Incarceration exposure and women's oral health experiences during pregnancy

Abstract

RationalePrior research has documented an association between incarceration and poor oral health outcomes. Likewise, recent scholarship has also detailed that women exposed to incarceration either directly or vicariously through a partner during pregnancy incur worse health outcomes. However, no previous research has assessed the connection between incarceration exposure and oral health during pregnancy. ObjectiveThe current study assesses the link between maternal incarceration exposure and oral health during pregnancy. MethodsData are from the Pregnancy Risk Assessment Monitoring System (PRAMS) from years 2016–2019 (N = 60,342). Logistic regression was used to assess the relationship between incarceration and oral health. ResultsWomen exposed to incarceration exhibited worse oral health outcomes in the form of being more likely to report not knowing the importance of oral care, not having an oral health discussion with a provider, not getting a teeth cleaning, as well as being likely to report needing to see a dental provider, having visited a dental provider for a problem during pregnancy, and having more unmet dental care needs. ConclusionsThese findings add to a burgeoning literature that demonstrates a woman's prenatal exposure to incarceration poses risk for overall health and wellbeing. Given the influence of both incarceration exposure and oral health during pregnancy for maternal and infant health, the findings suggest that coordination between criminal justice, public health, and oral health experts can develop programmatic efforts that expand access to oral health care and improve oral health literacy among incarceration-exposed pregnant women.