RESUMEN
BACKGROUND: To determine the perception of oral health status and its associated factors among adults living in rural areas in Karnataka state, India. METHODS: A cross-sectional study was conducted among adults in the age group of 35-54 years old residing in villages in a southern state in India. The main outcome measure was poor self-rated oral health (SROH) among adults in rural India. RESULTS: About 873 adults participated in the study. The prevalence of poor SROH was 15.2%. Adults of age 40-44 years, females, those in lower socioeconomic conditions, and those with high caries experience (DMFT ≥ 4) and periodontal disease were associated with poor SROH. Those who had visited a dentist in the previous one year were 1.9 times more likely to report poor oral health. CONCLUSIONS: Nearly 15% of rural people reported poor oral health. Socioeconomic conditions, sex, age, smoking, and dental visiting were associated with poor SROH. People's perception of poor oral health was associated with severe periodontitis and DMFT ≥ 4. A dose-response relationship was observed between experience with dental caries and poor SROH.
Asunto(s)
Caries Dental , Enfermedades Periodontales , Adulto , Estudios Transversales , Índice CPO , Caries Dental/epidemiología , Femenino , Humanos , India/epidemiología , Persona de Mediana Edad , Salud Bucal , Prevalencia , Población RuralRESUMEN
OBJECTIVES: This study aimed to assess the psychometric properties of Child Oral-care Performance Assessment Scale (COPAS). METHODS: Items for the instrument were developed and pilot tested. This questionnaire was implemented in the Australian National Child Oral Health Study 2012-2014, whose aims included the assessment of oral care performance. This nationally representative sample of 23 538 respondents with complete data was divided into five groups: a main validation group and four cross-validation groups, using blocked randomization. Two scales were constructed, full scale with 37 items (COPAS) and a partial scale with a subset of 31 items (COPAS-Partial). Internal consistency was assessed using Cronbach's alpha. Construct validity was assessed using correlation coefficients, and structural validity was ascertained in the main validation group and confirmed in the cross-validation groups using structural equation models. RESULTS: Cronbach's alpha for COPAS was 0.95, and for COPAS-Partial was 0.94. The convergent validity of global satisfaction with oral care and the subscales was r = 0.29-0.51, and that with the overall scales was r = 0.59 for COPAS and r = 0.59 for COPAS-Partial. COPAS (Root mean squared error of approximation (RMSEA) = 0.06, Comparative fit index (CFI) = 0.90, Tucker-Lewis index (TLI) = 0.89, and Coefficient of determination(COD) = 0.99) and COPAS-Partial (RMSEA = 0.07, CFI = 0.91, TLI = 0.90, COD = 0.97) had adequate fit. Structural invariance was present (P-value = 0.97). CONCLUSION: There was acceptable structural validity, construct validity and internal consistency in the models tested for COPAS and COPAS-Partial. COPAS has potential use in the evaluation of the delivery of dental services to children.
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Atención Dental para Niños , Psicometría , Australia , Niño , Atención Dental para Niños/estadística & datos numéricos , Humanos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios/normasRESUMEN
BACKGROUND: The National Oral Health Survey of Vietnam 1999 was conducted to inform policy development. AIMS: This article aims to describe the oral health status, analyze its socioeconomic distribution, and evaluate change over time in the oral health of the adult population of Vietnam. METHODS: A multistaged stratified sampling process was used. Adults aged 18+ years completed a social survey and were examined by trained and calibrated dentists. RESULTS: Oral symptoms were frequent. Dental care utilization was low and mostly problem driven. One third of adults had periodontal pockets. Calculus was highly prevalent. Caries level was moderate with a mean decayed, missing, and filled teeth score of 4.98 (SD 5.7), with most as untreated decay. Factors related to caries were gender, hygiene practices, socioeconomic status, location, and dental visiting. CONCLUSIONS: The oral health status of the Vietnamese adult population was compromised by various factors. There was indication of deteriorating oral health of this population.
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Cálculos/epidemiología , Caries Dental/epidemiología , Disparidades en el Estado de Salud , Salud Bucal , Bolsa Periodontal/epidemiología , Adolescente , Adulto , Atención Odontológica/estadística & datos numéricos , Restauración Dental Permanente , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Factores Socioeconómicos , Pérdida de Diente , Vietnam/epidemiología , Adulto JovenRESUMEN
UNLABELLED: The National Oral Health Survey of Vietnam 1999 was conducted to inform policy development. AIMS: The aims were to describe the oral health status, to analyze its socioeconomic distribution, and to evaluate change over time in the oral health of Vietnamese children. METHODS: A multistaged stratified sampling process was employed. Children aged 6 to 17 years were examined by trained and calibrated dental examiners. A parental questionnaire was used. Drinking water was analyzed. RESULTS: Preventive oral health behaviors and dental care utilization were infrequent. The decayed, missing, and filled surfaces referring to primary dentition (dmfs) and permanent dentition (DMFS) scores (SD) were 8.9 (11.3) and 2.5 (4.4), respectively. Primary caries experience was associated with fluoride level in drinking water, age, gender, residential status, and geographical location. Permanent caries was also associated with dental visiting and parental education. There was an increase in the prevalence of dental caries in the Vietnamese child population compared with 10 years earlier. CONCLUSION: The oral health of Vietnamese children was characterized by high level of dental caries with variation among socioeconomic groups. It suggests the need for a population oral health program that includes measures to target high-need children.
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Caries Dental/epidemiología , Disparidades en el Estado de Salud , Salud Bucal , Adolescente , Niño , Atención Dental para Niños/estadística & datos numéricos , Restauración Dental Permanente , Dentición Permanente , Femenino , Fluoruros/análisis , Conductas Relacionadas con la Salud , Encuestas Epidemiológicas , Humanos , Masculino , Factores Socioeconómicos , Pérdida de Diente , Diente Primario , Vietnam/epidemiología , Abastecimiento de Agua/análisisRESUMEN
BACKGROUND: The decline in the appropriate use of dental services from childhood to adulthood is of concern. The relative importance of factors influencing use of dental services in young adulthood should inform strategies to address this issue. AIM: To develop models predictive of inadequate utilisation of dental care in young adults and to determine the relative importance of health behaviours, need for dental care, and socio-demographic factors. Inadequate utilisation of dental care was determined as lack of visit for dental care during the study period and as problem-based care-seeking behavior. METHODS: A random sample of Adelaide young adults was selected from the electoral roll. Participants were interviewed and offered a dental examination at baseline. Two and a half years later participants were contacted again and interviewed on the use of dental services and usual reason for visiting and a number of explanatory factors. The population attributable fractions for the explanatory variables which were significant in the model for this cohort of young adults were calculated using the log-binomial method. RESULTS: There were 819 participants at follow-up a response rate of 65% of baseline participants. In the two and a half year period between baseline and follow-up about one quarter of young adults did not make a dental visit and over one third reported that they usually made a dental visit for a problem. The attributable fraction calculation indicated that 30% of infrequent visiting was attributed to reporting no need for dental care, 17% to difficulty paying a $100 dental bill, 17% to being male and 10% to smoking. The attributable fraction calculation indicated that 27% of usually visiting for a problem was attributed to having no tertiary education, 23% to not having dental insurance, 14% to being male, 12% to smoking, 10% to avoiding dental care due to cost and 5% to use of the public sector. CONCLUSION: Need and affordability factors were more important than general health behavior factors in influencing use of dental care by a cohort of young adults.