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http://hdl.handle.net/123456789/695
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| Title: | Periodontal status, tooth loss and self-reported periodontal problems effects on oral impacts on daily performances, OIDP, in pregnant women in Uganda: a cross-sectional study |
| Authors: | Wandera, Margaret N
Rwenyoni, Charles M
Tumwine, James
Astrom, Anne N.
Engebretsen, Ingunn M. |
| Keywords: | Oral health
Antenatal care
Periodontal problems
Uganda |
| Issue Date: | 14-Oct-2009 |
| Publisher: | BioMed Central |
| Citation: | Health and Quality of Life Outcomes, 2009, 7:89 |
| Abstract: | Background: An important aim of antenatal care is to improve maternal health- and well being of which oral health is an important part. This study aimed to estimate the prevalence of oral impacts on daily performances (OIDP) during pregnancy, using a locally adapted OIDP inventory, and to document how periodontal status, tooth-loss and reported periodontal problems are related to oral impacts.
Methods: Pregnant women at about 7 months gestational age who were members of a community based multicenter cluster randomized community trial: PROMISE EBF: Safety and Efficacy of Exclusive Breast feeding in the Era of HIV in Sub-Saharan Africa, were recruited in the district of Mbale, Eastern Uganda between January 2006 and June 2008. A total of 877 women (participation rate 877/886, 98%, mean age 25.6, sd 6.4) completed an interview and 713 (participation rate 713/886, 80.6%, mean age 25.5 sd 6.6) were examined clinically with respect to toothloss and according to the Community Periodontal Index, CPI.
Results: Seven of the original 8 OIDP items were translated into the local language. Cronbach's alpha was 0.85 and 0.80 in urban and rural areas, respectively. The prevalence of oral impacts was 25% in the urban and 30% in the rural area. Corresponding estimates for CPI>0 were 63% and 68%. Adjusted ORs for having any oral impact were 1.1 (95% CI 0.7-1.7), 1.9 (95% CI 1.2-3.1), 1.7 (1.1-2.7) and 2.0 (0.9-4.4) if having respectively, CPI>0, at least one tooth lost, tooth loss in molars and tooth loss in molar-and anterior regions. The Adjusted ORs for any oral impact if reporting periodontal problems ranged from 2.7(95% CI 1.8-4.2) (bad breath) through 8.6(95% CI 5.6-12.9) (chewing problem) to 22.3 (95% CI 13.3-35.9) (toothache).
Conclusion: A substantial proportion of pregnant women experienced oral impacts. The OIDP impacts were most and least substantial regarding functional- and social concerns, respectively. The OIDP varied systematically with tooth loss in the molar region, reported chewing-and periodontal problems. Pregnant women's oral health should be addressed through antenatal care programs in societies with limited access to regular dental care facilities. |
| Description: | © 2009 Wandera et al; licensee BioMed Central Ltd.
This article is available from: http://www.hqlo.com/content/7/1/89 |
| URI: | http://www.hqlo.com/content/7/1/89
http://dx.doi.org/10.1186/1477-7525-7-89
http://hdl.handle.net/123456789/695 |
| ISSN: | 1477-7525 |
| Appears in Collections: | Research Articles (Health-Sciences)
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| rwenyonyi-chs-res.pdf | Full-text article | 658Kb | Adobe PDF | View/Open |
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