Barriers for why pregnant women do not visit a dentist on a regular basis: using group concept mapping methodology

Authors

  • Karoline Winckler The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
  • Marianne Uggen Rasmussen The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
  • Jeannet Laugenborg Department of Pediatrics, Gynaecology and Obstetrics, Nykøbing Falster Hospital, Region Zealand, Denmark; Department of Obstetrics and Gynecology, Copenhagen University Hospital Herlev, Herlev, Denmark
  • Kathrine Hansen Bukkehave The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
  • Heidi Fischer Department of Obstetrics and Gynaecology, Holbæk Hospital, Region Zealand, Denmark
  • Berit Lilienthal Heitmann The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark; Department of Public Health, Section for General Practice, University of Copenhagen, Copenhagen, Denmark
  • Eva Ejlersen Wæhrens The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark; Occupational Science, User Perspectives and Community-based Research, Department of Public Health, University of Southern Denmark, Odense, Denmark

DOI:

https://doi.org/10.1080/00016357.2023.2283198

Keywords:

Dental care experience, pregnancy, prenatal care

Abstract

Objectives: Periodontitis in pregnancy represents a significant, but often overlooked challenge due to its association to adverse pregnancy (preeclampsia and gestational diabetes) and birth related outcomes (preterm birth and low birth weight). The overall study aim was to identify, organize, and prioritize barriers influencing dental visits among Danish pregnant women not seeing a dentist on a regularly basis.

Materials and methods: Participants were pregnant women screened at weeks 11–13 of gestation, and were recruited if they were not seeing a dentist regularly. The study was conducted at Holbæk and Nykøbing Falster Hospital in Region Zealand, Denmark. The Group Concept Mapping (GCM) approach was applied. The pregnant women participated in brainstorming (n = 18), sorting (n = 20), and rating (n = 17) the seating question ‘Thinking as broadly as you can, please list all barriers of importance to you for not seeing a dentist on a regular basis’.

Results: A total of 38 unique barriers were identified, organized, and prioritized online. The multidimensional scaling analysis involved 10 iterations and revealed a low stress value of 0.21. A cluster solution with five clusters including ‘economic reasons’, ‘lack of priority’, ‘lack of time and energy’, ‘no problems with teeth’, and ‘dental fear’, was discussed and interpreted at a validation meeting.

Conclusions: Five overall clusters explaining barriers for not seeing a dentist regularly were revealed. Of the five clusters, ‘economic reasons’ and ‘lack of priority’ were rated as the most important clusters. Accordingly, such barriers should be considered in the planning of future strategies of dental care during pregnancy. 

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Published

2024-03-26

Issue

Vol. 83: (2024) Acta Odontologica Scandinavica

Section

Research article

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Copyright (c) 2024 Karoline Winckler, Marianne Uggen Rasmussen, Jeannet Laugenborg, Kathrine Hansen Bukkehave, Heidi Fischer, Berit Lilienthal Heitmann, Eva Ejlersen Wæhrens

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