J Korean Acad Nurs.  2016 Oct;46(5):653-662. 10.4040/jkan.2016.46.5.653.

Influences of Oral Health Behaviors, Depression and Stress on Periodontal Disease in Pregnant Women

Affiliations
  • 1Division of Nursing, Ilsin Christian Hospital, Busan·College of Nursing, Pusan National University, Yangsan, Korea.
  • 2College of Nursing, Pusan National University, Yangsan, Korea. haejung@pusan.ac.kr
  • 3Dental Department, Ilsin Christian Hospital, Busan, Korea.

Abstract

PURPOSE
The purpose of this study was to identify the influences of oral health behaviors, depression, and stress on periodontal disease in pregnant women.
METHODS
The participants in this study were 129 pregnant women. Data were collected using questionnaires which included individual characteristics, oral health care behaviors, the Center for Epidemiological Studies-Depression scale (CES-D), a global measure of perceived stress, and pregnancy stress. A dentist measured periodontal probing depth and classified stages of periodontal disease according to the Community Periodontal Index (CPI). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression.
RESULTS
Periodontal disease had significant correlations with oral health care behaviors (r=-.56, p <.001), perceived stress (r=.44 p <.001), pregnancy stress (r=.37 p <.001), diet (r=-.33, p <.001) and depression (r=.18 p =.046). Factors influencing periodontal disease for these pregnant women were being in the 2nd (β=.27, p <.001) or 3rd trimester (β=.45, p <.001), having a pregnancy induced disease (β=.20, p =.002), performing higher oral health behaviors (β=-.30, p <.001), and having higher perceived stress (β=.17, p =.028). The explanation power of this regression model was 61.6% (F=15.52, p <.001).
CONCLUSION
The findings of this study indicated that periodic assessment of periodontal disease is essential for pregnant women who are in 2nd or 3rd trimester and have pregnancy induced diseases. Enhancing oral health care behaviors and reducing perceived stress are indicated as effective strategies to reduce periodontal disease in pregnant women.

Keyword

Pregnant Women; Periodontal Diseases; Depression; Psychological Stress; Oral Health

MeSH Terms

Adult
*Depression/complications
Female
Humans
*Oral Health
Periodontal Diseases/*diagnosis/etiology/psychology
Pregnancy
Pregnancy Trimester, Second
Pregnancy Trimester, Third
*Stress, Psychological
Surveys and Questionnaires

Cited by  2 articles

Periodontal Disease and Health Related Quality of Life (HRQoL) in Pregnant Women
Hae-jin Park, Haejung Lee, Soohyun Cho
Korean J Women Health Nurs. 2016;22(4):191-201.    doi: 10.4069/kjwhn.2016.22.4.191.

Comparison of Effects of Oral Health Program and Walking Exercise Program on Health Outcomes for Pregnant Women
Hae-jin Park, Haejung Lee
J Korean Acad Nurs. 2018;48(5):506-520.    doi: 10.4040/jkan.2018.48.5.506.


Reference

1. Kushnir D, Zusman SP, Robinson PG. Validation of a Hebrew version of the oral health impact profile 14. J Public Health Dent. 2004; 64(2):71–75.
2. Hong NP, Nam YY. All kinds of learning of oral cavity. Paju: Kidaribook;2000.
3. Warren KR, Postolache TT, Groer ME, Pinjari O, Kelly DL, Reynolds MA. Role of chronic stress and depression in periodontal diseases. Periodontol 2000. 2014; 64(1):127–138. DOI: 10.1111/prd.12036.
4. Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am Fam Physician. 2008; 77(8):1139–1144.
5. Centers for Disease Control and Prevention. Periodontal disease [Internet]. Atlanta, GA: Author;2013. cited 2014 October 25. Available from: http://www.cdc.gov/OralHealth/periodontal_disease/.
6. Ha JE, Yeo BM, Roh HY, Paik DI, Bae KH. Periodontal condition and pathogens distribution of pregnant women. J Korean Acad Oral Health. 2010; 34(4):587–594.
7. Giannella L, Giulini S, Cerami LB, La Marca A, Forabosco A, Volpe A. Periodontal disease and nitric oxide levels in low risk women with preterm labor. Eur J Obstet Gynecol Reprod Biol. 2011; 158(1):47–51. DOI: 10.1016/j.ejogrb.2011.04.034.
8. Vogt M, Sallum AW, Cecatti JG, Morais SS. Factors associated with the prevalence of periodontal disease in low-risk pregnant women. Reprod Health. 2012; 9:3. DOI: 10.1186/1742-4755-9-3.
9. Vogt M, Sallum AW, Cecatti JG, Morais SS. Periodontal disease and some adverse perinatal outcomes in a cohort of low risk pregnant women. Reprod Health. 2010; 7:29. DOI: 10.1186/1742-4755-7-29.
10. Piscoya MD, Ximenes RA, Silva GM, Jamelli SR, Coutinho SB. Periodontitis-associated risk factors in pregnant women. Clinics (Sao Paulo). 2012; 67(1):27–33. DOI: 10.6061/clinics/2012(01)05.
11. Martinez-Beneyto Y, Vera-Delgado MV, Perez L, Maurandi A. Self-reported oral health and hygiene habits, dental decay, and periodontal condition among pregnant European women. Int J Gynaecol Obstet. 2011; 114(1):18–22. DOI: 10.1016/j.ijgo.2011.03.003.
12. Geisinger ML, Robinson M, Kaur M, Gerlach RW, Griffin R, Geurs NC, et al. Individualized oral health education improves oral hygiene compliance and clinical outcomes in pregnant women with gingivitis. J Oral Hyg Health. 2013; 1(2):1000111. DOI: 10.4172/2332-0702.1000111.
13. American Dental Association. Diet and dental health [Internet]. Chicago, IL: Author;2015. cited 2015 April 24. Available from: http://www.mouthhealthy.org/en/az-topics/d/diet-and-dentalhealth.
14. Saletu A, Pirker-Frühauf H, Saletu F, Linzmayer L, Anderer P, Matejka M. Controlled clinical and psychometric studies on the relation between periodontitis and depressive mood. J Clin Periodontol. 2005; 32(12):1219–1225. DOI: 10.1111/j.1600-051X.2005.00855.x.
15. Rosania AE, Low KG, McCormick CM, Rosania DA. Stress, depression, cortisol, and periodontal disease. J Periodontol. 2009; 80(2):260–266. DOI: 10.1902/jop.2009.080334.
16. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates;1988. p. 1–400.
17. Kloetzel MK, Huebner CE, Milgrom P. Referrals for dental care during pregnancy. J Midwifery Womens Health. 2011; 56(2):110–117. DOI: 10.1111/j.1542-2011.2010.00022.x.
18. American Dental Association. Brushing your teeth [Internet]. Chicago, IL: Author;2015. cited 2015 April 24. Available from: http://www.mouthhealthy.org/en/az-topics/b/brushing-your-teeth.
19. Moynihan PJ. Dietary advice in dental practice. Br Dent J. 2002; 193(10):563–568. DOI: 10.1038/sj.bdj.4801628.
20. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1(3):385–401. DOI: 10.1177/014662167700100306.
21. Chon KK, Rhee MK. Preliminary development of Korean version of CES-D. Korean J Clin Psychol. 1992; 11(1):65–76.
22. Ahn HL. A pilot study of stressor and stress situation and nursing intervention of pregnant woman. J Nurs Acad Soc. 1983; 13(3):75–85.
23. Cohen S, Kamarck T, Mermelstein R. A global measures of perceived stress. J Health Soc Behav. 1983; 24(4):385–396.
24. Lee J, Shin C, Ko YH, Lim JH, Joe SH, Hyun KS, et al. The reliability and validity studies of the Korean version of the perceived stress scale. Korean J Psychosom Med. 2012; 20(2):127–134.
25. Kim BO, Shim HS, Lee CS, Chung SH, Han YK, Cho MS, et al. Periodontology. Seoul: DaehanNarae Publishing, Inc.;2003.
26. World Health Organization. Oral health surveys: Basic methods. 4th ed. Geneva, CH: Author;1997. p. 1–66.
27. Xiong X, Elkind-Hirsch KE, Vastardis S, Delarosa RL, Pridjian G, Buekens P. Periodontal disease is associated with gestational diabetes mellitus: A case-control study. J Periodontol. 2009; 80(11):1742–1749. DOI: 10.1902/jop.2009.090250.
28. Park YN, Shim CS. A study on the awareness and practice of the pregnant women about oral health care. J Korean Acad Dent Hyg Educ. 2008; 8(3):53–64.
29. Li D, Liu L, Odouli R. Presence of depressive symptoms during early pregnancy and the risk of preterm delivery: A prospective cohort study. Hum Reprod. 2009; 24(1):146–153. DOI: 10.1093/humrep/den342.
30. Giurgescu C, Misra DP, Sealy-Jefferson S, Caldwell CH, Templin TN, Slaughter-Acey JC, et al. The impact of neighborhood quality, perceived stress, and social support on depressive symptoms during pregnancy in African American women. Soc Sci Med. 2015; 130:172–180. DOI: 10.1016/j.socscimed.2015.02.006.
31. Lee EJ, Park JS. Status of antepartum depression and its influencing factors in pregnant women. J Korea Acad Ind Coop Soc. 2013; 14(8):3897–3906. DOI: 10.5762/KAIS.2013.14.8.3897.
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