Dentition status among an ethnically diverse older urban Malaysian population

2019 ◽  
Vol 42 (2) ◽  
pp. 304-311
Author(s):  
Muhammad Abbas Amanat ◽  
Jacob John ◽  
Tan Maw Pin ◽  
Mahmoud Danaee ◽  
Vaishali Malhotra ◽  
...  

Abstract Background Poor oral health affects not only dietary choices but overall well-being. This study explores the influence of lifestyle, socio-demographics and utilization of dental services on the dentition status of an older urban Malaysian population. Methods A total of 1210 participants 60 years and above, representing the three main ethnic groups were recruited from a larger cohort study. Weighted factors valued for comparison included socio demographics and health status. Knowledge of and attitude and behaviour towards personal oral health were also assessed. Dentition status, adapted from WHO oral health guidelines, was the dependent variable investigated. Data were analysed using descriptive chi square test and multivariate binary logistic regression. Results Overall, 1187 respondents completed the study. The dentition status and oral health related knowledge, attitude and behaviour varied between the three ethnic groups. The Chinese were significantly less likely to have ≥13 missing teeth (OR = 0.698, 95% CI: 0.521–0.937) and ≥1 decayed teeth (0.653; 0.519–0.932) compared to the Malays, while the Indians were significantly less likely than the Malays to have ≥1 decayed teeth (0.695; 0.519–0.932) and ≥2 filled teeth (0.781; 0.540–1.128). Conclusion Ethnic differences in dentition outcome are related to oral health utilization highlighting the influence of cultural differences and the need for culturally sensitivity interventions.

Author(s):  
Ina Nitschke ◽  
Sebastian Hahnel ◽  
Julia Jockusch

The aim is to analyze protective and modifying factors (e.g., vulnerability, resilience, sense of coherence) in relation to the utilization of dental services by seniors at different levels of the healthcare system. Terminological imprecision in the use and transfer of existing terms (sense of coherence, resilience, salutogenesis) to gerodontology is clarified. Factors influencing a reduced utilization (static/dynamic factors) can occur isolated or in combination and, thus, model the risk of a reduced utilization of dental services (influencing-factor mechanism). Protective factors of utilization include patient-specific factors for self-motivation and factors that promote oral-health-related resilience. Resistance forces that counteract can be identified as oral-health-related resilience factors. Achieving social and individual appreciation and establishing a prevention-oriented approach to utilization will be increasingly challenging, since the population is becoming older and access is not equal in terms of opportunity. Resistance forces need to be strengthened in an ethical context. Studies should increasingly present resilience processes, determinants and modes of action at the various interfaces in the healthcare system, which can ensure sustainable medical care in old age. The concepts conveyed here are generally valid and able to point out inequalities and ageism in access to dental services.


Author(s):  
Chetanjit Baruah ◽  
Alpana P. Rabha ◽  
Hiranya Saikia

Background: Oral health is an integral part of general health and wellbeing of an individual at every stage of life. Good oral health knowledge is a requisite criterion for good oral health related behavior. So, this study was done to assess knowledge and practice about oral health and whether there is any difference of knowledge and practice about it among nursing and pharmacy students.Methods: A cross sectional study was done among 110 nursing and 90 pharmacy students in June 2019 by stratified random sampling method using a self-administered predesigned structured questionnaire. Descriptive statistics and chi-square test were applied using SPSS software.Results: Knowledge and practice of pharmacy students was found to be better than nursing students.Conclusions: Knowledge and practice of the students should be improved through health education.


2016 ◽  
Vol 40 (3) ◽  
pp. 200-206 ◽  
Author(s):  
G Thiruvenkadam ◽  
Sharath Asokan ◽  
J Baby John ◽  
PR Geetha Priya

Objective: The aim of the study was to assess the association of optimism and psychosocial well being of school going children on their oral health status. Study design: The study included 12- to 15-year-old school going children (N = 2014) from Tamilnadu, India. Optimism was measured using the revised version of the Life Orientation Test (LOT-R). A questionnaire was sent to the parents regarding their child's psychosocial behavior which included shyness, feeling inferiority, unhappiness and friendliness. Clinical examination for each child was done to assess the DMFT score and OHI-S score. The data obtained were statistically analyzed using Pearson Chi-Square test, Mann-Whitney test and Kruskal-Wallis test with the aid of SPSS software (version 17). Odds Ratio (OR) was calculated with 95% Confidence Interval (CI). The p value ≤ 0.05 was considered statistically significant. Results: Boys with high optimism had significantly lesser DMFT score than the boys with low optimism (p=0.001). Girls with high optimism had significantly higher DMFT score (p=0.001). In psychosocial outcomes, inferiority (p=0.002) and friendliness (p=0.001) showed significant association with DMFT score. Among the boys, children who felt less inferior (p=0.001), less unhappy (p=0.029) and more friendly (p=0.001) had lesser DMFT score. Conclusion: Among the psychosocial outcomes assessed, inferiority and friendliness had significant association with oral health of the children and hence, can be used as a proxy measures oral health.


2020 ◽  
Vol 11 (3) ◽  
pp. 251-263
Author(s):  
José Francisco dos Reis Neto ◽  
Michelle Da Rosa Lopes ◽  
Celso Correia de Souza ◽  
Marlucy Ferreira Machado Xavier

Urban green parks, considered as natural resources, should be seen as strategic elements for conservation of natural resources, socialization, health and well-being, since it significantly influences the local economy. The research sought to quantify the Willingness to Pay (WTP) for environmental conservation and its influencing factors, indicated by the population using three urban parks in Campo Grande, MS, Brazil: Parque das Nações Indígenas (PNI); Parque Ayrton Senna (PAS); and Parque Matas do Segredo (PMS). It was a quantitative approach, interviewing 824 users from the three parks object of the research, highlighting those who know and frequent the parks. A structured questionnaire was used, divided into groups of variables to identify the perceptions of socioeconomic, maintenance and preservation of parks, satisfaction with the equipment offered, and with the environmental preservation and maintenance of the Parks. Descriptive statistics and Chi-square test were used to compare the independence between the proportions obtained for each Park, at the level of significance at p <0.05, bilateral. A binary logistic regression analysis of discrete variables was also performed to identify the factors that may influence the user of the Park to WTP of environmental conservation. As a result, it was identified that there is satisfaction in the Parks, in relation to the questions: place for social interaction, appearance, attractiveness, calm, cozy, beautiful and clean environment. In relation to WTP, it was identified that the people who attend the Parks are willing to pay for the protection and environmental conservation of these. This article has its academic importance in contributing to the knowledge of the importance of Urban Green Parks, as well as providing indications for the evolution of others socio-environmental research projects. Under the business scope, it provides data and conclusions for the direction of public policies enlist the population and entrepreneurs to strengthen the preservation and maintenance.


2021 ◽  
Vol 22 (3) ◽  
pp. 223-229
Author(s):  
Mayara Delfino Sentone Rossato ◽  
Márjori Frítola ◽  
Paulo Henrique Rossato ◽  
Valéria Campos Mariano Francelino ◽  
Regina Célia Poli-Frederico ◽  
...  

AbstractThis study aimed to assess mothers’ oral health-related knowledge and practices in immediate and late puerperium, and in the child’s first year of life. This study is a prospective cohort study, in which data were collected from 358 mothers of children born between 2013 and 2014, in immediate and late puerperium, and in children’s first year of life, by interviews with sociodemographic characterization and oral health questionnaires, and were analyzed by descriptive statistics and Chi-square test (α = 5%). Participants were mainly aged 20 to 29 years (53.9%), with 7 to 11 years of education (67.6%), from low social class (72.3%), unemployed (58.9%), married or in common-law marriage (84.1%), with more than one child (60.1%). Although 51.7% of them had received information about children’s oral health, only 0.8%, 32.4% and 13.7%, respectively, knew the concept, etiology and preventive attitudes regarding dental caries. Mothers aged under 20 and over 30 years, with lower education and from low social class presented significantly lower oral health-related knowledge. At children’s first year of life, although 78.7% of the children had already been taken to the dentist, half of them had already tasted sugary foods and drinks. It is highlighted the social determination and the need of an improvement of mothers’ oral health related knowledge and practices. Educational actions, especially in prenatal programs, are important to achieve this improvement and to decrease early childhood caries rates.Keywords: Dental Caries. Child. Health Knowledge Attitudes, Practice. Parents. Oral Health.ResumoAvaliar o conhecimento e as práticas de mães sobre a saúde bucal de seus filhos no puerpério imediato, tardio, e no primeiro ano de vida da criança. Trata-se de um estudo de coorte prospectiva, no qual os dados foram coletados de 358 mães de bebês nascidos entre 2013 e 2014, no puerpério imediato, tardio e um ano após o parto, por entrevistas com perguntas sobre dados sociodemográficos e sobre saúde bucal. Os dados foram analisados por estatísticas descritivas e pelo teste Qui-quadrado (α = 5%). As participantes apresentavam, majoritariamente, idades entre 20 a 29 anos (53,9%), com 7 a 11 anos de estudo (67,6%), eram de baixa classe social (72,3%), desempregadas (58,9%), casadas ou em união estável (84,1%), e tinham mais de um filho (60,1%). Apesar de 51.7% delas afirmarem ter recebido informações sobre saúde bucal infantil, apenas 0,8%, 32,4% e 13,7%, respectivamente, sabiam o conceito, etiologia e as atitudes preventivas à cárie. Mães com idades abaixo de 20 e acima de 29 anos apresentaram menor conhecimento sobre saúde bucal do que as demais. No primeiro ano de vida, apesar de 78,7% das crianças já terem ido ao dentista, metade delas já havia experimentado alimentos e bebidas açucarados. Destaca-se a determinação social e a necessidade de melhora no conhecimento e práticas das mães sobre saúde bucal. Ações educativas, especialmente em programas de atenção pré-natal, são importantes para atingir essa melhora e, consequentemente, diminuir as taxas da cárie na primeira infância. Palavras-chave: Cárie Dentária. Criança. Conhecimentos, Atitudes e Práticas em Saúde. Pais. Saúde Bucal.


Author(s):  
Margarida Esteves ◽  
◽  
Joana Pereira ◽  
Carolina Gomes ◽  
Bárbara Cunha ◽  
...  

Objectives: To assess the level of knowledge and attitudes regarding prenatal and infant oral health in a sample of pregnant women from Coimbra, Portugal. Methods: A self-applied questionnaire was administered to randomly selected pregnant women who attended prenatal check-ups at two public health institutions in Coimbra. Collected data included sociodemographic information, oral health knowledge and practices in pregnancy, and knowledge on oral health in children. All ethical requirements were met. Statistical analysis was conducted using descriptive and inferential methods. Variables were tested for independence using a chi-square test with a 95% confidence interval. Results: A total of 120 women enrolled in the study. Although 68.9% of participants brushed their teeth twice daily, 36.4% reported not using floss, with a statistically significant association with age (p=0.004). Half of the respondents had not attended a dental appointment before pregnancy, and 59.2% believed pregnancy could be harmful to oral health. Findings showed limited knowledge of the possible consequences of gingivitis and periodontitis to the course of pregnancy and the importance of diet in oral health. Moreover, a low level of understanding was noted regarding the existence and prevention of early childhood caries. Conclusions: Oral health-related knowledge and practices of surveyed women were in general deficient. Considering pregnancy is a period of particular interest for acquiring knowledge and good oral health practices, which are decisive for both the expectant mother and the child, our results highlight an urgent need to implement prenatal oral health care programs in this study population.


2015 ◽  
Vol 20 (2) ◽  
pp. 208
Author(s):  
Lisa Prihastari ◽  
Peter Andreas

Kehamilan dan kesehatan gigi-mulut merupakan aspek yang berkaitan satu sama lain. Ibu hamil perlu secara rutin memeriksakan kesehatan gigi dan mulutnya ke dokter gigi setiap trimester. Angka utilisasi pelayanan kesehatan gigi dan mulut yang ditandai dengan data kunjungan ibu hamil ke dokter gigi di Indonesia masih sangat rendah. Faktor-faktor antecendent dalam teori perubahan perilaku ABC (antecendent behavior consequences) sangat penting dalam mempengaruhi terbentuknya sebuah perilaku termasuk perilaku kunjungan ibu hamil untuk pemeriksaan ke dokter gigi. Tujuan penelitian ini adalah untuk mengindetifikasi faktor-faktor antecendent yang menyebabkan rendahnya perilaku kunjungan ibu hamil ke dokter gigi. Penelitian pendahuluan dilakukan di wilayah kerja puskesmas Serpong Tangerang Selatan secara cross sectional pada 27 ibu hamil, wawancara dengan kuisioner dan pemeriksaan klinis menghitung skor DMFT dan MGI (modified gingival index) kemudian dianalisis deskriptif dan statistik dengan uji chi-Square. Hasil penelitian menunjukkan 96% (26 responden) tidak pernah memeriksakan ke dokter gigi saat hamil. Faktor antecendent rendahnya kunjungan bumil ke dokter gigi: belum mengetahui manfaat ke dokter gigi saat hamil (33%; 9 responden), takut ke dokter gigi (26%; 7 responden), merasa mahal (19%; 5 responden), merasa tidak butuh (11%; 3 responden), takut membahayakan janin (11%; 3 responden). Rata-rata indeks DMFT sebesar 2.78 dan skor rata-rata MGI sebesar 1.00. Tidak terdapat perbedaan yang bermakna skor DMFT dan MGI dari masing-masing faktor antecendent (p>0.05). Kesimpulannya dua faktor yang mempengaruhi utilisasi pelayanan kesehatan gigi dan mulut selama kehamilan adalah 1) pengetahuan dan 2) perceived need.Antecendent Affecting Utilization of Dental Services in Pregnant Women (Pilot Study at Serpong District, South Tangerang). Pregnancy and oral health are an aspect that is related to each other. Pregnant women need to regularly check oral health to a dentist every trimester. The number of utilization of dental service which is indicated by pregnant women’s dental visit data in Indonesia is still very low. Antecendent factors in ABC behavior change theory (Antecendent Behavior Consequences) are very important to influence the formation of a behavior including pregnant women dental’s visit. The objective of this study is to identify and evaluate the antecendent factors affecting the utilization of dental services during pregnancy. The preliminary research was conducted at comunity health center in Serpong district, South Tangerang with a cross sectional study. Subjects are 27 pregnant women with gestational age of 4-38 weeks.Data were collected through interview and clinical examination to find out about the score of DMFT index and modified gingival index, which was then analyzed descriptively and statistically using chi-Square test. Results: most of the respondents (96%; 26 respondents) did not visit the dentist during pregnancy. Antecendent factor of pregnant women’s dental visit: not knowing the benefits of dental visit during pregnancy (33%; 9 respondents), having fear of a dentist (26%; 7 respondents), visiting a dentist is thought to be expensive (19%; 5 respondents), having no need (11%; 3 respondents), having fear of causing harm to the fetus (11%; 3 respondents). The mean of DMFT is 2.78 ± 3.23 and the mean of modified gingival index (MGI) 1.00 ± 1.07. There were no significant differences in DMFT and MGI scores of each antecendent (p> 0.05). Conclusion: two major factors predicting the utilization of dental services during pregnancy are 1) knowledge and 2) perceived need.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Gajanan V. Kulkarni

Purpose.To determine the long-term effectiveness of comprehensive education given to parents and caregivers with respect to the incidence of preventable oral diseases, utilization of dental services, and retention of knowledge related to oral health.Methods.Group presentations on oral health were conducted for caregivers of infants (n=161) using an interactive audio-visual aid. Followup occurred at 18 months. A comparison group (n=181) was enrolled from the same community groups. Chi-square and Fisher’s exact tests were used to analyze findings.Results.There was a difference in caries incidence, knowledge levels of caregivers, and utilization of dental services (P<0.05) when comparing the SGB to the SGFU.Conclusions.One-time exposure to parent education using a comprehensive interactive audio-visual aid has an effect on reducing caries incidence and increasing dental utilization. While most knowledge is retained by parents, there is some attrition in the information retained over an 18-month time period. This emphasizes the importance of repeated reinforcement of the same concepts over a shorter time span.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kjersti Berge Evensen ◽  
Vibeke Hervik Bull ◽  
Linda Ness

Purpose Prisoners have poorer oral health than the general population. Good oral health is essential for both social and physical well-being. For prisoners, poor oral health is also related to drug use after release, whereas good oral health is related to successful reintegration into society. The purpose of this study was twofold: to examine the effect of an intervention based on motivational interviewing (MI) on prisoners’ oral health-related behavior and to assess if the intervention is a good fit for this population. Design/methodology/approach In total, 16 prisoners in a Norwegian prison were offered a brief MI-based intervention focusing on changing their oral health-related behavior. An oral examination was also performed and the prisoners received a small package containing oral hygiene aids. Two weeks later, a second oral examination and a semi-structured interview were conducted to explore the effect of the intervention and examine the prisoners’ responses to the intervention. Qualitative data analyzes were guided by thematic analysis. Findings The findings indicate that the intervention had positive effects on both the prisoners’ motivation to use oral health-related behavior and their performance of oral health-related behavior. The findings also indicate that the intervention was well adapted to the target population. Originality/value This is one of the first studies that explore the effect of an intervention in improving prisoners’ oral health and bridges a knowledge gap in the literature. The findings may increase the understanding of how dental services should be organized and offered to provide dental health care to this vulnerable group.


2017 ◽  
Vol 1 (7) ◽  
pp. 27-33 ◽  
Author(s):  
Nishant Mehta ◽  
Vikram Arora

INTRODUCTION: Anxiety is a common problem frequently experienced by patients undergoing dental procedures in every dental setting. The present study aimed to assess the prevalence of dental anxiety among the patients visiting the Out Patient Department (OPD) of a Dental Institution in Panchkula, Haryana.MATERIALS & METHOD: A sample of 600 adults (Females =298, Males = 302) with age ranging from 21 years to 65 years were enrolled in the study. The Modified Dental Anxiety Scale was used to measure dental anxiety among the study population. Chi Square test and ANOVA was used to find significant comparisons between the different variables assessed in the study. Further, Spearman’s Correlation was used to analyse these variables with the mean anxiety scores of the patients.RESULTS: The prevalence of anxiety among patients was found to be high. Reportedly the level of anxiety was found more in females than in males. It was revealed that with advancing age and higher education level, there was a decrease in level of anxiety, postponement of the dental treatment had a direct effect on dental anxiety. Previous unfavourable dental experience has a high impact on dental anxiety scores.CONCLUSION: Evaluation of anxiety levels in the subjects of this study suggests that majority of them are anxious towards dental treatment. Dental anxiety is one of the major barrier in the utilization of dental services. There is a strict need of directing efforts towards alleviation of this hindrance to provide a good quality dental care to the needy population.


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