Smokeless tobacco consumption and its consequences on oral health status among the elderly women in selected slum areas of Dhaka city

Background: Oral health status and dietary intake contribute to nutritional status in elderly. Missing teeth cause chewing disorder that reduces quality and quantity of food intake, which finally makes the elderly have underweight nutritional status.Objective: To determine the risk factors for underweight in the elderly at Yogyakarta Municipality.Method: The study was observational with case control design on elderly at Yogyakarta Municipality. Subjects consisted of 210 elderly matched in age and gender. Sampling was done by multistage random sampling. Oral health status was assessed through dental health status (index of missing teeth) and periodontal status (gingival index, periodontal index and oral hygiene index), dietary intake was collected by using semi quantitative food frequency questionnaire (SQ-FFQ) and underweight nutritional status was based on body mass armspan (BMA). Data were analyzed by using tests of X2 Mc.Nemar, X2 Stuart Maxwell, and conditional logistic regression.Results: Bivariate analysis showed the number of missing teeth ≥ 21 (OR=3.67, p<0.05) and 16-20 (OR=3.53, p<0.05) as risk factors of underweight, whereas the gingival index, periodontal index and oral hygiene index were not. Less intake of energy (OR=6.3), protein (OR=7.83), fat (OR=5.67) and carbohydrates (OR=7.5) were risk factors of underweight (p<0.01). Income less than Rp 808.000,00 was also risk factor for underweight (OR=4.5; p<0.01). Multivariate analysis showed the significant risk factors for underweight were the missing teeth ≥ 21 (OR=8.76) and 16-20 (OR=6.04) which increased by income less than Rp 808.000,00 (OR=5.94), less fat intake (OR=4.88), and less carbohydrate intake (OR=5.48). Income was confounding factor in the risk of missing teeth and protein intake for becoming underweight.Conclusion: Significant risk factors of underweight in elderly were missing teeth ≥ 16, less intake of fat and carbohydrate, and income less than Rp 808.000,00.

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Oral Health Status among Drug Addicts in a Selected Hospital in Dhaka City

Bangladesh Journal of Dental Research & Education ◽

10.3329/bjdre.v5i1.22452 ◽

2015 ◽

Vol 5 (1) ◽

pp. 11-13 ◽

Cited By ~ 1

Author(s):

Md Abdullah Al Mamun ◽

Md Jahangir Kabir ◽

Md Sajedul Asif Farzan ◽

Ishrat Zerin ◽

Md Arafat Kabir ◽

...

Keyword(s):

Health Status ◽

Oral Health ◽

Dental Caries ◽

Oral Health Status ◽

World Health ◽

Health Concern ◽

Treatment Center ◽

Drug Abusers ◽

Drug Addicts ◽

Dhaka City

This was a cross-sectional study on oral health status of drug addicted patients admitted in a drug abuse treatment center in Dhaka city. This study was conducted at Mukti Mental Hospital, Drug & Alcohol Treatment Center situated at Gulshan, Dhaka, Bangladesh. The study was carried out among 50 drug addicts from the month of January to June 2012. Data were collected from the patients from 21st April to 5th May 2012. The main objective of the study was to assess and investigate the oral hygiene practice and oral health status of drug abusers. Fifty drug abusers irrespective of sex and age were interviewed & their oral health status was evaluated using the World Health Organization recommended procedures for Decayed, Missing, Filled teeth and the periodontal status. Data were collected with a pretested structured questionnaire and checklist. Dental caries was found in 92% of the drug addicts, while Missing and Filled teeth were recorded 86% and 88% of the addicts respectively. 86% of the addicts demonstrated DMFT score 1 or Higher; whereas 14% of the addicts demonstrated DMFT score 0 or were free from any form of dental decay, missing teeth or dental filling and 74% of the drug addicts had gingival inflammation and bleeding from gum, 42% had some oral mucosal lesion like apthus ulcer and candidiasis. The number of Decayed, Missing or Filled teeth increased with less frequency of daily tooth brushing and this finding was significant (p<0.01). On the basis of these findings it was concluded that dental caries in drug addicts is a major health concern and creating awareness among the public about harmful effects of drugs on their oral health through plan and policy can reduce the burden of dental diseases. Moreover mass media and general education of the mass people can play a vital role. DOI: http://dx.doi.org/10.3329/bjdre.v5i1.22452 Bangladesh Journal of Dental Research and Education Vol.5(1) 2015: 11-13

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