Barriers To Utilization Of Oral Health Care Services Among Antenatal Mothers In Kuantan, Pahang

Introduction: During pregnancy, increased acidity in the mouth increases the risk of antenatal mother to get dental caries. It is worsen if antenatal mother has morning sickness like vomiting during pregnancy. It can aggravate the problem by exposing the teeth to more gastric acid. In addition, antenatal mothers have hormonal changes that they are more susceptible to periodontal problems. Therefore, it is important for antenatal mother to get dental treatment and use oral health service. This study aim is to describe barriers to utilisation of oral health care services among antenatal mothers attending the Klinik Kesihatan Ibu dan Anak around Kuantan. Materials and Methods: A cross sectional study which was conducted among purposely selected 296 antenatal mothers aged 18-45 years from Kuantan, Pahang in 18 months duration. Study used validated selfadministered questionnaire to obtain information on the variables of interest. Results: Common barriers to utilization of services among antenatal mothers are fear to dental pain (45.6%), time constraints- busy at workplace (36.5%) and feeling of not having any dental problems (36.1%). Meanwhile the least barrier to oral health care services among antenatal mothers is attitude of the dentist (0.7%), followed by attitude of the staff (1.4%) and condition of treatment room (1.7%) Conclusion(s): Fear of dental pain is the main barrier to utilization of service among antenatal mothers and dissatisfaction of the service provided is the least barrier among other factors.

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Utilization and Felt Need of Oral Health Care Services among Women in Chennai-Descriptive Cross-Sectional Study

J of Health Science ◽

10.17265/2328-7136/2018.04.006 ◽

2018 ◽

Vol 6 (4) ◽

Author(s):

N. Venkata Abinaya ◽

Rajan Patil ◽

Bagvandas

Keyword(s):

Health Care ◽

Oral Health ◽

Health Care Services ◽

Oral Health Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Care Services

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Use of oral health care services in the United States: unequal, inequitable—a cross-sectional study

BMC Oral Health ◽

10.1186/s12903-021-01708-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Xiangqun Ju ◽

Gloria C. Mejia ◽

Qiang Wu ◽

Huabin Luo ◽

Lisa M. Jamieson

Keyword(s):

Health Care ◽

Oral Health ◽

Health Care Services ◽

The United States ◽

Oral Health Care ◽

Cross Sectional Study ◽

Cross Sectional ◽

Care Services ◽

Index Of Inequality ◽

Concentration Curves

Abstract Background Social determinants drive disparities in dental visiting. Disparities can be measured simply by comparing outcomes between groups (inequality) but can also consider concepts of social justice or fairness (inequity). This study aimed to assess differences in dental visiting in the United States in terms of both social inequality and inequity. Methods Data were obtained from a cross-sectional study—the National Health and Nutrition Examination Survey (NHANES) 2015–2016, and participants were US adults aged 30+ years. The outcome of interest, use of oral health care services, was measured in terms of dental visiting in the past 12 months. Disparity was operationalized through education and income. Other characteristics included age, gender, race/ethnicity, main language, country of birth, citizenship and oral health status. To characterize existing inequality in dental service use, we examined bivariate relationships using indices of inequality: the absolute and relative concentration index (ACI and RCI), the slope index of inequality (SII) and relative index of inequality (RII) and through concentration curves (CC). Indirect standardization with a non-linear model was used to measure inequity. Results A total of 4745 US adults were included. Bivariate analysis showed a gradient by both education and income in dental visiting, with a higher proportion (> 60%) of those with lower educational attainment /lower income having not visited a dentist. The concentration curves showed pro-higher education and income inequality. All measures of absolute and relative indices were negative, indicating that from lower to higher socioeconomic position (education and income), the prevalence of no dental visiting decreased: ACI and RCI estimates were approximately 8% and 20%, while SII and RII estimates were 50% and 30%. After need-standardization, the group with the highest educational level had nearly 2.5 times- and the highest income had near three times less probability of not having a dental visit in the past 12 months than those with the lowest education and income, respectively. Conclusion The findings indicate that use of oral health care is threatened by existing social inequalities and inequities, disproportionately burdening disadvantaged populations. Efforts to reduce both oral health inequalities and inequities must start with action in the social, economic and policy spheres.

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Concerns on oral health care services for adults with cognitive and intellectual disabilities

Bioinformation ◽

10.6026/97320630016974 ◽

2020 ◽

Vol 16 (12) ◽

pp. 974-982

Author(s):

Meignana Arumugham Indiran ◽

Keyword(s):

Health Care ◽

Oral Health ◽

Intellectual Disabilities ◽

Health Care Services ◽

Dental Treatment ◽

People With Disabilities ◽

Oral Health Care ◽

Level Of Evidence ◽

Care Services ◽

Dental Staff

It is of interest to document data on oral health care services for adults with cognitive and intellectual disabilities. Hence, a study protocol was registered at the International Prospective Register of Systematic Reviews (PROSPERO) with registration number: CRD42020150759. We used PubMed, Science Direct, LILACS and SCIELO to collect data from known literature using keywords containing MESH (Medical Subject Headings) terms. The risk of bias rating for the collected data was calculated using the Newcastle-Ottawa assessment Scale. The AHRQ (Agency for Healthcare, Research and Quality) was used for classifying the level of evidence in the collected data. Analysis of available data shows that there is a lack of dentists with adequate skills to treat people with disabilities resulting in high cost for dental treatment. Thus, we conclude that inconvenient location of dental clinic, lack of dentists willing to treat people with disabilities and attitude of dental staff towards people with learning disabilities were considered as barriers and challenges faced for dental health service utilization in this context.

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Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys

BMC Oral Health ◽

10.1186/s12903-017-0364-7 ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 16

Author(s):

Anna L. Suominen ◽

Sari Helminen ◽

Satu Lahti ◽

Miira M. Vehkalahti ◽

Matti Knuuttila ◽

...

Keyword(s):

Health Care ◽

Oral Health ◽

Health Care Services ◽

Oral Health Care ◽

Cross Sectional ◽

Care Services ◽

The Cross

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Barriers to Oral health care in patients with special needs-A Cross-sectional study

Research Journal of Pharmacy and Technology ◽

10.52711/0974-360x.2021.00383 ◽

2021 ◽

pp. 2167-2171

Author(s):

Nandhini Subramaniam ◽

Arvind Muthukrishnan

Keyword(s):

Health Care ◽

Oral Health ◽

Special Needs ◽

Dental Care ◽

Dental Treatment ◽

Oral Health Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Special Needs

Aim- This cross-sectional study aimed to identify the barriers to receive oral care among patients with special health care needs. Materials and methods: This cross-sectional study was conducted among 50 patients seeking dental treatment in the special care unit of Oral medicine department. A self-administered questionnaire was employed for data collection. Results: It was found that nearly 56% of respondents listed fear towards dental treatment as an important barrier which in turn prevents them from gaining access to dental care. Around 52% of patients considered their underlying medical problem as a reason for not seeking dental care as their comorbid condition would increase their fear of dental treatment, 43% of patients considered physical barriers or in need of caretakers as a barrier to Dental care. 10% of the population stated that they do not have barriers to access Dental care. Conclusion: The major barriers to oral health care utilization among patients with special needs were fear-related and hence these patients need attention towards fear alleviation and make dental care painless and simple.

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