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VOLUME 20 , ISSUE 9 ( September, 2019 ) > List of Articles


Oral Health Literacy and Oral Health Knowledge among 2,263 First-time Pregnant Urban Women: A Cross-sectional Questionnaire Study

Shrikanth Muralidharan, Pramila Mallaiah, Sakharam Garale, Arunkumar Acharya

Keywords : Literacy, Oral health, Pregnancy

Citation Information : Muralidharan S, Mallaiah P, Garale S, Acharya A. Oral Health Literacy and Oral Health Knowledge among 2,263 First-time Pregnant Urban Women: A Cross-sectional Questionnaire Study. J Contemp Dent Pract 2019; 20 (9):1029-1032.

DOI: 10.5005/jp-journals-10024-2657

License: CC BY-NC 4.0

Published Online: 01-09-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Aim: The present study aimed to see the oral health literacy rate among first-time pregnant women across 12 corporate hospital setups in the city of Pune, India. Materials and methods: For the survey, the REALD 30 questionnaires were used to assess the adult literacy rate (with 0 being least score and 30 being the highest score) and the knowledge of the participants related to oral health was assessed using a set of 6 questions. The study was carried out for a period of 1 year from January 2018 to December 2018. The total participants at the end of the study were 2,263. All the women were pregnant for the first time, in their 1st trimester of pregnancy. Written consent was taken from all the participants. Epi Info was used to carry out the statistical analysis. All the p values less than 0.05 was considered to be statistically significant. Results: The mean REALD 30 score was 23.8 ± 8.34. The REALD score was higher for those with a postgraduate degree; this could be due to more number of participants in the group. There were higher percentages of women with correct answers to all the knowledge-based questions. We observed that there was a positive correlation with the REALD total scores and the correct answers provided to the questions on oral health (r = 0.76). There was a positive correlationship between the REALD scores and the oral health knowledge of the participants. Conclusion: The educated pregnant women had a high oral health literacy rate. There was a positive correlation of literacy with the REALD 30 score. Clinical significance: Healthcare providers should focus on clearing the myths and misconceptions that are still prevalent in a small portion of the urban population.

  1. Hartnett E, Haber J, et al. Oral Health in Pregnancy. J Obstet Gynecol Neonatal Nurs 2016;45(4):565–573. DOI: 10.1016/j.jogn.2016. 04.005.
  2. Marla V, Srii R, et al. The Importance of Oral Health during Pregnancy: A review. Med Express 2018;5:1–6. DOI: 10.5935/
  3. Gupta R, Acharya AK. Oral Health Status and Treatment Needs among Pregnant Women of Raichur District. Scientifica (Cairo) 2016;2016:9860387. DOI: 10.1155/2016/9860387.
  4. Chaitra T, Wagh S, et al. Knowledge, Attitude and Practice of Oral Health and Adverse Pregnancy Outcomes among Rural and Urban Pregnant Women of Moradabad, Uttar Pradesh, India. J Interdiscip Dent 2018;8(1):5. DOI: 10.4103/jid.jid_56_17.
  5. Payal S, Kumar G, et al. Oral health of pregnant females in central India: Knowledge, awareness, and present status. J Educ Health Promot 2017;6(1):102. DOI: 10.4103/jehp.jehp_146_16.
  6. Jain D, Agrawal N, et al. Dental Health Care in Pregnancy: A Survey And Literature Review. Int J Sci Res 2016;15(6):91–95. DOI: 10.9790/0853-1506039195.
  7. Chawla RM, Shetiya SH, et al. Knowledge, attitude, and practice of pregnant women regarding oral health status and treatment needs following oral health education in Pune District of Maharashtra: A longitudinal hospital-based study. J Contemp Dent Pract 2017;18(5):371–377. DOI: 10.5005/jp-journals-10024-2049.
  8. Boggess KA, Edelstein BL. Oral health in women during preconception and pregnancy: Implications for birth outcomes and infant oral health. Matern Child Health J 2006;10(Suppl 7):169–174. DOI: 10.1007/s10995-006-0095-x.
  9. Bamanikar S, Kee LK. Knowledge, attitude and practice of oral and dental healthcare in pregnant women. Oman Medical Journal 2013;28(4):288–291.
  10. Hom JM, Lee JY, et al. Oral health literacy and knowledge among patients who are pregnant for the first time. J Am Dent Assoc 2012;143(9):972–980.
  11. Nagaraj A, Pareek S. Infant Oral Health Knowledge and Awareness: Disparity among Pregnant Women and Mothers visiting a Government Health Care Organization. Int J Clin Pediatr Dent 2012;5(3):167–172. DOI: 10.5005/jp-journals-10005-1160.
  12. Rigo L, Dalazen J, et al. Impact of dental orientation given to mothers during pregnancy on oral health of their children. Einstein (Sao Paulo) 2016;14(2):219–225. DOI: 10.1590/s1679-45082016ao3616.
  13. Akbarinejad F, Soleymani M, et al. The relationship between media literacy and health literacy among pregnant women in health centers of Isfahan. J Educ Health Promot 2017;6(1):17. DOI: 10.4103/2277-9531.204749.
  14. Oral Health Care During Pregnancy Expert Workgroup. Oral Health Care During Pregnancy: A National Consensus Statement. Natl Matern Child Oral Heal Resour Cent 2012;2012:1–2,
  15. Buerlein J. Awareness of Oral Health Among Pregnant Women and New Mothers: Preliminary Findings Children's Dental Health Project.
  16. Rocha J, Arima L, et al. Barriers and facilitators to dental care during pregnancy: a systematic review and meta-synthesis of qualitative studies. Cad Saude Publica 2018;34(8):e00130817. DOI: 10.1590/0102-311x00130817.
  17. Amin R, Shetty P, et al. Oral Health Status During Pregnancy in Mangaluru. Nitte Univ J Heal Sci 2014;4(2):2249–7110,
  18. Ravishankar T, Chaitra T, et al. Mother's knowledge about pre-school child's oral health. J Indian Soc Pedod Prev Dent 2011;28(4):282. DOI: 10.4103/0970-4388.76159.
  19. Sohi R, Talwar D, et al. Oral health status and adverse pregnancy outcomes among pregnant women in Haryana, India: A prospective study. J Indian Assoc Public Heal Dent 2015;13(2):138. DOI: 10.4103/2319-5932.159049.
  20. Vann WF, Lee JY, et al. Oral health literacy among female caregivers: Impact on oral health outcomes in early childhood. J Dent Res 2010;89(12):1395–1400. DOI: 10.1177/0022034510379601.
  21. Sharma G, Sowmya K, et al. Association between oral health literacy and oral health-related quality of life among undergraduate students in Bengaluru city. J Indian Assoc Public Heal Dent 2014;12(3):209. DOI: 10.4103/2319-5932.144801.
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