Maternal Knowledge and Practices Concerning Infant Oral Health in a Group of Pregnant Women
DOI:
https://doi.org/10.15517/9ge22e62Keywords:
Health knowledge; Attitudes; Practice; Oral health; Pregnant women; Mother-child relations; Dental care for children.Abstract
To identify factors associated with the knowledge and practices of pregnant women regarding their children’s oral health. A cross-sectional study was conducted with 269 pregnant women attending two healthcare institutions in the Santander-(Colombia). A questionnaire was carried out, consisting of 40 questions (nine sociodemographic, seven on the psychosocial dimension [D], thirteen on knowledge [K], and eleven on practices [P]). Scoring scales were established for all dimensions, based on the Median (Me) and Interquartile Range (IQR). Descriptive analyses were performed, as well as normality tests on key variables, statistical significance tests, and multivariate linear regression analysis. 53.1% of participants were ≥ 26 years old. 78% lived in low socioeconomic strata. 12.6% were Venezuelan. Regarding questionnaire items, the dimensions showed high scores (D: Me=7, IQR=1; K: Me=9, IQR=4; PR: Me=6, IQR=3). Multivariate linear regression analysis revealed explanatory factors significantly associated with the questionnaire dimensions. For the psychosocial dimension, women from middle-high socioeconomic strata and those of Venezuelan origin were negatively associated (lower scores). For oral health knowledge, a positive association was found in women aged 27 or older (higher scores). For oral health practices, women without formal employment and multigravida women showed a positive association, whereas those with technical or higher education were negatively associated. Factors associated with knowledge, practices, and the psychosocial dimension were identified. These should be considered when designing oral health promotion strategies targeting the mother-child dyad.
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Abanto J., Oliveira L.B., Paiva S.M., Guarnizo-Herreño C., Sampaio F.C., Bönecker M. Impact of the first thousand days of life on dental caries through the life course: a transdisciplinary approach. Braz Oral Res. 2022; 36: e113.
Guevara-Lagos P.C., Mueses-Cuasquer L.M., Mueses-Yandun R.F., Corchuelo-Ojeda J., Gutiérrez B. Conocimientos y actitudes frente a la salud bucodental de la primera infancia: La visión de los médicos, enfermeras y pediatras. Duazary. 2024; 21 (1): 62-8.
Chalvatzoglou E., Anagnostou F., Arapostathis K., Boka V., Arhakis A. Assessment of Young Mothers' Oral Hygiene Practices during Pregnancy and Their Knowledge of Children's Oral Health in Northern Greece. J Contemp Dent Pract. 2023; 24 (3): 202-6.
Corchuelo Ojeda J., Soto Llanos L., Villavicencio J. Situación de caries, gingivitis e higiene oral en gestantes y no gestantes en hospitales del Valle del Cauca, Colombia. Univ Salud. 2017; 19 (1): 67-74.
Tenenbaum A., Azogui-Levy S. Oral Health Knowledge, Attitudes, Practices, and Literacy of Pregnant Women: A Scoping Review. Oral Health Prev Dent. 2023; 21: 185-98.
Corchuelo-Ojeda J., González Pérez G.J., Casas-Arcila A. Factors Associated With Self-Perception in Oral Health of Pregnant Women. Health Educ Behav. 2022; 49 (3): 516-24.
Rengifo Reina H.A., Muñoz Ordóñez L.M. Creencias, conocimientos y prácticas de madres respecto a la salud bucal en Popayán, Colombia. Universitas Odontologica. 2019; 38 (80).
Abanto J., Diaz Cárdenas S., Veloso Duran A., Garza M., Reis Brigato V., Guinot F. Association between socioeconomic factors, attitudes and beliefs regarding the primary dentition and caries in children aged 1-5 years of Brazilian and Colombian parents. Eur J Paediatr Dent. 2024; 25 (4): 258-65.
Heller L.S., Pithavadian R., Micheal S., Chandio N., Sanagavarapu P., Parmar J., et al. Parental perceptions of an oral health promotion program in early childhood education and care settings: A qualitative study. J Public Health Dent. 2024; 84 (4): 407-19.
World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. Geneva: World Health Organization; 2022.
Uribe S.E., Innes N., Maldupa I. The global prevalence of early childhood caries: A systematic review with meta-analysis using the WHO diagnostic criteria. Int J Paediatr Dent. 2021; 31 (6): 817-30.
Ministerio de Salud y Protección Social (Colombia). IV Estudio Nacional de Salud Bucal. ENSAB IV: Para saber cómo estamos y saber qué hacemos. Bogotá (Colombia): Ministerio de Salud y Protección Social 2013-2014.
Sampaio F.C., Bönecker M., Paiva S.M., Martignon S., Ricomini Filho A.P., Pozos-Guillen A., et al. Dental caries prevalence, prospects, and challenges for Latin America and Caribbean countries: a summary and final recommendations from a Regional Consensus. Braz Oral Res. 2021; 35 (suppl 01): e056.
Frey-Furtado L., Fonseca M., Melo P., Listl S., Pereira M.L. Oral healthcare access: self-perceived barriers faced during pregnancy - a systematic review. BMC Public Health. 2025; 25 (1): 1394.
Williams T.M., Babalola A.E., Bolarinwa O., Somoye V.A., Azeez O.A., Onasanya O.J., et al. Oral health knowledge, perceptions and attitudes of pregnant women in Sub-Saharan Africa: a systematic review. BMC Oral Health. 2025; 25 (1): 937.
Hebbal M., AlSagob E.I., Kotha S.L., Santhosh V.N., Kumar R.S,. Mertins S., et al. Oral health-related knowledge, practice, and utilization of dental services among pregnant women in Riyadh, Saudi Arabia. PLoS One. 2025; 20 (4): e0319508.
Çabuk A., Çabuk D.S., Üstdal K., Sucu M., Akpinar E. Oral Health Literacy Status, Knowledge Levels, Beliefs, and Behaviors of Pregnant Women. Niger J Clin Pract. 2024; 27 (8): 977-82.
Velosa-Porras J., Rodríguez Malagón N. Perceptions, knowledge, and practices related to oral health in a group of pregnant women: A qualitative study. Clin Exp Dent Res. 2024;10 (1): e823.
Cagetti M.G., Salerno C., Ionescu A.C., La Rocca S., Camoni N., Cirio S., et al. Knowledge and attitudes on oral health of women during pregnancy and their children: an online survey. BMC Oral Health. 2024; 24 (1): 85.
von Elm E., Altman D.G., Egger M., Pocock S.J., Gøtzsche P.C., Vandenbroucke J.P. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008; 61 (4): 344-9.
Zarei F., Dehghani A., Ratansiri A., Ghaffari M., Raina S.K., Halimi A., et al. ChecKAP: A Checklist for Reporting a Knowledge, Attitude, and Practice (KAP) Study. Asian Pac J Cancer Prev. 2024; 25 (7): 2573-7.
General Assembly of the World Medical A. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. J Am Coll Dent. 2014; 81 (3): 14-8.
Ministerio de Salud- Ministry of Health (Colombia). Resolución nº 008430 de 1993 (4 de octubre de 1993). Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [Resolution No. 008430 of 1993 (October 4, 1993). By which the scientific, technical, and administrative standards for health research are established]. Bogotá (Colombia): Ministerio de Salud [Ministry of Health]; 1993.
Council for International Organizations of Medical Sciences. International Ethical Guidelines for Health-Related Research Involving Humans. Geneva, Switzerland: Council for International Organizations of Medical Sciences (CIOMS) in collaboration with the World Health Organization (WHO); 2016 January 16, 2025.
Alyousef A.M., Almehrej B.A., Alshahrani M.A., Almutairi K.M., Alqasir M.A., Alassaf A., et al. Arabian Parents’ Knowledge, Attitude and Practice towards their Children’s Oral Health and Early Childhood Caries Resided in Riyadh Province: An Online-Based Cross-Sectional Survey. Ann Med Health Sci Res. 2021; 11 (S2): 73-81.
Alshehri A., Nasim V.S. Infant oral health care knowledge and awareness among parents in Abha city of Aseer Region, Saudi Arabia. Saudi J Dent Res. 2015; 6 (2): 98-101.
BenGhasheer H.F., Saub R. Oral health knowledge, attitude, practice, perceptions and barriers to dental care among Libyan parents. J Oral Res. 2022; 11 (1): 1-14.
Desai J., Varkey I.M., Lad D., Ghule K.D., Mathew R., Gomes S. Knowledge and Attitude about Infant Oral Health: A Paradox among Pregnant Women. J Contemp Dent Pract. 2022; 23 (1): 89-94.
Hamasha A.A.H., Rasheed S.J., Aldosari M.M., Rajion Z. Parents Knowledge and Awareness of their Children’s Oral Health in Riyadh, Saudi Arabia. Open Dent J. 2019; 13: 236-41.
Nassar A.A., Fatani B.A., Almobarak O.T., Alotaibi S.I., Alhazmi R.A., Marghalani A.A. Knowledge, Attitude, and Behavior of Parents Regarding Early Childhood Caries Prevention of Preschool Children in Western Region of Saudi Arabia: A Cross-Sectional Study. Dent J (Basel). 2022; 10 (12).
Luengo Fereira J.A., Toscano García I., Carlos Medrano L.E., Anaya Álvarez M. Conocimientos sobre salud bucal en un grupo de gestantes mexicanas. Acta universitaria. 2018; 28 (3): 65-71.
Arteaga Aguirre C., Abarca Ferrando M., Pozo Cifuentes M., Madrid Muñoz G. Identidad, maternidad y trabajo. Un estudio entre clases sociales en Chile. Revista de Ciencias Sociales. 2021; 34 (48): 155-73.
Asimaki E., Dagla M., Sarantaki A., Iliadou M. Main Biopsychosocial Factors Influencing Breastfeeding: a Systematic Review. Maedica (Bucur). 2022; 17 (4): 955-62.
Kharouba J., Mansour S., Ratson T., Naishlos S., Weissman G., Blumer S. Knowledge of Breastfeeding Mothers Regarding Caries Prevention in Toddlers. Children (Basel). 2023; 10 (1).
Rousseau S., Cavagnoud R., Espinosa Anaya N. Cuidado infantil, género y política pública en los barrios marginales de Lima, Perú. Revista de Estudios Sociales. 2025 (92): 77-92.
Murillo-Pedrozo A.M., Agudelo-Suárez A.A. [South-South migration as a social determinant of impact on oral health inequalities and inequities in Latin America]. Rev Peru Med Exp Salud Publica. 2019; 36 (4): 692-9.
Nogueira D.L., Miranda Fontenele M.G., Bento A., Cohen S.A., Greaney M.L., Lindsay A.C. Exploring Brazilian Immigrant Mothers' Beliefs and Practices Regarding Their Preschool Children's Oral Health: A Qualitative Study Conducted in the United States. Int J Environ Res Public Health. 2024; 21 (12).
Chen C.C., Chiou S.J., Ting C.C., Lin Y.C., Hsu C.C., Chen F.L., et al. Immigrant-native differences in caries-related knowledge, attitude, and oral health behaviors: a cross-sectional study in Taiwan. BMC Oral Health. 2014; 14: 3.
Lo Y.Y., Lee P.L., Kuo H.W. Effects of mothers' health beliefs on the dental status of schoolchildren in Taiwanese and immigrant women. BMC Oral Health. 2025; 25 (1): 875.
Ministerio de Salud- Ministry of Health (Colombia). Resolución n° 003280 de 2018 ( 4 de Agosto). Por la cual se adoptan los lineamientos técnicos y operativos de la Ruta Integral de Atención para la Promoción y Mantenimiento de la Salud y la Ruta Integral de Atención en Salud para la Población Materno Perinatal y se establecen las directrices para su operación [Resolution N° 003280 of 2018 (October 4th, 2028). By which the technical and operational guidelines of the Comprehensive Health Care Route for Health Promotion and Maintenance, and the Comprehensive Health Care Route for the Maternal-Perinatal Population are adopted, and the directives for their implementation are established]. Bogotá (Colombia): Ministerio de Salud [Ministry of Health]; 2018.
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