scholarly journals Oral Health Knowledge, Behaviour, and Access to Dental Care in Visually Impaired Individuals in Jordan: A Case-Control Study

2021 ◽  
Vol 15 (1) ◽  
pp. 33-40
Author(s):  
Sabha Alshatrat ◽  
Isra AL Bakri ◽  
Wael AL Omari ◽  
Abedelmalek Tabnjh

Aim: The study aimed to assess oral health knowledge, dental behaviors, and use of dental services in individuals with vision impairment in Jordan and identify barriers that affect their access to dental care in comparison with individuals without vision impairment. Materials and Methods: A case-control study was carried out among 399 parents/caregivers of individuals with vision impairment and individuals without vision impairment, which involved the completion of a self-designed questionnaire. A closed-ended, validated self-designed questionnaire was distributed. The questionnaire included questions addressing participants’ oral health knowledge, oral health behaviour, dental service use and barriers to accessing dental care. Data were analyzed using SPSS® software Version 22 with a 0.05 level of significance. A Chi-square test and contingency-table analysis were performed on the data. Results: Individuals with vision impairment in Jordan were significantly less knowledgeable about different oral health aspects than sighted counterparts. In addition, individuals with vision impairment used toothbrush, dental floss, and mouth rinse less frequently. They also visited dentists less regularly and mostly when only feeling pain. Limited access to dental services was observed among individuals with vision impairment compared to sighted individuals. Barriers, including embarrassment (22%), lack of knowledge of how to treat people with disabilities among dentists (12.5%), and inadequate facilities (13.7%), were significantly (P<0.05) more likely to be reported by visually impaired participants than the controls. Conclusion: Visually impaired individuals and their families should be given appropriate education about oral health care by oral health professionals to reduce the risk of having dental problems and oral disease and enhance their quality of life. Furthermore, recognizing the challenges in accessing dental care for this population could help oral health professionals to minimize these difficulties.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sabha Mahmoud Alshatrat ◽  
Isra Abdelkarim Al-Bakri ◽  
Wael Mousa Al-Omari ◽  
Noor Abdullah Al Mortadi

Abstract Background Oral care is acknowledged as an integral component of general health and plays an essential role in establishing the desired level of quality of life for individuals with autism spectrum disorder (ASD). Purpose To investigate oral health knowledge and dental behaviors in individuals with ASD in comparison with individuals without ASD in Jordan. Methods A case–control study was carried out among 296 caregivers of individuals with ASD (n = 147) and control (n = 149) groups. A closed ended, validated self-designed questionnaire was distributed. The questionnaire included questions addressing participant’s oral health knowledge and behaviour. Data were analyzed using SPSS® software Version 22 with a 0.05 level of significance. A Chi-square test and contingency-table analysis were performed. Results Individuals with ASD in Jordan were significantly less knowledgeable about different oral health aspects than individuals without ASD (p < 0.05). Fewer individuals in the ASD group brushed their teeth once or twice daily (89%), compared to the control group (93%). Only 15% of the ASD participants could brush their teeth without help. The use of fluoridated toothpaste and the frequency of using mouth rinse demonstrated a significant difference between groups (p < 0.05). Conclusion ASD individuals in Jordan suffer from a significant lack of oral knowledge comparing to their controls, leading to a misunderstanding of the basic and highly important dental health aspects. Indicating that the knowledge was not enough to influence their dental behaviors. Children with ASD and their families should receive appropriate education in special need oral health care given by oral health professionals to reduce the risk of having dental problems and oral disease and enhance their quality of life.


2019 ◽  
Author(s):  
SABHA ALSHATRAT ◽  
Isra ALBakri ◽  
Wael ALOmari

Abstract Background Oral health is acknowledged as an integral component of general health and plays an essential role in establishing a desired level of quality of life. Individuals with disabilities are at a higher risk for oral diseases due to underlying congenital anomalies and inability to receive the needed care to maintain oral health . Regular dental care is essential to maintaining optimal oral health. However, to date, there are no studies conducted in Jordan addressing the dental challenges and barriers to oral care faced by individuals with autism. The objectives of this study were to examine the use of dental services for individuals with autism and identify barriers that affect their access to dental care in comparison with healthy individuals in Jordan.Methods A case-control study was conducted. Participants included 296 Caregivers of individuals with autism and healthy developing individuals who completed a self-designed questionnaire that assessed access and barriers to dental services.Results The majority of the participants in the current study in both the control and the ASD groups have visited the dentist within the last year prior to completing the present survey. The main reason for visiting dental services was toothache (43%) while the least was routine checkup (11.6%) with significant difference ( P <0.05) between the groups. Barriers like; embarrassment (43.5%), lack of specialized dental staff (28.6%), lack of knowledge of how to treat disabled dental patients (26.6%), and inadequate facilities (34%) were significantly (P<0.05) higher among patients with ASD than the control.Conclusion Knowing and understanding the barriers for accessing dental care might improve overall health for individuals with autism. Furthermore, recognizing the challenges to accessing dental care for this population might help the oral health professionals to minimize these difficulties.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sabha Mahmoud Alshatrat ◽  
Isra Abdelkarim Al-Bakri ◽  
Wael Mousa Al-Omari

Individuals with disabilities are at higher risk for oral diseases such as caries and periodontal disease. Therefore, regular dental care is essential to maintain oral health. However, individuals with disabilities encounter difficulties in accessing dental care. The challenges and barriers to oral care faced by individuals with autism spectrum disorder (ASD) have not been addressed in Jordan. The aim of this study was to examine the use of dental services in individuals with ASD in Jordan and identify barriers that affect their access to dental care in comparison with individuals without ASD. A case-control study was carried out among 296 parents/caregivers of individuals with ASD and individuals without ASD, which involved completion of a self-designed questionnaire. The majority of the participants in both groups had visited the dentist in the year preceding completion of the questionnaire. The main reason for visiting dental services was toothache (43%), and the least common reason was routine checkup (11.6%), with a significant difference (P<0.05) observed between the two groups. Barriers including embarrassment (43.5%), a lack of specialized dental staff (28.6%), a lack of knowledge of how to treat people with disabilities (26.6%), and inadequate facilities (34%) were significantly (P<0.05) more likely to be reported by individuals with ASD than the controls. In conclusion, knowing and understanding the barriers to accessing dental care could improve overall health for individuals with ASD. Furthermore, recognizing the challenges in accessing dental care for this population could help oral health professionals to minimize these difficulties.


2015 ◽  
Vol 49 (2) ◽  
pp. 147-156 ◽  
Author(s):  
Yuan-Jung Hsu ◽  
Wu-Der Peng ◽  
Jen-Hao Chen ◽  
Ying-Chun Lin ◽  
Chin-Shun Chang ◽  
...  

Previous programs had not designed the culturally adequate Lay Health Advisor (LHA) oral health training curriculum for medically underserved population. We evaluated the effects of LHA training curriculum for addressing immigrant children's caries disparities in their access to dental care. We used a pre/post-test study design. Immigrant women were recruited from churches, schools, and immigrant centers in an urban area. Four training classes were held. Each training cycle lasted 15 consecutive weeks, consisting of 1 weekly 2-h training session for 12 weeks followed by a 3-week practicum. The curriculum included training in caries-related knowledge, oral hygiene demonstrations, teaching techniques, communication skills, and hands-on practice sessions. Thirty-seven LHA trainees completed the course and passed the post-training exam. The data were collected using self-report questionnaires. The level of oral health knowledge, self-efficacy and attitudes toward oral hygiene were significantly increased after LHA training. There was a significant and over twofold increase in trainees' oral hygiene behaviors. An increase of >20% in LHA and their children's dental checkup was observed following training. After training, LHAs were more likely to have 3+ times of brushing teeth [Odds Ratio (OR) = 13.14], brushing teeth 3+ minutes (OR = 3.47), modified bass method use (OR = 30.60), dental flossing (OR = 4.56), fluoride toothpaste use (OR = 5.63) and child's dental visit (OR = 3.57). The cross-cultural training curriculum designed for immigrant women serving as LHAs was effective in improvement of oral hygiene behaviors and access to dental care.


2021 ◽  
Author(s):  
Wondwossen Fantaye ◽  
Abdela Nur ◽  
Getachew Kifle ◽  
Fasikawit Engida

Abstract Background: Oral health is a global issue. It has an enormous impact on the overall health and well-being of an individual. In addition, many studies indicate visual impairment as one of the constraints for proper maintenance of oral hygiene. However, little is known about visually impaired individuals' oral health knowledge and behavior in Ethiopia, Specifically in Addis Ababa. Therefore, this study is conducted to assess the oral health knowledge and related behaviors among participants with visual impairment in Addis Ababa, Ethiopia. Methods: The study was carried out at the Ethiopian National Association for the blind, located in Addis Ababa, the capital city of Ethiopia. Convenience sampling was used from the visually impaired library attendees' in the blind association. Sixty-five individuals, of which 46 males and 19 females, agreed to take part in the study. Of these, 30.8% had partial and 69.2% total visual impairment.Results: 61.3% with totally and 72% with partially visually impaired scored high in the knowledge of caries causes respectively. The use of tooth brushing was confirmed by 42.2% with totally and 25% with partially visually impaired. The use of Traditional chewing sticks was confirmed by 57.7% with totally and 30% with partially visually impaired individuals. Moreover, both (Toothbrush & Traditional chewing stick) was used by 35.5% totally and 55% partially visually impaired individuals, respectively.Conclusions: The study showed the awareness about the causes of Dental Caries among the visually impaired was high. However, the majority of them had a significant misconception about the causes of dental caries.


2020 ◽  
Vol 5 (3) ◽  
pp. 131
Author(s):  
Muhammad Azim Syahmi Kamaruddin ◽  
Norsamsu Arni Samsudin

Mothers play a very significant role in influencing the oral health status of the family. Many studies have highlighted the importance of good oral health during pregnancy. This study aimed to assess knowledge, self-perceived oral health status, and practices of antenatal mothers in Hospital Universiti Sains Malaysia, Kelantan, Malaysia. A total of 76 antenatal mothers visiting Obstetrics & Gynaecology specialist clinic at Hospital USM were involved in this cross-sectional survey study. The questionnaires contained items related to oral health knowledge, self-perceived dental problems, barriers to seeking dental care, oral hygiene habits, perceptions of oral health, and access to dental care. Majority (98.7%) agreed that their oral health was important as part of general health. About 58% of them had answered correctly regarding oral health knowledge. Most respondents had self-perceptions of having dental problems during pregnancy, including cavitated teeth (34.4%) and sensitive teeth (20.5%). Regarding practice, only 35.3% visited a dentist in the last six months. Time constraints (52.4%) and safety concerns regarding dental treatment (26.2%) were the main barriers to seek dental care. Many (90%) brushed their teeth at least twice daily with adult fluoridated toothpaste, while some used mouthwash daily (36.8%) and flossed their teeth (11.8%). Antenatal mothers had an average level of knowledge regarding oral health, experienced dental problems during pregnancy and lacked awareness of a regular dental visit. Hence, there is a need for more vigorous oral health promotion, which also include antenatal care providers, to improve oral health awareness among antenatal mothers.


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