scholarly journals Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Logistic Regression ◽  
Oral Health ◽  
Household Income ◽  
Multinomial Logistic Regression ◽  
Adult Population ◽  
Population Sample ◽  
Dental Service ◽  
Service Utilisation ◽  
Oral Health Promotion ◽  
Negatively Associated

Abstract Background Prompt dental service utilisation (DSU) is needed for the prevention and treatment of oral diseases, and it is therefore important to determine the facilitators and barriers of DSU. There is, however, scarce information available on DSU in Sudan. Therefore, this study aimed to investigate the prevalence and associated factors of DSU in a general population-based survey among 18–69 year-old persons in Sudan. Methods Cross-sectional nationally representative data of 7,722 18–69 year-old persons (36 years median age) from the 2016 Sudan Stepwise approach to surveillance (STEPS) survey were analysed. Using questionnaire, anthropometric and biochemical measures, predisposing, enabling and health and lifestyle factors of DSU were assessed. Multinomial logistic regression was conducted to estimate the predictors of DSU (> 12 months and past 12 months, with never DSU as the reference category). Results About two-thirds of the participants (64.6%) had never DSU, 22.0% had more than 12-month DSU, and 13.4% had past 12- month DSU. Among those who had ever DSU, the main reason for the last DSU was pain or trouble with teeth, gums, or mouth (66.9%), treatment or follow-up treatment 22.3%, and routine check-up treatment 5.0%. In adjusted multinomial logistic regression analysis, higher education (p < 0.001), urban residence (p < 0.001), screened for blood pressure (p < 0.001), raised total cholesterol (p < 0.05), poor SROH (p < 0.001), pain in teeth or mouth (p < 0.001), and not working because of teeth or mouth (p < 0.01) were positively and not knowing their household income (p < 0.01), high physical activity (p < 0.05), and having 20 or more teeth (p < 0.001), were negatively associated with both > 12 months and past 12 months DSU. Higher household income (p < 0.001), overweight/obesity (p < 0.05), using tooth paste (p < 0.001), and difficulty chewing (p < 0.001), were positively, and male sex (p < 0.01), and teeth cleaning twice or more times a day (p < 0.05), were negatively associated with > 12 months or past 12 months DSU. Conclusion More than one in ten participants had past 12 months DSU and several factors were detected which could be targeted in intervention activities. Study findings suggest to improve oral health awareness, in particular stressing the relevance of regular dental check-ups, by using different modalities of oral health promotion.

scholarly journals Prevalence and correlates of non-daily and daily cannabis use among persons 15 years and older in South Africa: Results of a national survey in 2017

2020 ◽  
Author(s):  
Shandir Ramlagan ◽  
Karl Peltzer ◽  
Supa Pengpid
Keyword(s):  
Logistic Regression ◽  
Alcohol Use ◽  
Drug Use ◽  
Alcohol Use Disorder ◽  
Multinomial Logistic Regression ◽  
Health Indicators ◽  
Cannabis Use ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Male Sex

Abstract BackgroundThe study aimed to assess the prevalence and correlates of non-daily and daily cannabis use among persons 15 years and older in South Africa.MethodIn a national cross-sectional 2017 survey, 39,207 persons 15 years and older (Median = 34 years) responded to a questionnaire on substance use and health variables. Multinominal logistic regression was used to assess the determinants of nondaily and daily cannabis use and logistic regression for the determinants of daily cannabis use among active cannabis users.ResultsResults indicate that 5.0% of the participants engaged in non-daily and 2.8% in daily cannabis use in the past 3 months. In adjusted multinomial logistic regression analysis, male sex, having Grade 8–11 education, Coloureds, alcohol use disorder, living with husband or wife, not living with a partner, and other drug use were positively and students were negatively associated with daily cannabis use. Male sex, younger age, living alone or single, living with a partner, alcohol use disorder, and other drug use were positively and multimorbidity was negatively associated with nondaily cannabis use. Compared to nondaily cannabis users, male sex had higher odds and students and other drug use had lower odds of daily cannabis use.ConclusionAbout one in ten participants engaged past 3-month cannabis use, and several sociodemographic and health indicators were identified associated with non-daily and daily cannabis use.

scholarly journals WOMENS ENTREPRENEURIAL INTENT IN BURKINA FASO

2021 ◽  
Vol 9 (02) ◽  
pp. 808-817
Author(s):  
Sakola Djika Ali
Keyword(s):  
Logistic Regression ◽  
Burkina Faso ◽  
Household Income ◽  
Multinomial Logistic Regression ◽  
Education Level ◽  
Quantitative Approach ◽  
Fear Of Failure ◽  
Career Theory ◽  
Entrepreneurial Intent ◽  
Start Ups

In Burkina Faso, women make up nearly 52% of the population, but they account for less than 20% of business start-ups. This paper seeks to identify factors that explain the entrepreneurial intent of Burkinabe women. It is based on socio-cognitive career theory and a quantitative approach involving a sample of 935 women. The results of the multinomial logistic regression show that five variables (perception of skills, fear of failure, education level, household size and household income level) explain womens intention to start a business with as a reference modality (1: having the intention). The main contribution is of a methodological nature, and through the choice of reference modalities allows for greater precision on the influence of the variables and the categories or sub-groups of women influenced.

scholarly journals Prevalence of oral health in the area of Tuzla City

2020 ◽  
Vol 49 (2) ◽  
Author(s):  
Mirjana Duspara ◽  
Maida Mulić ◽  
Azra Kurtić ◽  
Amela Tučić
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Medical Center ◽  
Age Groups ◽  
Developed Countries ◽  
Dental Service ◽  
World Health ◽  
Good Effect ◽  
Preventive Action ◽  
Oral Health Promotion

 Caries is the most widespread oral desease of all age groups, the main oral-health problem as well as the leading cause of teeth loss. Bosnia and Herzegovina has a huge prevalence of caries patients in comparison with a significant decline in developed countries. Postwar state period, inadequate nutrition and neglected care of oral health have reflected on oral health of children in Tuzla City. Aim: to determine prevalence of oral health of children of different age groups in the area of Tuzla City. Methods: physical checkup and education have encompassed 5452 children of different age groups in the period from 2011 to 2017 (5098 of six- year- olds, 114 twelve-year-olds, 120 fifteen-year-olds and 120 eighteen-year-olds). Physical checkups were done in dental practices of Public Health Scientific Institution (hereinafter PHSI) Medical Center Tuzla, children's department, with a dental probe and mirror. CES (caries, extraction, sealed teeth- permanent) and CES (caries, extraction, sealed teeth- dairy) were calculated on the basis of 100 checkups. During the same period there were educations for pregnant women in the first and last quarter of pregnancy organized within the school for pregnant women of the Women Dispensary of PHSI Medical Center Tuzla. Outcomes: the research determined the value of CES index of diary teeth for six-year-olds (6,41) in 2011 that was decreased in 2017 (5,19) what indicates a good effect of educative lectures. CES index of tvelwe-year-olds in 2017 was 3,2. The research proved that high school children (15-year-olds) have a high CES index (8,3) in year 2013/14 and the same group of examinees as graduates (18-year-olds) in 2016/17 had CES index of 7,73.Conclusion: CES of the examinees had very high values, far from the aim of the World Health Organization (1,5).Programs and activities of oral health promotion of the Dental Service of PHSI Medical Center Tuzla have made changes, warned of the importance of preventive action as well as triggered revitalization of preventive detal protection for preschool and school population of Tuzla City.  

scholarly journals Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254310
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Arthur de Almeida Medeiros ◽  
Angelo Giuseppe Roncalli
Keyword(s):  
Oral Health ◽  
Multilevel Analysis ◽  
Behavioral Model ◽  
Dental Service ◽  
Individual Factors ◽  
Service Utilisation ◽  
Health Coverage ◽  
Dental Services ◽  
Cross Sectional ◽  
Public Dental Service

Background This study verified the association between contextual and individual factors and public dental services utilisation in Brazil. Methods The study was conducted based on a cross-sectional population-based household survey performed in Brazil (National Health Survey– 2019)). Data was collected between August 2019 and March 2020. Total sample included 43,167 individuals aged ≥15 years who had at least one dental appointment in the last 12 months before interview. Study outcome was ‘public dental service utilisation’, and Andersen’s behavioral model was adopted for selecting independent variables. A multilevel analysis was performed using individual factors as first level and federation units as second level. Results The highest prevalence of public dental service utilisation on an individual level was observed among unable to read or write people (PR: 3.31; p<0.001), indigenous (PR: 1.40; p<0.001), black or brown (PR: 1.16; p<0.001), with per capita household income of up to U$124 (PR: 2.40; p<0.001), living in the rural area (PR: 1.28; p<0.001), and who self-rated oral health as regular (PR: 1.15; p<0.001) or very bad/bad (PR: 1.26; p<0.001). On the contextual level, highest PR of public dental service utilisation was observed among those living in federal units with increased oral health coverage in primary health care. Conclusions Public dental service utilisation is associated with individual and contextual factors. These results can guide decision-making based on evidence from policymakers, demonstrating the potential for mitigating oral health inequalities and increasing service coverage in a public and universal health system.

scholarly journals Rationale and methodology for a population-based study of diabetes and common eye diseases in a rural area in Bangladesh: Bangladesh Population based Diabetes and Eye Study (BPDES)

2015 ◽  
Vol 14 (4) ◽  
pp. 367-375 ◽  
Author(s):  
Rahul Chakrabarti ◽  
Robert P Finger ◽  
Ecosse Lamoureux ◽  
M Tauhidul Islam ◽  
Mohamed Dirani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Formal Education ◽  
Multinomial Logistic Regression ◽  
Adult Population ◽  
Medical Science ◽  
Population Based ◽  
Anthropometric Parameters ◽  
Diabetes Status ◽  
The Impact

Objectives: The purpose of this study were (i) to assess the knowledge, attitudes and practice (KAP) and impact of socioeconomic factors upon the prevalence of pre-diabetes and diabetes (ii) compute a diabetes risk score and (iii) estimate the undiagnosed prevalence of hypertension amongst a large adult population in rural Bangladesh. Methods/design: A sample of 3104 adults aged ?30 years were interviewed from a cluster sample of 18 villages in the Banshgram Union of the Narail District, Bangladesh. Each participant was interviewed using a semi-structured questionnaire that assessed participant knowledge, attitudes and practice (KAP) regarding diabetes, its risk factors, complications and management. Data on demographic details, education, socioeconomic status, medical history, dietary and lifestyle behavior was obtained. Fasting capillary glucose, blood pressure, presenting vision and anthropometric parameters were measured. Participants were stratified into those without diabetes, pre-diabetes, and diagnosed diabetes (known and newly diagnosed). The association of KAP components and other risk factors with diabetes status was assessed. Logistic regression analysis allowed for the development of a non-invasive risk-stratification tool to be developed and implemented for the rural Bangladeshi community. Multinomial logistic regression was applied to report the associations of risk factors with the severity of hypertension. Results and discussion: In Banshgram, over 95% people had not undergone any previous diabetes screening. Baseline demographics estimated the prevalence of diabetes in the sample was 3.2% (n=99). 47% of participants had no formal education. Whilst there is literature on the prevalence of diabetes in urban and semi-urban Bangladesh there is a paucity of evidence examining the impact of KAP of diabetes amongst the general community. We believe that the BPDES has developed a methodology to provide new evidence to guide health policy and targeted population-based interventions in these rural areas.Bangladesh Journal of Medical Science Vol.14(4) 2015 p.367-375

scholarly journals Pengaruh Pengetahuan dan Perilaku Kesehatan Gigi dan Mulut terhadap Persepsi Permasalahan Gingiva Lansia di Unit Rehabilitasi Sosial Pucang Gading Kota Semarang

e-GIGI ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 303
Author(s):  
Milenda E. K. Asri ◽  
Astika W. Utomo ◽  
Ira A. Kusuma ◽  
Isniya Nosartika
Keyword(s):  
Logistic Regression ◽  
Oral Health ◽  
Periodontal Disease ◽  
Health Knowledge ◽  
Multinomial Logistic Regression ◽  
The Elderly ◽  
Health Problems ◽  
Oral Health Knowledge ◽  
Purposive Sampling ◽  
Gingival Health

Abstract: Decrease of physical and cognitive conditions in the elderly makes them become risky for periodontal disease. Lack of knowledge and poor behavior of oral health are the main causes of periodontal disease. Gingival health problems can be detected in the elderly by observing the signs and symptoms of gingivitis. This study was aimed to analyze the influence of knowledge and behaviour of oral health on perception of gingival health problems in the elderly living at Unit Rehabilitasi Sosial (nursery home) Pucang Gading Semarang. This was an observational and analytical study with a cross-sectional design. Samples were 74 elderlies at Unit Rehabilitasi Sosial Pucang Gading Semarang, obtained by using the purposive sampling method. Data were collected by using questionnaire and were analyzed by using the Gamma and Somers’d test followed by multinomial logistic regression test. The results showed that most of the elderly at Pucang Gading Social Rehabilitation Unit had poor oral health knowledge and oral health behavior. Most elderlies had moderate perception of gingival problems. Multinomial logistic regression about the influence of knowledge and behaviour of oral health on perception of gingival health resulted in a p-value of 0.000 (p<0.05). In conclusion, there was a significant influence of knowledge and behavior of oral health on the perception of gingival problems in the elderly.Keywords: oral health knowledge; oral health behaviour; perception of gingival problem; elderly  Abstrak: Penurunan kondisi fisik dan kognitif pada lanjut usia (lansia) menyebabkan mereka lebih berisiko terkena penyakit periodontal. Kurangnya pengetahuan dan perilaku kesehatan gigi dan mulut merupakan salah satu penyebab utama terjadinya penyakit jaringan periodontal. Permasalahan kesehatan gingiva dapat dideteksi pada lansia dengan mengetahui tanda dan gejala gingivitis. Penelitian ini bertujuan untuk mengetahui pengaruh pengetahuan dan perilaku kesehatan gigi dan mulut terhadap persepsi permasalahan gingiva lansia di Unit Rehabilitasi Sosial Pucang Gading Kota Semarang. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Responden penelitian ini ialah 74 lansia yang tinggal di Unit Rehabilitasi Sosial Pucang Gading Kota Semarang yang memenuhi kriteria inklusi dan eksklusi diperoleh dengan metode purposive sampling. Pengambilan data dilakukan menggunakan kuesioner. Data dianalisis menggunakan uji Gamma & Somers’d dilanjutkan dengan uji regresi logistik multinomial. Hasil penelitian memperlihatkan bahwa lansia paling banyak memiliki pengetahuan dan perilaku kesehatan gigi dan mulut yang buruk serta persepsi permasalahan gingiva sedang. Hasil analisis uji regresi logistik multinomial mengenai pengaruh pengetahuan dan perilaku kesehatan gigi dan mulut terhadap persepsi permasalahan gingiva mendapatkan nilai p=0,000 (p<0,05). Simpulan penelitian ini ialah terdapat pengaruh bermakna dari pengetahuan dan perilaku kesehatan gigi dan mulut terhadap persepsi permasalahan gingiva pada lanjut usia.Kata kunci: pengetahuan kesehatan gigi dan mulut; perilaku kesehatan gigi dan mulut; persepsi permasalahan gingiva; lanjut usia (lansia)

scholarly journals Planning Oral Health and Clinical Discharge in Primary Care: The Comprehensive Dental Care Protocol Outcome

2015 ◽  
Vol 16 (3) ◽  
pp. 172-177 ◽  
Author(s):  
Yuri Wanderley Cavalcanti ◽  
Leopoldina de Fátima Dantas de Almeida ◽  
Ailma de Souza Barbosa ◽  
Wilton Wilney Nascimento Padilha
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Oral Health ◽  
Dental Care ◽  
Dental Service ◽  
Service Planning ◽  
Wilcoxon Test ◽  
Oral Health Promotion ◽  
Care Protocol ◽  
Public Dental Service

ABSTRACT Introduction The dental care must be driven by preventive and curative measures that can contribute to the population's oral health promotion. Objective To evaluate the impact of the actions proposed by a comprehensive dental care protocol (CDCP) on the oral health condition of primary care users. Materials and methods The sample consisted of 32 volunteers, assisted throughout the six phases proposed by the CDCP: diagnosis of dental needs; resolution of urgencies; restorative interventions; application of promotional measures; evaluation of the achieved health level; and periodic controls. Data were collected through clinical exams, which measured the simplified oral hygiene index (OHI-S), gingival bleeding index (GBI) and the decayed, missing and filled teeth (DMFT) Index, before and after the CDCP was implemented. Statistical analysis consisted of the Wilcoxon test, at 5% significance level (α = 0.05). Results The OHI-S and GBI indices showed a significant reduction (p < 0.05) from the initial (1.4 ± 0.6 and 46.3 ± 19.9) to final condition (0.9 ± 0.3 and 21.5 ± 7.5). The decayed, missing and filled teeth and the missing teeth component were not significantly altered (p > 0.05), showing final values equal to 12.7 ± 9.6 and 5.6 ± 7.8, respectively. Decayed elements were fully converted into filled elements, and the final values of the decayed and filled elements were, respectively, 0.0 ± 0.0 and 7.3 ± 5.7 (p < 0.05). Conclusions The enactment of the CDCP had a beneficial effect on the oral health of the population assisted by the dental services offered in primary care and this protocol seems to fit the public dental service demands. Clinical significance The CDCP can be useful to public dental service planning since it showed an efficient clinical outcome to the patients. We consider that this protocol should be employed in primary care oral health services in order to achieve overall upgrade, access enlargement and public oral health promotion. How to cite this article Cavalcanti YW, de Fátima Dantas de Almeida L, de Souza Barbosa A, Padilha WWN. Planning Oral Health and Clinical Discharge in Primary Care: The Comprehensive Dental Care Protocol Outcome. J Contemp Dent Pract 2015;16(3):172-177.

scholarly journals Exploring the opinions of secondary school students on the strengths and weaknesses of the school dental service in Selangor, Malaysia: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nazirah Ab Mumin ◽  
Zamros Yuzadi Mohd Yusof ◽  
Jamaludin Marhazlinda ◽  
Unaizah Obaidellah
Keyword(s):  
Oral Health ◽  
Secondary School ◽  
Low Income ◽  
Dental Care ◽  
Secondary School Students ◽  
Dental Treatment ◽  
Dental Service ◽  
School Students ◽  
Oral Health Promotion ◽  
Low Income Families

Abstract Background The Malaysian School Dental Service (SDS) was introduced to provide systematic and comprehensive dental care to school students. The service encompasses promotive, preventive, and, curative dental care. This study aimed to undertake a process evaluation of the SDS based on the perspectives of government secondary school students in Selangor, Malaysia. Methods The study adopted a qualitative approach to explore the opinions of secondary school students on the SDS implementation in their schools. Data from focus group discussions involving Form Two (14-year-olds) and Form Four (16-year-olds) students from the selected schools were transcribed verbatim and coded using the NVivo software before framework method analysis was conducted. Results Among the strengths of the SDS were the convenience for students to undergo annual oral examination and dental treatment without having to visit dental clinics outside the school. The SDS also reduced possible financial burdens resulting from dental treatment costs, especially among students from low-income families. Furthermore, SDS helped to improve oral health awareness. However, the oral health education provided by the SDS personnel was deemed infrequent while the content and method of delivery were perceived to be less interesting. The poor attitude of the SDS personnel was also reported by the students. Conclusion The SDS provides effective and affordable dental care to secondary school students. However, the oral health promotion and education activities need to be improved to keep up with the evolving needs of the target audience.

scholarly journals Underweight and overweight/obesity among adults in Afghanistan: prevalence and correlates from a national survey in 2018

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Logistic Regression ◽  
Multinomial Logistic Regression ◽  
Normal Weight ◽  
Relative Risk Ratio ◽  
Adjusted Relative Risk ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Dual Burden

Abstract Background The study aimed to estimate the prevalence and correlates of underweight and overweight/obesity among adults in Afghanistan. Methods National cross-sectional survey data of 3779 persons aged 18–69 years were analysed. Multinomial logistic regression was used to estimate factors associated with underweight and overweight/obesity relative to normal weight. Results In all, 7.8% of the study sample was underweight (BMI < 18.5 kg/m2), 49.5% had normal weight (BMI 18.5–24.9 kg/m2), 25.5% overweight (25.0–29.9 kg/m2), and 17.2% obesity. In adjusted multinomial logistic regression, factors negatively associated with underweight were male sex (adjusted relative risk ratio (ARRR): 0.30, 95% confidence interval (CI): 0.15–0.58) and hypertension (ARRR: 0.51, 95% CI: 0.27–0.95) and factors positively associated with underweight were sedentary behaviour (ARRR: 1.85, 95% CI: 1.11–3.10) and current tobacco use (ARRR: 2.58, 95% CI: 1.08–6.16). Factors positively associated with overweight/obesity were aged 30–44 years (ARRR: 2.00, CI: 1.51–2.66) and aged 45–69 years (ARRR: 1.58, CI: 1.09–2.31) (compared to 18–29 years) (ARRR: 1.28, CI: 1.14–2.18), hypertension (ARRR: 2.74, CI: 1.89–3.96), and type 2 diabetes (ARRR: 1.82, CI: 1.13–2.94), and high physical activity (ARRR: 0.70, CI: 0.50–0.98) was negatively associated with overweight/obesity. Conclusion Almost one in ten adult respondents were underweight and more than two in five were overweight/obese, confirming a dual burden of malnutrition in Afghanistan.

scholarly journals Psychosocial determinants of dental service utilization among adults: Results from a population-based survey (Urban HEART-2) in Tehran, Iran

2015 ◽  
Vol 09 (04) ◽  
pp. 542-550 ◽  
Author(s):  
Hoda Bahramian ◽  
Simin Z. Mohebbi ◽  
Mohammad R. Khami ◽  
Mohsen Asadi-Lari ◽  
Ahmad R. Shamshiri ◽  
...  
Keyword(s):  
Mental Health ◽  
Oral Health ◽  
Service Utilization ◽  
Adult Population ◽  
Population Based ◽  
Dental Service ◽  
Dental Visit ◽  
Wealth Status ◽  
Perceived Need ◽  
Multi Stage

ABSTRACT Objectives: To evaluate the association between dental service utilization and mental health in an adult population in the context of the socioeconomic status of the participants. Subjects and Methods: Multi-stage cluster random sampling was performed in Tehran, Iran, in 2011. Data were collected on dental service utilization, barriers of dental visit, self-perceived oral health, mental health, age, gender, education, and wealth status. The complex sample analysis method in SPSS and the survey data analysis menu in STATA were employed for statistical evaluation. Results: Of 20,320 participants, 25–36% suffered from disorders in at least one of the domains of somatization, anxiety, social dysfunction, and depression. Only 56% of the participants visited a dentist at least once during the last year. The main barriers to a dental visit were “no perceived need” and “high costs.” Females, the richest participants, subjects aged 25–64-year-old, and those with poor self-perceived oral health, mental health disorders, and higher education had more visits. The participants who perceived the need but did not visit a dentist due to some reasons mostly comprised females, those aged 25–44-year-old, those with a poor perceived oral health, disordered people in all domains of mental health, and poorer participants. Conclusion: Dental service utilization was influenced by socioeconomic factors and the mental health status of the adult population after controlling for multiple confounders. Reducing financial hardship and providing health education on the importance of preventive visits may decrease barriers to regular visits in countries with developing oral health systems.

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