Evidence map›Paper›PMID 39952929›Full record

ArticleBDJ open2025

Frequency and factors associated with the utilization (curative and preventive) of oral health care services among pregnant women in Kinshasa, Democratic Republic of Congo.

Patrick Marob-Ndjock Sekele, Erick Ntambwe Kamangu, Harry-César Ntumba Kayembe, Fatiha Chandad, Jacques Ileboso Bolenge, Stephanie Mikalo Mbambi, Jean-Paul Isouradi-Bourley Sekele, Em Kazadi Kalala, Fidele Bushabu Nyimi, Pierre Zalagile Akilimali

Abstract read
In one paragraph

Article in BDJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

10 authors.

Patrick Marob-Ndjock SekeleDepartment of Periodontology, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, DR, Congo. patrick.sekele@unikin.ac.cd.ORCID http://orcid.org/0000-0001-5144-4654
Erick Ntambwe KamanguDepartment of Basic Sciences, Faculty of Medicine, University of Kinshasa, Kinshasa, DR, Congo.
Harry-César Ntumba KayembeDepartment of Basic Sciences, Faculty of Medicine, University of Kinshasa, Kinshasa, DR, Congo.
Fatiha ChandadPool of Immunology and Microbiology, Oral Ecology Research Group. Faculty of Dentistry, Laval University, Québec, Canada.
Jacques Ileboso BolengeDepartment of Periodontology, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, DR, Congo.
Stephanie Mikalo MbambiDepartment of Pediatrics, Faculty of Medicine, Protestant University in Congo, Kinshasa, DR, Congo.
Jean-Paul Isouradi-Bourley SekeleDepartment of Dental and Maxillofacial Prosthesis, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, DR, Congo.
Em Kazadi KalalaDepartment of Periodontology, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, DR, Congo.ORCID http://orcid.org/0000-0001-6894-8699
Fidele Bushabu NyimiDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, DR, Congo.
Pierre Zalagile AkilimaliDepartment of Nutrition, Kinshasa School of Public Health, Faculty of Medicine, University of Kinshasa, Kinshasa, DR, Congo.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Democratic Republic of Congo (DRC) has one of the highest maternal and neonatal mortality rates in Africa. There is a growing body of evidence about the relationship between poor oral health and adverse pregnancy outcomes. However, there is a lack of information about oral health status during pregnancy in the DRC. This study aimed to identify the factors related to the utilization of oral health care services among pregnant women.

methodsA hospital-based cross-sectional study was conducted in four health facilities representing each administrative district of the city of Kinshasa, between March and May, 2021. The study population comprised pregnant women aged at least 18 or over attending antenatal care (ANC), selected using a simple random sampling technique. Data were collected using a structured questionnaire. Multivariable logistic regression was employed to identify factors associated with the outcome variable using the adjusted odds ratio (AOR) with its 95% confidence interval (95% CI) and p value  <  0.05.

resultsA total of 5% of the 500 pregnant women who participated in the study were identified as users of oral healthcare services. 15% of pregnant women were aware of the necessity of oral health care during pregnancy, while 58% indicated that dental visits for routine and/or treatment purposes were not a priority during pregnancy. Factors associated with its utilization were knowledge of the need for oral health care during pregnancy (AOR:3.62, 95% CI: 1.42-9.26), knowledge of the importance of routine visits or dental treatment for oral diseases during pregnancy (AOR: 4.94, 95% CI: 1.70-16.73), and having experience oral health problem during the current pregnancy (AOR: 3.13, 95% CI: 1.22-8.21).

conclusionThe utilization of oral health care services during pregnancy is very low. Appropriate public health initiatives are urgently needed to facilitate collaboration between health professionals to integrate oral and dental consultations, oral health counseling, and check-ups as an essential component of routine ANC.

Identifiers

PMID39952929
PMCPMC11828865

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