Utilization of dental services among civil servants in Port Harcourt, Nigeria

Aikins, Elfleda Angelina; Braimoh, Omoigberai Bashiru

doi:10.4103/2348-2915.161202

Cited by 5 publications

(6 citation statements)

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“…We hypothesized that the determinants of oral health might pull in opposite directions with slum dwellers taking less cariogenic diet than non-slum city inhabitants while the non-slum residents exhibited better dental hygiene and had better access to dental health care [25,[32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of oral health conditions and treatment needs among slum and non-slum urban residents: Evidence from Nigeria

Osuh

Oke

Lilford

et al. 2022

PLOS Glob Public Health

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Oral diseases constitute a neglected epidemic in Low and Middle-Income Countries (LMICs). An understanding of its distribution and severity in different settings can aid the planning of preventive and therapeutic services. This study assessed the oral health conditions, risk factors, and treatment needs among adult residents in the slum and compared findings with non-slum urban residents in Ibadan, Nigeria. The Multistage sampling was used to select adult (≥18-years) residents from a slum and a non-slum urban sites. Information sought from participants included dietary habits, oral hygiene practices, and the use of dental services. Oral examinations were performed in line with WHO guidelines. Associations were examined using logistic regression. Mediation analysis was undertaken using generalized structural equation modeling. The sample comprised 678 slum and 679 non-slum residents. Median age in slum vs non-slum was 45 (IQR:32–50) versus 38 (IQR:29–50) years. Male: female ratio was 1:2 in both sites. Prevalence of oral diseases (slum vs non-slum sites): dental caries (27% vs 23%), gingival bleeding (75% vs 53%) and periodontal pocket (23% vs 16%). The odds of having dental caries were 21% higher for the slum dwellers compared to non-slum residents (OR = 1.21, 95% CI:0.94 to 1.56); and 50% higher for periodontal pocket (OR = 1.50, 95%CI: 1.13 to 1.98), after adjusting for age and sex. There was little evidence that tooth cleaning frequency mediated the relationship between place of residence and caries (OR = 0.95, 95%CI: 0.87 to 1.03 [indirect effect], 38% mediated) or periodontal pocket (OR = 0.95, 95%CI: 0.86 to 1.04, 15% mediated). Thirty-five percent and 27% of residents in the slum and non-slum sites respectively required the “prompt and urgent” levels of treatment need. Oral diseases prevalence in both settings are high and the prevalence was generally higher in the slum with correspondingly higher levels of prompt and urgent treatment needs. Participants may benefit from targeted therapeutic and health promotion intervention services.

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Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of oral health conditions and treatment needs among slum and non-slum urban residents: Evidence from Nigeria

Osuh

Oke

Lilford

et al. 2022

PLOS Glob Public Health

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“…Many studies show that one key reason for this is the belief that oral diseases are not serious or life threatening. Studies done in India show that about between 62.5% and 70% of the participants believed that unless there is pain, there is no need to visit a dentist [8,9]. The major reason for seeking oral healthcare was toothache.…”

Section: Discussionmentioning

confidence: 99%

Oral health seeking behaviors of adults in Nebbi District, Uganda: a community-based survey

et al. 2021

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Background Dental health is often neglected by the majority of the population and has contributed to the global burden of oral diseases. We assessed awareness, utilization and barriers to seeking oral health care among adults in Nebbi District, Uganda. Methods A community-based, cross sectional study was conducted in the central division, Nebbi District in Uganda among adults between the age of 18 years or older. An interviewer-administered, semi-structured questionnaire was used for data collection on socio-demographic characteristics, oral health awareness, oral health utilization, associated factors and barriers. Results A total of 400 adults with a median age of 32 years (interquartile range 24–43) years were enrolled. More than half (57.5%, n = 230) of the participants were female. Participants identified smoking (42.8%, n = 171) and consumption of sugary foodstuffs (29.0%, n = 116) as risk factors for oral disease. Not brushing was also identified by 260 participants (65.0%) as the cause of tooth decay and 95.8% (n = 383) believed brushing one’s teeth could prevent tooth decay. Of the 51.5% (n = 206) who had experienced a toothache or discomfort 12 months prior to the study but only about half (52%, n = 106) had sought healthcare from a dental clinic or facility. About 89.5% (n = 94) of the participants were able to see a dentist during their last visits. Dental carries (76.6%, n = 70) and gum bleeding (14.9%, n = 14) were the most frequent reasons for visiting a dental clinic, and 73.7% (n = 70) had their tooth extracted. Barriers to seeking oral healthcare were cost of treatment (47.5%, n = 190), and long waiting time (18.5%, n = 74). The odds of seeking oral healthcare was 2.8-fold higher in participants who were being married (Odds ratio (OR): 2.8, 95% CI 1.3–6.3, p = 0.011) and 3.5-fold higher among housewives (COR: 3.5, 95% CI 1.1–11.4, p = 0.040). Conclusion About half of the participants had sought healthcare following a dental condition. Cost of treatment seems to be an important factor affecting utilization of oral health services. Optimization of costs, and creating awareness regarding benefits of utilizing preventive dental services are recommended.

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“…7 In our study majority of the participants had a good oral health status and practiced the recommended oral health practices although their utilization of dental services was low. Utilization may have been low because it has been documented in various studies that many people visit the dentist only when they are in pain 4,11,[15][16][17] and not for bi-annual dental checks as recommended. 4,18,19 Most of the dental clinics in Nigeria are situated in the urban areas, thus making services readily available and accessible which was the case in our study.…”

Section: Discussionmentioning

confidence: 99%

“…This lack of awareness and accompanying lack of knowledge results in a lack of utilization of dental services and a consequent increased burden of oral disease. 3,4 Dental caries and periodontal disease are the two most common oral health problems in Nigeria and in the developing world. 5 In Nigeria, the prevalence rates of dental caries and periodontal diseases were found to be 30% and 80% respectively during a national oral health survey.…”

Section: Introductionmentioning

confidence: 99%

“…11 However, this information is not freely available to the general populace because of the absence or small numbers of orthodontists in some parts of Nigeria, although the majority of dental clinics and practicing orthodontists are in the urban areas. 4 There are presently less than 100 orthodontists in Nigeria serving a population of over 180 million which is grossly inadequate. Smiles Dental Foundation, a Non-Governmental Organisation (NGO) conducted an oral health awareness campaign in an urban area of Rivers State, South-South Nigeria in order to educate as well as increase awareness of these oral health needs among the populace.…”

Section: Introductionmentioning

confidence: 99%

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Untreated malocclusions and oral health status of an urban population in South-South Nigeria

Aikins,

Soroye

2021

Nig J Dent Res

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Objective: Lack of awareness and an accompanying lack of knowledge results in a lack of utilization of dental services and a consequent increased burden of oral disease. This study assessed untreated malocclusions and the oral health status of an urban population. Methods: A descriptive cross sectional study design was employed. Data was collected from consenting participants using an interviewer administered questionnaire after which an intraoral examination was carried out on each participant. Data was analysed using the SPSS version 20 and the level of significance set at p<0.05. Results: There were a total of 403 participants in this study. About a tenth of the participants indulged in oral habits 41 (10.2%). Untreated malocclusions in the form of tooth displacements 35 (8.7%), rotations 32 (7.9%), crossbite 9 (2.2%) and scissors bite 1 (0.3%) were seen in the study population. Majority, 383 (95%) used a toothbrush and flouridated toothpaste to clean their teeth and 264 (65.5%) brushed once a day. Most of the participants 281 (69.7%) had good oral hygiene. Conclusion: Several untreated malocclusions comprising tooth rotations, displacements, crossbite, scissors bite and anterior open bite were seen in our study population. Their utilization of dental services was poor but oral health practices were good which translated to good oral hygiene and low DMFT.

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Utilization of dental services among civil servants in Port Harcourt, Nigeria

Cited by 5 publications

References 0 publications

Prevalence and determinants of oral health conditions and treatment needs among slum and non-slum urban residents: Evidence from Nigeria

Prevalence and determinants of oral health conditions and treatment needs among slum and non-slum urban residents: Evidence from Nigeria

Oral health seeking behaviors of adults in Nebbi District, Uganda: a community-based survey

Untreated malocclusions and oral health status of an urban population in South-South Nigeria

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