.BMC oral health · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOral health during pregnancy is vital for both mother and child. Indigenous Australians face many barriers in accessing dental care. Service approachability is one of the key domains in accessing health services. There is little empirical evidence of the association between service approachability and dental care attendance or oral health outcome. The aim of this study is to examine the relationship between dental service approachability on dental care attendance and self-reported gum disease among South Australian women pregnant with an Aboriginal child.
methodsFour hundred and twenty-seven women pregnant with an Aboriginal child completed questionnaires in both metropolitan and regional health settings in South Australia in 2011. Four variables related to approachability of dental services: (1) perception of need; (2) service-related health literacy; (3) oral health beliefs and; (4) trust and expectation of dental service. The association between service approachability-related factors, dental utilisation and self-reported gum disease during pregnancy were assessed using Generalised Poisson regression models, after adjusting for age, remoteness, employment status and education. Estimates were presented as adjusted prevalence ratios (APR).
resultsMost participants (85.8%) reported a need for dental care, had positive oral health beliefs (88.3%) and had expectations towards dental care (86.2%). Dental service utilisation during pregnancy was low (35.7%). Many participants (78.0%) expressed knowing what to do if they needed dental care, while most (39.8%) doubted that dental care would be available the next day. Poor health service literacy was identified as a risk factor for non-optimal dental attendance (APR = 0.86, 95%CI 0.74-0.99). Perceived need for dental care was positively associated with self-reported gum disease (APR = 1.24, 95%CI 1.06-1.45).
conclusionInability to navigate the dental care system was a risk factor for poor dental attendance among South Australian women pregnant with an Aboriginal child. Perceived need for dental care was associated with gum disease.
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