RELATED FACTORS OF DENTAL SERVICES USAGE BY PREGNANT WOMEN AT KHANOM HOSPITAL, NAKHON SI THAMMARAT
DOI:
https://doi.org/10.55766/sjhsci-2023-01-e01706Keywords:
Services, Dental, Pregnant womenAbstract
Background: Pregnant compared to non-pregnant women are more likely to develop significant oral health problems.
Objectives: To explore 1) the level of knowledge about dental health, 2) the attitude towards dental health, 3) the level of perceived risk and severity of oral disease, and 4) the factors related to dental service usage for pregnant women at Khanom Hospital, Nakhon Si Thammarat Province.
Method of study: This is a cross-sectional study. By using simple random sampling, 124 pregnant women were recruited. The questionnaire was used to collect various data, which were checked for reliability and validity by three experts and the IOC, ranging from 0.67 to 1.00. The KR-20 value for the knowledge questionnaire is 0.70. The alpha Cronbach values for attitude, oral health beliefs, and the entire questionnaire are 0.72, 0.88, and 0.87, respectively. Descriptive statistics, odds Ratio, 95%CI, and multiple logistic regression were used to examine the data.
Results: Pregnant women with and without dental appointments to receive the services had a similar degree of dental health awareness (58.33% and 50.82%, respectively). Dental health-related attitudes were likewise moderate (75.00% and 83.61%, respectively). We found a high degree of perceived risk of oral disease (71.67% and 83.61%, respectively), while the perceived severity of oral disease was moderate (95.00% and 86.89%, respectively). Controlling variables, it was found that workers, government officers, or state enterprises/company employees had a 10.01- and 3,189.02-times greater chance of receiving dental services than pregnant agriculturists (ORadj=10.01, 95%CI= 1.53-94.06; ORadj= 3,189.02, 47.03- 216, 242.38). However, those earning more than 10,000 baht per month use dental services 0.90 times less than those earning less than 10,000 baht (ORadj= 0.90, 95%CI= 0.01-0.56). Moreover, patients having the Social Security Scheme and Government or State Enterprise Officer/ Self-pay used dental services 0.02 times less frequently than those with the Universal Coverage Scheme (ORadj= 0.02, 95%CI= 0.01-0.34).
Conclusions: The use of dental services by pregnant women was related to occupation, income, and Medicare status. Therefore, hospitals should publicize information about the right to treatment and extend dental service hours. This will alleviate the respective patients’ expense concerns and allow them to receive dental services on schedule.
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