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Prenatal Oral Health for Black Women
Amy R Billizon1,2, Adonis J Billizon-Johnson3, Eric Matthews4
1Department of Public Health Sciences, Xavier University of Louisiana, New Orleans, LA, 70125, USA. abillizo@xula.edu.
Journal of Racial and Ethnic Health Disparities
|October 11, 2025
Summary
Improving prenatal oral care for Black pregnant women requires enhanced provider education and better insurance coverage. This approach can reduce oral diseases and promote holistic health for this underserved population.
Area of Science:
- Public Health
- Dental Medicine
- Maternal Health
Background:
- Pregnancy involves hormonal shifts increasing susceptibility to oral diseases like periodontal disease.
- Disparities in prenatal oral health disproportionately affect low-income, uninsured, and minority women.
- Limited knowledge and access significantly contribute to adverse pregnancy and oral health outcomes.
Purpose of the Study:
- To explore the perspectives of pregnant Black women and healthcare providers on oral health knowledge, practices, insurance, and dental visits.
- To identify factors contributing to high rates of oral disease in underserved pregnant populations.
- To inform improvements in dental care and hygiene for minority pregnant women.
Main Methods:
- Qualitative phenomenological study utilizing open-ended Zoom interviews.
- Purposive sampling of 10 participants: 5 pregnant Black women and 5 health/dental providers.
- Recruitment from New Orleans Public Health and national medical/dental networks (2020-2022).
Main Results:
- Key themes identified include the need for improved oral health education.
- Healthcare providers require additional training, including cultural competency, in prenatal oral care.
- Enhanced insurance practices are crucial for accessing dental services.
Conclusions:
- Increased educational awareness for providers and pregnant Black women can mitigate oral diseases.
- Improving insurance coverage is vital for a holistic care approach for this population.
- Addressing systemic barriers is essential for equitable prenatal oral healthcare.
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