Ariana C Kong1, Lucie Ramjan2, Mariana S Sousa3, Kylie Gwynne4, Joanne Goulding5, Nathan Jones6, Ravi Srinivas7, Boe Rambaldini8, Rachael Moir9, Ajesh George10. 1. Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University/South Western Sydney Local Health District / Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia. Electronic address: ariana.kong@westernsydney.edu.au. 2. Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University/South Western Sydney Local Health District / Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia. Electronic address: l.ramjan@westernsydney.edu.au. 3. Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University/South Western Sydney Local Health District / Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia. Electronic address: m.sousa@westernsydney.edu.au. 4. Poche Centre for Indigenous Health, University of Sydney, Camperdown 2050, Australia. Electronic address: kylie.gwynne@sydney.edu.au. 5. Primary and Community Health, South Western Sydney Local Health District, NSW, Australia. Electronic address: joanne.goulding@health.nsw.gov.au. 6. Aboriginal Health Unit, South Western Sydney Local Health District, NSW, Australia. Electronic address: nathan.jones3@health.nsw.gov.au. 7. Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University/South Western Sydney Local Health District / Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia; Oral Health Services, South Western Sydney Local Health District, Australia; School of Dentistry, Faculty of Medicine and Health, University of Sydney, Camperdown 2050, Australia. Electronic address: ravi.srinivas@health.nsw.gov.au. 8. Poche Centre for Indigenous Health, University of Sydney, Camperdown 2050, Australia. Electronic address: boe.rambaldini@sydney.edu.au. 9. Poche Centre for Indigenous Health, University of Sydney, Camperdown 2050, Australia. Electronic address: rachael.moir@sydney.edu.au. 10. Centre for Oral Health Outcomes and Research Translation (COHORT), School of Nursing and Midwifery, Western Sydney University/South Western Sydney Local Health District / Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia; School of Dentistry, Faculty of Medicine and Health, University of Sydney, Camperdown 2050, Australia; Translational Health Research Institute, Campbelltown, NSW, Australia. Electronic address: a.george@westernsydney.edu.au.
Abstract
BACKGROUND: Western models of care to improve the oral health of pregnant women have been successfully implemented in the healthcare setting across various developed countries. Even though Indigenous women experience poorer pregnancy and birth outcomes compared to other women, these models have not been developed with Indigenous communities to address the oral health needs of Indigenous pregnant women. This review aimed to understand the oral health knowledge, practices, attitudes and challenges of Indigenous pregnant women globally. METHODS: A comprehensive search including six electronic databases and grey literature up to September 2018 was undertaken (PROSPERO Registration Number: 111402). Quantitative and qualitative evidence exploring at least one of the four oral health domains relating to Indigenous pregnant women worldwide, including women pregnant with an Indigenous child, were retrieved. RESULTS: Eleven publications related to nine studies were included. Indigenous pregnant women's attitudes, practices and challenges relating to their oral health were influenced by socioeconomic and psychosocial factors, and their healthcare context. Availability of dental services varied depending on the healthcare model, whether services were public or private, and whether services met their needs. Although there was little evidence related to oral health knowledge, the literature suggests some misconceptions within this population. CONCLUSIONS: The availability of culturally appropriate dental services that fulfilled the needs of Indigenous pregnant women varied between developed countries. This review highlighted the need for community-tailored dental services and a care coordinator to provide both education and assistance to those navigating services.
BACKGROUND: Western models of care to improve the oral health of pregnant women have been successfully implemented in the healthcare setting across various developed countries. Even though Indigenous women experience poorer pregnancy and birth outcomes compared to other women, these models have not been developed with Indigenous communities to address the oral health needs of Indigenous pregnant women. This review aimed to understand the oral health knowledge, practices, attitudes and challenges of Indigenous pregnant women globally. METHODS: A comprehensive search including six electronic databases and grey literature up to September 2018 was undertaken (PROSPERO Registration Number: 111402). Quantitative and qualitative evidence exploring at least one of the four oral health domains relating to Indigenous pregnant women worldwide, including women pregnant with an Indigenous child, were retrieved. RESULTS: Eleven publications related to nine studies were included. Indigenous pregnant women's attitudes, practices and challenges relating to their oral health were influenced by socioeconomic and psychosocial factors, and their healthcare context. Availability of dental services varied depending on the healthcare model, whether services were public or private, and whether services met their needs. Although there was little evidence related to oral health knowledge, the literature suggests some misconceptions within this population. CONCLUSIONS: The availability of culturally appropriate dental services that fulfilled the needs of Indigenous pregnant women varied between developed countries. This review highlighted the need for community-tailored dental services and a care coordinator to provide both education and assistance to those navigating services.
Authors: Amy R Villarosa; Della Maneze; Lucie M Ramjan; Ravi Srinivas; Michelle Camilleri; Ajesh George Journal: Implement Sci Date: 2019-12-17 Impact factor: 7.327
Authors: Brianna F Poirier; Joanne Hedges; Lisa G Smithers; Megan Moskos; Lisa M Jamieson Journal: Int J Environ Res Public Health Date: 2022-01-20 Impact factor: 3.390
Authors: Ariana C Kong; Mariana S Sousa; Lucie Ramjan; Michelle Dickson; Joanne Goulding; Kylie Gwynne; Folau Talbot; Nathan Jones; Ravi Srinivas; Ajesh George Journal: Int J Equity Health Date: 2020-10-23