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Utilization of dental health care services in context of the HIV epidemic- a cross-sectional study of dental patients in the Sudan
Elwalid Nasir, Anne ?str?m, Jamil David, Raouf Ali
BMC Oral Health , 2009, DOI: 10.1186/1472-6831-9-30
Abstract: Dental patients were recruited from Khartoum Dental Teaching Hospital (KDTH) and University of Science and Technology (UST) during March-July 2008. A total of 1262 patients (mean age 30.7, 56.5% females and 61% from KDTH) were examined clinically (DMFT) and participated in an interview.A total of 53.9% confirmed having attended a dental clinic for treatment at least once in the past 2 years. Logistic regression analysis revealed that predisposing factors; travelling inside Sudan (OR = 0.5) were associated with lower odds and females were associated with higher odds (OR = 2.0) for dental service utilization. Enabling factors; higher knowledge of HIV transmission (OR = 0.6) and higher HIV related experience (OR = 0.7) were associated with lower odds, whereas positive attitudes towards infected people and high perceived risk of contagion (OR = 1.3) were associated with higher odds for dental care utilization. Among need related factors dental caries experience was strongly associated with dental care utilization (OR = 4.8).Disparity in the history of dental care utilization goes beyond socio-demographic position and need for dental care. Public awareness of HIV infection control and confidence on the competence of dentists should be improved to minimize avoidance behaviour and help establish dental health care patterns in Sudan.The number of dentists in the public sector in Sudan has increased from 244 to 512 in the period from 2003 to 2007 and the dentist population ratio in Khartoum state (1.7:100000) is the highest in the country [1]. Dental care utilization of the public in light of the Human Immunodeficiency Virus (HIV) epidemic is so far poorly understood. With the exception of the Sudan the HIV epidemics in the Middle East and North Africa is comparatively small [2]. This is particularly so in Sub-Saharan Africa where an estimated 22 million people were living with HIV and Acquired Immune Deficiency Syndrome (AIDS) towards the end of 2007 and where access to den
Dental Care Utilization and Satisfaction of Residential University Students
CT Bamise, TA Bada, FO Bamise, EO Ogunbodede
Libyan Journal of Medicine , 2008,
Abstract: Aim: The objective of this study was to provide information on the level of utilization and satisfaction of residential university students with the dental services provided by the dental clinic of a teaching hospital. Volunteers and Material: A stratified sampling technique was used to recruit volunteers from the outpatient clinic of the Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria. Information was collected by a self-administered questionnaire composed of questions that measure the level of utilization and satisfaction with the dental services provided. Questionnaires were provided to 650 randomly chosen students residing in the University hostels. There were 39 refusals, and 6 incomplete questionnaires were discarded. This left a sample size of 605 volunteers. Results: Forty seven students (7.8%) indicated that they visited the dental hospital within the last 12 months. Males and females utilized the dental services equally, and utilization increased with age and the number of years spent on campus. Anticipation of painful dental treatment, high dental charges, long waiting times and being too busy for a dental visit were cited as the most important impediments to seeking dental treatment. Females expressed greater satisfaction with the services. Conclusion: Dental service utilization among the students was found to be low. Oral health awareness campaigns, improving the quality of the services, and shortening the waiting time are expected to increase service utilization and satisfaction.
Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren
Piovesan, Chaiana;Mendes, Fausto Medeiros;Antunes, José Leopoldo Ferreira;Ardenghi, Thiago Machado;
Brazilian Oral Research , 2011, DOI: 10.1590/S1806-83242011000100012
Abstract: we assessed the inequality in the distribution of dental caries and the association between indicators of socioeconomic status and caries experience in a representative sample of schoolchildren. this study followed a cross-sectional design, with a sample of 792 schoolchildren aged 12 years, representative of this age group in santa maria, rs, brazil. guardians answered questions on socioeconomic status and a dental examination provided information on the dental caries experience (dmf-t). inequality in dental caries distribution was measured by the gini coefficient and the significant caries index (sic). the assessment of association used poisson regression models. socioeconomic factors were associated with prevalence of dental caries for the whole sample and also for individuals with a high-caries level. children from low-income households had the highest prevalence of dental caries. the gini coefficient was 0.7 and the sic index 2.5. the percentage of caries prevalence was 39.3% (95% ci: 35.8%-42.8%) and the mean for dmf-t was 0.9 (± sd 1.5). inequalities in the distribution of dental caries were observed and socioeconomic factors were found to be strong predictors of the prevalence of oral disease in children of this age group.
Influence of self-perceived oral health and socioeconomic predictors on the utilization of dental care services by schoolchildren
Piovesan, Chaiana;Antunes, José Leopoldo Ferreira;Guedes, Renata Saraiva;Ardenghi, Thiago Machado;
Brazilian Oral Research , 2011, DOI: 10.1590/S1806-83242011005000004
Abstract: the influence of socioeconomic factors and self-rated oral health on children's dental health assistance was assessed. this study followed a cross-sectional design, with a multistage random sample of 792 12-year-old schoolchildren from santa maria, a city in southern brazil. a dental examination provided information on the prevalence of dental caries (dmft index). data about the use of dental service, socioeconomic status, and self-perceived oral health were collected by means of structured interviews. these associations were assessed using poisson regression models (prevalence ratio; 95% confidence interval). the prevalence of regular use of dental service was 47.8%. children from low socioeconomic backgrounds and those who rated their oral health as "poor" used the service less frequently. the distribution of the kind of oral healthcare assistance used (public/private) varied across socioeconomic groups. the better-off children were less likely to have used the public service. clinical, socioeconomic, and psychosocial factors were strong predictors for the utilization of dental care services by schoolchildren.
Influence of self-perceived oral health and socioeconomic predictors on the utilization of dental care services by schoolchildren  [cached]
Chaiana Piovesan,José Leopoldo Ferreira Antunes,Renata Saraiva Guedes,Thiago Machado Ardenghi
Brazilian Oral Research , 2011,
Abstract: The influence of socioeconomic factors and self-rated oral health on children's dental health assistance was assessed. This study followed a cross-sectional design, with a multistage random sample of 792 12-year-old schoolchildren from Santa Maria, a city in southern Brazil. A dental examination provided information on the prevalence of dental caries (DMFT index). Data about the use of dental service, socioeconomic status, and self-perceived oral health were collected by means of structured interviews. These associations were assessed using Poisson regression models (prevalence ratio; 95% confidence interval). The prevalence of regular use of dental service was 47.8%. Children from low socioeconomic backgrounds and those who rated their oral health as "poor" used the service less frequently. The distribution of the kind of oral healthcare assistance used (public/private) varied across socioeconomic groups. The better-off children were less likely to have used the public service. Clinical, socioeconomic, and psychosocial factors were strong predictors for the utilization of dental care services by schoolchildren.
Barriers to the Utilization of Dental Services in Udaipur, India
G. Kakatkar,N. Bhat,R. Nagarajappa,V. Prasad
Journal of Dentistry of Tehran University of Medical Sciences , 2011,
Abstract: Objective: Regular home care and yearly dental check-ups are the best means of dental care. In spite of the information on dental care, many people fail to take these precautions. The objective of this study was to determine the barriers in regular dental care and home care and to assess their association with age, sex, education and income.Materials and Methods: A cross-sectional survey was conducted among 427 randomly selected individuals, 248 males and 179 females. Data were collected by a pre-tested, selfadministered 14 question questionnaire. The answer "very much" was scored as one, "to some degree" as two and "not at all" as three. The data was described and analyzed by frequency distribution and chi square test with P<0.05 level of significance. Logistic regression was used to investigate the association between dental visits with age, sex and education. Correlation between income and dental visits was determined by Spearman's correlation coefficient.Results: The male group had more dental visits (P>0.05), but females experienced higher dental fear (P<0.001). The younger age group had more visits within one year in comparison to the older. Increase in education, decreases the barriers for regular dental care. Income had a significantly negative correlation with dental visit (P=0.02).Conclusion: Our findings suggest that males believed in having regular dental care. Cost of the treatment also affected the dental visits, but the distance they had to travel to get the dental treatment was not much significant. Above all, felt need had a major impact on the dental visits.
Perceived dental treatment need among older Tanzanian adults – a cross-sectional study
Anne N ?str?m, Irene A Kida
BMC Oral Health , 2007, DOI: 10.1186/1472-6831-7-9
Abstract: A cross-sectional survey was conducted in Pwani region and in Dar es Salaam in 2004/2005. Information from interviews and clinical examination became available for 511 urban and 520 rural adults (mean age 62.9 yr).51.7% (95% CI 46.2, 57.0) urban and 62.5 % (95% CI 53.1, 70.9) rural inhabitants confirmed need for dental check-up, 42.9% (95% CI 36.9, 48.9) urban and 52.7% (95% CI 44.5, 60.6) rural subjects confirmed need for problem oriented care and 38.4% (95% CI 32.4, 44.6) urban versus 49.6% (95% CI 41.8, 57.4) rural residents reported need for any type of dental care. Binary and ordinal multiple logistic regression analyses revealed that adults who reported bad oral health and broken teeth were more likely to perceive need for dental care across the three outcome measures than their counterparts. Socio-demographic factors and clinically defined problems had less impact. Based on a normative and an integrated socio-dental approach respectively 39.5% and 4.7% were in need for partial dentures.About half of the participants confirmed need for problem oriented care, dental check-ups and any type of dental care. Need perceptions were influenced by perceived oral health, clinically assessed oral problems and socio-demographic characteristics. Need estimates for partial denture was higher when based on clinical examination alone compared to an integrative socio-dental approach.It has been suggested that perceptions of need for dental care play a key role as to whether people in general will seek dental care and that lack of need perceptions constitutes an important barrier for utilization of heath care services [1,2]. Reportedly, the main benefits of dental treatment relate to improved psychological and social well-being [3]. Thus, oral symptoms and functional and psychological impacts from oral conditions seems to be of great significance in the assessments of individuals' perceived need for dental care [3,4]. Need perceptions correlate, however, weakly with professiona
The Routine Utilization of Dental Care during Pregnancy in Eastern China and the Key Underlying Factors: A Hangzhou City Study  [PDF]
Wei Sun, Jing Guo, Xiuyang Li, Yongqi Zhao, Hui Chen, Gang Wu
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0098780
Abstract: Objectives Oral diseases are associated with adverse pregnancy outcomes. The routine utilization of dental care (RUDC) during pregnancy is an effective way to improve pregnant women’s oral health, and thus safeguard the health of their babies. As China has one fifth of the world’s population, it is especially meaningful to encourage RUDC there. However, the status of RUDC in China and the key underlying factors are largely unknown. Methods This cross-sectional survey investigated the current status of RUDC during pregnancy and the key underlying factors in Hangzhou City, Zhejiang Province, eastern China. We collected participants’ demographics, individual oral-hygiene behaviors, individual lifestyle, oral-health conditions and attitudes, and also their RUDC during pregnancy. Binary Logistic Regression Analysis was used to analyze the key underlying factors. Results Only 16.70% of the participants reported RUDC during pregnancy. The percentage of RUDC was significantly lower among pregnant women with the following characteristics: aged 30 or less, an annual household income under $8,000, brushing once a day or less, never flossing or rinsing the mouth, paying no attention to pregnancy-related oral-health knowledge, and being dissatisfied with one’s individual dental hygiene behavior. Conclusions RUDC during pregnancy is very low in eastern China and is greatly influenced not only by a woman’s age, annual income, individual hygiene behavior, but also by her attention and attitudes to oral health. To improve this population’s access to and use of dental care during pregnancy, appropriate programs and policies are urgently needed.
Dental pain, oral impacts and perceived need for dental treatment in Tanzanian school students: a cross-sectional study
Kijakazi O Mashoto, Anne N ?str?m, Jamil David, Joyce R Masalu
Health and Quality of Life Outcomes , 2009, DOI: 10.1186/1477-7525-7-73
Abstract: Focusing on primary school students in Kilwa, Tanzania, a district deprived of dental services and with low fluoride concentration in drinking water, this study aimed to assess the prevalence of dental pain and oral impacts on daily performances (OIDP), and to describe the distribution of OIDP by socio-demographics, dental caries, dental pain and reported oral problems. The relationship of perceived need estimates with OIDP was also investigated.A cross-sectional study was conducted in 2008. A total of 1745 students (mean age 13.8 yr, sd = 1.67) completed an extensive personal interview and under-went clinical examination. The impacts on daily performances were assessed using a Kiswahili version of the Child-OIDP instrument and caries experience was recorded using WHO (1997) criteria.A total of 36.2% (41.3% urban and 31.4% rural, p < 0.001) reported at least one OIDP. The prevalence of dental caries was 17.4%, dental pain 36.4%, oral problems 54.1% and perceived need for dental treatment 46.8% in urban students. Corresponding estimates in rural students were 20.8%, 24.4%, 43.3% and 43.8%. Adjusted OR for reporting oral impacts if having dental pain ranged from 2.5 (95% CI 1.8–3.6) (problem smiling) to 4.7 (95% CI 3.4–6.5) (problem sleeping),- if having oral problems, from 1.9 (95% CI 1.3–2.6) (problem sleeping) to 3.8 (95% CI 2.7–5.2) (problem eating) and if having dental caries from 1.5 (95% CI 1.1–2.0) (problem eating) to 2.2 (95% CI 1.5–2.9) (problem sleeping). Students who perceived need for dental care were less likely to be females (OR = 0.8, 95% CI 0.6–0.9) and more likely to have impacts on eating (OR = 1.9, 95% CI 1.4–2.7) and tooth cleaning (OR = 1.6, 95% CI 1.6–2.5).Substantial proportions of students suffered from untreated dental caries, oral impacts on daily performances and perceived need for dental care. Dental pain and reported oral problems varied systematically with OIDP across the eight impacts considered. Eating and tooth cleaning problems discr
Evaluation of utilization of insured rights to preventive dental examinations in primary health care in the Republic of Serbia in the period 2003-2006  [PDF]
Gaji?-Stevanovi? Milena,Vuk?a Ana,Teodorovi? Nevenka,?ivkovi? Slavoljub
Srpski Arhiv za Celokupno Lekarstvo , 2010, DOI: 10.2298/sarh1002072g
Abstract: Introduction. The dental health sector reform in Serbia has commenced in order to implement health policy changes. Assessment of legally regulated citizens rights to preventive dental examination, revision of those rights and their promotion are one of the dental health reform priorities. Objective. The objective of this study was to assess the utilization of preventive dental examination (PDE) in Serbia in 2006 among different subject groups and different districts and to analyze financial resources spent for those measures. Also, study aims were to compare the utilization of rights to preventive dental examination in Republic of Serbia in period between 2003-2006. Methods. The retrospective analytical study of Public Health Institute and Republican Statistical Office data were conducted. The comparative analytical method was used for assessment of preventive dental examinations within the given time frame from 2003 to 2006. Results. Results achieved in realization of PDE show a broad spectre of district discrepancies. The variation factor depending on preventive examination or population group it is related to varies from 26.73% to 90.88%. Conclusion. Realization of preventive dental examinations in the Republic of Serbia was significantly lower than projected in the period 2003-2006.
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