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Maternal and Child Health Journal

, Volume 18, Issue 3, pp 657–662 | Cite as

Literacy, Pregnancy and Potential Oral Health Changes: The Internet and Readability Levels

  • R. Constance WienerEmail author
  • Regina Wiener-Pla
Article

Abstract

The purpose of this study is to evaluate the readability level and content of articles concerning pregnancy and the periodontium which are presented on internet websites. Websites were selected from Google, Yahoo, and Bing. The sites which were excluded were: commercial sites; blogs; dental office sites; sites with articles having fewer than 20 sentences; duplicated search results; and non-secure sites (N = 137). The grade level was determined from the SMOG reading index. Content was scored for specific pregnancy related periodontal content. The mean reading level was 8th grade. The mean number of words with 3 or more syllables in 20 sentences was 38.90. Articles written below the 8th grade level were more likely to recommend brushing twice a day and using a soft-bristled brush. Articles at or above the 8th grade level were more likely to discuss preterm birth and periodontal disease. One article from a national dental organization and 3 from government sites were returned from the searches. Internet articles are written across the literary spectrum. Dental organizations were not adequately represented. Many advertisements, .coms, and non-secure sites pose challenges in seeking health information. Although the internet is a useful tool, practitioners need to provide trustworthy, useful information during clinical visits and encourage national and state medical and dental organizations to provide content in response to search terms that would be typically used.

Keywords

Health literacy Periodontal disease Pregnancy 

References

  1. 1.
    Carrillo-de-Albornoz, A., Figuero, E., Herrera, D., Cuesta, P., & Bascones-Martinez, A. (2012). Gingival changes during pregnancy: III. Impact of clinical, microbiological, immunological and socio-demographic factors on gingival inflammation. Journal of Clinical Periodontology, 39, 272–283.CrossRefPubMedGoogle Scholar
  2. 2.
    Figuero, E., Carrillo-de-Albornoz, A., Herrera, D., & Bascones-Martinez, A. (2010). Gingival changes during pregnancy (I). Influences of hormonal variations on clinical and immunological parameters. Journal of Clinical Periodontology, 37, 220–229.CrossRefPubMedGoogle Scholar
  3. 3.
    Gondivkar, S. M., Gadbail, A., & Chole, R. (2010). Oral pregnancy tumor. Contemporary Clinical Dentistry, 1, 190–192.CrossRefPubMedCentralPubMedGoogle Scholar
  4. 4.
    Rodins, K., Gramp, D., James, D., & Kumar, S. (2010). Pyogenic granuloma, port-wine stain and pregnancy. Australasian Journal of Dermatology, 52, e8–e10.CrossRefPubMedGoogle Scholar
  5. 5.
    Offenbacher, S., Lieff, S., Boggess, K. A., Murtha, A. P., Madianos, P. N., Champagne, C. M., et al. (2001). Maternal periodontitis and prematurity. Part1: Obstetric outcome of prematurity and growth restriction. Annals of Periodontology, 6, 164–174.CrossRefPubMedGoogle Scholar
  6. 6.
    Huck, O, Tenenbaum, H, & Davideau, J.-L. (2011). Relationship between periodontal diseases and preterm birth: Recent epidemiological and biological data. Journal of Pregnancy. doi: 10.1155/2011/164654.
  7. 7.
    Jeffcoat, M, Parry, S, Sammel, M, Clothier, B, Catlin, A, Macones, G. (2011). Periodontal infection and preterm birth: Successful periodontal therapy reduces the risk of preterm birth. International Journal of Obstetrics and Gynaecology. doi: 10.1111/j.1471-0528.2010.02713.x.
  8. 8.
    Saigal, S., & Doyle, L. W. (2008). An overview of mortality and sequelae of preterm birth from infancy to adulthood. Lancet, 19, 261–269.CrossRefGoogle Scholar
  9. 9.
    Healthy people. (2020). Maternal, infant, and child health. Available at http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=26.
  10. 10.
    Graber, M., D’Alessandro, M., & Johson-West, J. (2002). Reading level of privacy policies on Internet Health Websites. Journal of Family Practice, 51, 642–645.PubMedGoogle Scholar
  11. 11.
    Fang, T. (2012). The impact of effective online marketing. Dentistry Today, 31(10), 12.PubMedGoogle Scholar
  12. 12.
    Anon. (2012). Online coupons may give rise to fee splitting concerns. Journal Oklahoma Dental Association, 103(7), 40.Google Scholar
  13. 13.
    McLeod, N. S. (2012). Enhancing the online presence of a dental practice. The Journal of Prosthetic Dentistry, 107, 271–275.CrossRefPubMedGoogle Scholar
  14. 14.
    Haas, J., & Park, J. H. (2012). Management and marketing: Orthodontic marketing through online social networks. Journal of Clinical Orthodontics, 46, 159–164.PubMedGoogle Scholar
  15. 15.
    Fuhnkhouser, E, Agee, B. S., Gordan, V. V., Rindal, D. B., Fellows, J. L., QVist, V., McClelland, J., Gilbert, G. H. (2012). Use of online sources of information by dental practitioners: Findings from the Dental Practice-Based Research Network. Journal of Public Health Dentistry. doi: 10.1111/j.1752-7325.2012.00373.x.
  16. 16.
    Wagner, J. A., Pfeiffer, C. A., & Harrington, K. L. (2011). Evaluation of online instruction to improve medical and dental students’ communication and counseling skills. Evaluation and the Health Professions, 34, 383–397.CrossRefPubMedGoogle Scholar
  17. 17.
    Schonwetter, D., & Reynolds, P. (2013). Discovering online learning barriers: Survey of health educational stakeholders in dentistry. European Journal of Dental Education, 17, e126–e135.CrossRefPubMedGoogle Scholar
  18. 18.
    Nattestad, A. (2012). Knowledge management systems for oral health in developing and developed countries. Periodontology 2000, 60, 156–161.CrossRefPubMedGoogle Scholar
  19. 19.
    Institute of Medicine of the National Academies Committee on Health Literacy. (2004). Washington DC. http://www.iom.edu/Activitites/PublicHealth/RtblHealthLiteracy.aspx.
  20. 20.
    Vastag, B. (2004). Low Health Literacy called a major problem. JAMA, 291, 2181–2182.CrossRefPubMedGoogle Scholar
  21. 21.
    Parker, R. M., & Wolf, M. S. (2008). Preparing for an epidemic of limited health literacy: Weathering the perfect storm. Journal of General Internal Medicine, 23, 1273–1276.CrossRefPubMedCentralPubMedGoogle Scholar
  22. 22.
    D’Alessandro, D. M., Kingsley, P., & Johnson-West, J. (2001). The readabililty of pediatric patient education materials on the World Wide Web. Archives of Pediatrics & Adolescent Medicine, 27, 591–615.Google Scholar
  23. 23.
    Graber, M. A., Roller, C. M., & Kaeble, B. (1999). Readability levels of patient education material on the World Wide Web. The Journal of Family Practice, 48, 58–61.PubMedGoogle Scholar
  24. 24.
    Wiener, R. C., & Wiener-Pla, R. M. (2011). Evaluation of educational material for tobacco prevention and cessation used in West Virginia University Dental Programs. JDH 204–211.Google Scholar
  25. 25.
    Arkin, E. B., Gitchell, J. G., & Pinney, J. M. (1995). Review and needs assessment of materials designed to prevent tobacco use. Public Health Reports, 110, 492–499.PubMedCentralPubMedGoogle Scholar
  26. 26.
    SMOG Redability Formula: Readability Formulas. Website: http://www.readabilityformulas.com/smog-readability-formula.php.
  27. 27.
    Alexander, R. E. (2000). Readability of published dental educational materials. JADA, 131, 937–942.PubMedGoogle Scholar
  28. 28.
    American Dental Association Mouth Healthy. http://www.mouthhealthy.org/en/pregnancy/.
  29. 29.
    Gong, D. A., Lee, J. Y., Rozier, R. G., Pahel, B. T., Richman, J. A., & Vann, W. F. (2007). Development and testing of the test of functional health literacy in dentistry (TOFHLiD). American Association of Public Health Dentistry, 67, 105–112.CrossRefGoogle Scholar
  30. 30.
    Richman, J. A., Lee, J. Y., Rozier, R. G., Gong, D. A., Pahel, B. T., & Vann, W. F. (2007). Evaluation of a word recognition instrument to test health literacy in dentistry: The REALD-99. American Association of Public Health Dentistry, 67, 99–104.CrossRefGoogle Scholar
  31. 31.
    vanDeursen, A. J. A. M., & vanDijk, J. A. G. M. (2011). Internet skills performance tests: Are people ready for ehealth? Journal of Medical Internet Research, 13, e35.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.School of Dentistry, Department of Dental Practice and Rural HealthWest Virginia UniversityMorgantownUSA
  2. 2.School of Public Health, Department of EpidemiologyWest Virginia UniversityMorgantownUSA
  3. 3.Foreign Service Institute-National Foreign Affairs Training Center, Office of the DirectorWashingtonUSA

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