Family structure, socioeconomic position and utilization of oral health services among Nigerian senior secondary school pupils

Ola, Dennis; Gamboa, A; Foláyan, Morẹ́nikẹ́ Oluwátóyìn; Marcenes, Wagner

doi:10.1111/j.1752-7325.2012.00362.x

Cited by 28 publications

(25 citation statements)

References 21 publications

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“…Consistently, the literatures show poor dental service utilization by children in Nigeria [35,36], and high rates of untreated caries with its attendant problems [23,24]. Regular dental service utilization was low in this study indicating a need to identify and institute actions that could facilitate access of pupils to dental care.…”

Section: Discussionsupporting

confidence: 78%

Preventive oral health practices of school pupils in Southern Nigeria

et al. 2014

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BackgroundOne of the goals of the World Health Organisation goal is to ensure increased uptake of preventive oral self-care by 2020. This would require the design public health programmes that will ensure children place premium on preventive oral health care uptake. One effort in that direction is the need for countries to define baseline measures on use of preventive oral self-care measures by their population as well as identify factors that impact on its use. This study aims to determine the prevalence and the impact of age and sex on the use of recommended oral self-care measures by pupils in Southern Nigeria.MethodsPupils age 8 to 16 years (N = 2,676) in two urban sites in Southern Nigeria completed a questionnaire about recommended oral self-care (use of fluoridated toothpaste, flossing, regularity of consuming sugary snacks between main meals), time of the last dental check-up and cigarette smoking habit. Chi square was used to test association between age (8-10years, 11–16 years), sex, and use of recommended oral self-care. Logistic regression analysis was used to determine the predictors of use of recommended oral self-care.ResultsOnly 7.8% of the study population practiced the recommended oral self-care. Older adolescents had an 8.0% increased odds (OR: 1.08; CI:0.81–1.43; p = 0.61) and males had a 20.0% decreased odds (OR: 0.80; CI:0.60-1.06; p = 0.12) of practicing recommended oral self-care though observed differences were not statistically significant. Very few respondents (12.7%) had visited the dental clinic for a check-up in the last one year. Majority of the respondents (92.2%) were non-smokers.ConclusionsThe use of a combination of oral self-care approaches was very low for this study population. Age and sex were predictive factors for the use of components of the oral self-care measures but not significant predictors of use of recommended oral self-care. Future studies would be required to understand ‘why’ and ‘how’ age and sex impacts on the use of caries preventive oral self-care measures to be able to design effective prevention educational programmes for the study population.

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Section: Discussionsupporting

confidence: 78%

Preventive oral health practices of school pupils in Southern Nigeria

et al. 2014

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“…The use of recommended oral self-care (twice-daily tooth brushing, use of fluoridated toothpaste and avoidance of consumption of refined carbohydrates between meals) for the prevention of caries is low with only 7.8% of children from Southern Nigeria practicing recommended oral self-care [35]. A large number of children consume sugar in between meals and more than once a day, do not brush twice-daily and do not use dental floss [35].…”

Section: Introductionmentioning

confidence: 99%

Appraisal of the national response to the caries epidemic in children in Nigeria

et al. 2014

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BackgroundThis article reviews the caries profile for children in Nigeria and proposes an appropriate framework for addressing the silent caries epidemic.DiscussionWe reviewed the caries prevalence among children in Nigeria, assessed the existing responses to the caries epidemic including the national oral healthcare delivery situation in the country and discussed the current caries management in children. We then proposed a response framework for Nigeria. We argue that successful interventions will require the adoption of a socio-ecological model. This would ensure that the micro-, meso-, exo- and macrosystems required to support the behavioural, structural and biological interventions for promoting caries prevention are addressed. National oral health surveys are required to help understand the epidemiology, social determinants of and factors that undermine the ability of children to access oral health care. A global caries prevention agenda for children would help get the government’s support for a national response agenda. Currently, there is no global call for action on the caries epidemic in children. This lack of an agenda needs to be urgently addressed.SummaryA combination of approaches for the prevention of caries in children in Nigeria is needed. A national survey is needed to generate the needed evidence for the planning of community relevant responses to the national caries epidemic in children. The design of a global health agenda for children is an important first step that can facilitate the development of a national oral health programme for children in Nigeria.

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“…This is relevant, since schooling was a factor associated with UDHS, probably because lack of education makes it difficult to obtain a formal paid employment and therefore have limited access to dental health services. [27][28][29] Another associated factor was being a beneficiary of the "Programa Oportunidades", one of the most important programs in the country, which includes among its benefits, dental care. However, only one third of the PW and OA have such support.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the use of dental health services in primary care in northeastern Mexico

et al. 2016

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Abstract:In Mexico, as in many other Latin American countries, the use of dental health services (UDHS) has been scarcely studied, especially the one related with groups that are considered at risk in certain areas. The aim of this study was to evaluate the factors associated with UDHS in an at risk population in primary care. Material and Methods: Cross-sectional study, involving students (T), pregnant women (PW), workers (W) and older adults (OA) (n=368). Variables such as the use of dental health services and factors such as geographical, economic, and organizational barriers were measured. Descriptive statistics, Chi Square test and multivariate binary logistic regression analysis were used. Results: 40.2% (95% CI 30.2-50.2) of the W group had a history of UDHS in primary care, 20% (95% CI 11.8-28.2) of the PW group had spent more than a year without visiting the dentist and 33% (95% CI 23.7-43.9) had been treated at a private dental care service. Level of schooling, occupation, federal support from "Programa Oportunidades" and access to dental care services (p<0.01) were factors associated with UDHS, independent of potential confounders. Conclusion: The health system should guarantee health care by offering comprehensive dental health services and removing organizational barriers to promote a more equitable access to dental care.

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Family structure, socioeconomic position and utilization of oral health services among Nigerian senior secondary school pupils

Abstract: Adolescents from families with a low SEP growing up without their parents may need extra incentives to visit dentist.

Cited by 28 publications

References 21 publications

Preventive oral health practices of school pupils in Southern Nigeria

Preventive oral health practices of school pupils in Southern Nigeria

Appraisal of the national response to the caries epidemic in children in Nigeria

Factors associated with the use of dental health services in primary care in northeastern Mexico

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