{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T13:56:22Z","timestamp":1792245382999,"version":"4.4.0"},"reference-count":71,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T00:00:00Z","timestamp":1721779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T00:00:00Z","timestamp":1721779200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Women in menopause are at a higher risk of developing oral health problems, affecting their overall quality of life. Several studies have identified the role of health care providers in addressing women's oral health needs across various phases of their lives, yet a review in the area of perimenopause and menopause has not been undertaken. Therefore, the aim of this review was to explore current evidence regarding the oral health knowledge, attitudes, and practices of women in perimenopause or menopause and their health care providers. Additionally, guidelines and recommendations to inform strategies for oral health promotion are included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search was carried out across 5 databases. Inclusion criteria included articles published in English that examined at least one study outcome: oral health knowledge, attitudes, and practices of either women in perimenopause or menopause or of health care providers or guidelines around oral health care. Qualitative, quantitative, mixed\u2010methods, and experimental studies with survey components were included with no restrictions on publication period, quality, or setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 12 articles met the inclusion criteria, with a majority being of poor quality and mostly from low\u2010income and middle\u2010income countries. Overall findings indicated that there was a lack of knowledge and limited practices in maintaining oral hygiene and visiting the dentist among women in perimenopause or menopause. Health care providers exhibited poor attitudes in advising the importance of periodic dental check\u2010ups and informing oral health changes during this period. There were also insufficient guidelines to adopt care for women and guide health care providers in their practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Women in perimenopause or menopause have limited oral health knowledge and unmet oral health needs. Appropriate guidelines and supportive strategies are required to assist health care providers in providing comprehensive care and encouragement to women in perimenopause or menopause to improve their oral health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jmwh.13668","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T06:47:39Z","timestamp":1721803659000},"page":"17-31","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Oral Health Care Among Women in Perimenopause or Menopause: An Integrative Review"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8975-9616","authenticated-orcid":false,"given":"Namitha","family":"Thomas","sequence":"first","affiliation":[{"name":"Australian Centre for Integration of Oral Health Ingham Institute for Applied Medical Research  Liverpool New South Wales Australia"},{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5299-2863","authenticated-orcid":false,"given":"Kath","family":"Peters","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8644-3803","authenticated-orcid":false,"given":"Kate O\u2019","family":"Reilly","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5034-9946","authenticated-orcid":false,"given":"Mariana S.","family":"Sousa","sequence":"additional","affiliation":[{"name":"Australian Centre for Integration of Oral Health Ingham Institute for Applied Medical Research  Liverpool New South Wales Australia"},{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"},{"name":"Improving Palliative, Aged and Chronic Care through Clinical Research and Translation, Faculty of Health University of Technology Sydney  Ultimo New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6795-2546","authenticated-orcid":false,"given":"Ajesh","family":"George","sequence":"additional","affiliation":[{"name":"Australian Centre for Integration of Oral Health Ingham Institute for Applied Medical Research  Liverpool New South Wales Australia"},{"name":"School of Nursing and Midwifery Western Sydney University  Penrith New South Wales Australia"},{"name":"School of Dentistry Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"},{"name":"School of Nursing Faculty of Science, Medicine &amp; 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