{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T07:05:39Z","timestamp":1776323139511,"version":"3.50.1"},"reference-count":41,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"unspecified","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,11,28]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to gain a comprehensive understanding of the determinants that influence oral healthcare behaviours among Iranian pregnant women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Comprehensive health service centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A sample consisting of all people involved in the process of oral care during pregnancy, 18 pregnant women, 7 midwives\/healthcare workers, 3 supervisors of prenatal care services and 3 dentists) were purposefully sampled in terms of demographic characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The qualitative content analysis study conducted 31 semistructured individual interviews in 2022, utilising MAXQDA V.10.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The participants identified 3 main categories and 11 subcategories: individual and physiological determinants (care needs, perceived importance, motivation, oral health literacy and inherent pregnancy limitations), organisational determinants (costs, access to equipment and services, review of service delivery process and professional behaviour) and social-cultural determinants (educational services and support from family and friends).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results can be used in interventions to improve oral healthcare for pregnant women. This study highlights the importance of addressing individual, organisational and social-cultural determinants to improve oral healthcare during pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-080033","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T22:17:04Z","timestamp":1706566624000},"page":"e080033","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Perceptions and determinants of oral health care among Iranian pregnant women: a qualitative study"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5647-0982","authenticated-orcid":false,"given":"Monireh","family":"Abdollahi","sequence":"first","affiliation":[{"name":"Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran"},{"name":"Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8747-8717","authenticated-orcid":false,"given":"Hadi","family":"Tehrani","sequence":"additional","affiliation":[{"name":"Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran"},{"name":"Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3792-4808","authenticated-orcid":false,"given":"Mehrsadat","family":"Mahdizadeh","sequence":"additional","affiliation":[{"name":"Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran"},{"name":"Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atefeh","family":"Nemati-Karimooy","sequence":"additional","affiliation":[{"name":"Restorative and Cosmetic Dentistry,School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahdi","family":"Gholian-aval","sequence":"additional","affiliation":[{"name":"Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran"},{"name":"Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"key":"2025120618264295000_14.1.e080033.1","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1186\/s12903-020-01290-5","article-title":"The impact of pregnancy on women's oral health-related quality of life: a qualitative investigation","volume":"20","author":"Fakheran","year":"2020","journal-title":"BMC Oral Health"},{"key":"2025120618264295000_14.1.e080033.2","doi-asserted-by":"crossref","first-page":"6857","DOI":"10.3390\/jcm11226857","article-title":"Relationship between periodontal condition of the pregnant woman with preterm birth and low birth weight","volume":"11","author":"Gallagher-Cobos","year":"2022","journal-title":"J Clin Med"},{"key":"2025120618264295000_14.1.e080033.3","doi-asserted-by":"crossref","first-page":"S613","DOI":"10.4103\/jpbs.JPBS_73_20","article-title":"Influence of periodontal infection as a possible risk factor for preterm low birth weight","volume":"12","author":"Thakur","year":"2020","journal-title":"J Pharm Bioallied Sci"},{"key":"2025120618264295000_14.1.e080033.4","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1159\/000514502","article-title":"Breastfeeding and childhood dental caries: results from a socially diverse birth cohort study","volume":"55","author":"van Meijeren-van Lunteren","year":"2021","journal-title":"Caries Res"},{"key":"2025120618264295000_14.1.e080033.5","doi-asserted-by":"crossref","unstructured":"Musskopf ML , Milanesi FC , Rocha J da , et al . 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