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Updated: May 10, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Preconception Oral Health Is Associated with Modifiable Health Behaviors
J C Bond1,2, M A Simancas-Pallares3, K Divaris3,4
1Department of Health Policy and Health Services Research, Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA, USA.
Preconception oral health is crucial for parental well-being and future child health. This study reveals that poor oral health care engagement is linked to other unhealthy behaviors in individuals planning pregnancy.
Area of Science:
- Public Health
- Reproductive Health
- Dental Public Health
Background:
- Preconception health significantly impacts intergenerational outcomes.
- Oral health is often overlooked in preconception health promotion despite its link to reproductive health.
- Understanding preconception oral health care engagement is vital for intervention development.
Purpose of the Study:
- To characterize preconception oral health care engagement and self-rated oral health among pregnancy planners.
- To identify subgroups based on modifiable risk behaviors.
- To quantify the association between these subgroups and dental care utilization/self-rated oral health.
Main Methods:
- Cross-sectional analysis of 6,159 US participants from the Pregnancy Study Online cohort.
- Latent class analysis to identify behavioral subgroups.
- Log binomial regression to assess associations with dental visits, cleanings, and self-rated oral health.
Main Results:
- Three participant groups were identified: healthy behavior, some risk behavior, and most risk behavior.
- Higher risk behavior groups showed significantly lower rates of dental visits and cleanings in the past year.
- Self-rated oral health was also poorer in groups with higher risk behaviors.
Conclusions:
- Preconception oral health care engagement is associated with other modifiable health behaviors.
- Interventions for preconception health should integrate oral health care alongside other health behaviors.
- Addressing oral health in the preconception period may improve overall parental and intergenerational health outcomes.
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