Relationship Between Health Service Access to Dental Conditions in Urban and Rural Areas in Indonesia

Abstract

Objective: To determine relationship between access to dental health services with dental health conditions of adult communities in urban areas represented by Somba Opu and rural districts represented by Patalassang subdistrict in Gowa subdistrict. Material and Methods: This was pilot pathfinder survey, conducted in Gowa District in April 2018 with 420 subjects. Data were collected using a CoHRE questionnaire. Information regarding gender, age and location (rural and urban), transportation (public and private), toothache in past one year, dental treatment in past one year, dental treatment frequency (regular and irregular), smoking, alcohol consumption, routine activity, drugs intake, oral problems, driving car, distance to health facility (near and far) were collected. The number of teeth was dichotomized to less than 20 and 20 or more. Data were analyzed using Chi-square test and the level of significance was set at 5%. Results: In the urban area there was an association between routine activities with dental health conditions (p=0.002). There is no significant association between distance or access to health care facility with dental condition in adult society in urban area (p>0.05). In rural area there is a significant association between distance or access to health care facility with dental condition (p=0.046). Conclusion: There is an association between access to dental health services with dental health conditions of adult communities in urban areas represented by Somba Opu and rural disparities represented by Patalassang subdistrict in Gowa district.

Factors influencing the utilization of dental services in East Java, Indonesia

“…However, this research still finds that dental service utilization is lower among the district residents than the municipality residents in East Java. This finding supports previous research ( Akbar et al , 2019 ). It is known that public transport networks are less developed in rural areas than in urban areas.…”

“…This study finds that females have greater utilization of dental services, supporting previous studies ( Emerich et al , 2015 ; Fonseca et al, 2017 ; Green & Pope, 1999 ; Honkala et al , 1997 ; Saintrain et al , 2014 ), while also contradicting another study ( Akbar et al , 2019 ). Women’s greater use of oral health service providers is likely because they pay more attention to esthetics and oral hygiene.…”

Diversity of Oral Microbiome of Women From Urban and Rural Areas of Indonesia: A Pilot Study

“…For instance, people living in rural areas may lack education in the maintenance of oral care, compared with those living in urban areas [62]. They may also not have sufficient facilitates and access to oral healthcare [62][63][64]. Additionally, another factor that may contribute to the microbiome composition of the rural population is their habit of chewing betel leaf.…”

Asiyah, Maryam and Khadijah as Role Models for Contemporary Muslim Women

“…Other than pregnancy, menopause is also associated with increased risk of oral health complication, especially in women who developed osteoporosis (Branch-Elliman, 2012). Another plausible reason is that women visit more dental and oral health service providers because they usually are more attentive towards the aesthetics inclusive of the teeth (Akbar et al, 2019).…”

“…This study shows that people residing non-urban areas outnumbered those residing urban areas to receive fixed prosthetics of either bridge or crown; partial and full dentures; paedodontic care; periodontal treatment; and being referred to oral surgery and general dental practice departments. In general, people living in rural areas tend to have lower oral health problem, has more caries and fewer teeth compared to the urban residents (Akbar et al, 2019). However, the geographical location of this dental institution and the convenient of transportation made this institution still accessible to both the urban and nonurban residents.…”