Caries, Oral Health Knowledge, Behavior, and Barriers to Care Among a Group of Urban Poor in the Philippines: An Overview
Alyssa Hayes
Citation Information :
Hayes A. Caries, Oral Health Knowledge, Behavior, and Barriers to Care Among a Group of Urban Poor in the Philippines: An Overview. Int J Prosthodont Restor Dent 2014; 4 (2):39-45.
To provide an overview of the caries status and needs, knowledge, behavior and barriers to oral health in a group of adults from a poor urban community in the Philippines.
Materials and methods
401 subjects aged 16 to 85 years (Mean ± SD: 41.4 ± 15.2) were assessed for caries status and needs, oral mucosal lesions and fluorosis using the 1997 WHO format and interviewed using a structured questionnaire. The examinations were conducted in natural light with a mouth mirror and an explorer with the subject seated in a regular chair. One-way ANOVA was used to compare the means and Chi-square and Fisher's exact test was used to compare the proportions. The significance level was set at ɑ = 0.05.
Results
The mean DMFT for the whole sample was 15.59. Older adults had more missing teeth compared to their younger counterparts (0.73 MT for ≤ 20 years; 22.13 MT for ≥ 71 years) while the number of mean untreated decay was higher among the younger age cohorts with those aged 21 to 30 years of age experiencing the most untreated decay (DT of 9.37). The need for extractions increased with age (1.70; SD 1.92 teeth in 61- 70 year-olds) and the need for multi-surface fillings (6.59, SD 2.86) was greatest among young adults. In general, the oral health knowledge and awareness of the importance of good oral hygiene was high, however, only 33% reported seeing a dentist in the previous 2 years. Over 82% reported their perceived oral health as fair to poor, suggesting that this urban, poor population is aware of their needs, but face financial barriers to acting on this perceived need.
Conclusion
A large percentage of the present sample of Filipino adults had significant unmet caries needs and adequate finances were the main barrier to seeking care at a dental office.
How to cite this article
Torresyap V, Hayes A, Hoover J, Karu- nanayake C. Caries, Oral Health Knowledge, Behavior, and Barriers to Care Among a Group of Urban Poor in the Philippines: An Overview. Int J Prosthodont Restor Dent 2014;4(2):39-45.
World Oral Health Report 2003. Continuous improvement in oral health in the 21st century-the approach of the WHO oral health program. Petersen PK. Oral health program. Non communicable disease prevention and health promotion. Available from: Geneva, Switzerland.
Racial/ethnic disparities in acceptance of medicaid patients in dental practices. J Public Health Dent 2008 Summer; 68(3):149-153.
The US Surgeon General's report on oral health in America: a Canadian perspective. J Can Dent Assoc 2001 Nov;67(10):587.
Caries prevalence in the United Kingdom. Int Dent J 1994 Aug;44(4 Suppl 1):365-370.
Caries prevalence in the Nordic countries. Int Dent J 1994 Aug;44(4 Suppl 1):371-378.
Oral health status of vulnerable groups in a village of the Central Highlands, Southern Vietnam. Int J Dent Hyg 2006 May;4(2):72-76.
Dental Public Health: a mistaken identity. Adv Life Sci Appl 2012;1(3):58-61.
Impacts of financial, food, and fuel crisis on the urban poor. Directions in urban development. Washington, DC: Urban Development Unit, World Bank; 2008 Dec [cited 2008 Dec]. p. 1-4. Available at: http://siteresources.worldbank.org/inturbandevelopment/Resources/336387-1226422021646/directions_2.pdf?resourceurlname=directions_2.pdf.
Users’ forum on the 2006 poverty statistics for the basic sectors and 2006 child development index. Republic of the Philippines: National Statistical Coordination Board; 2009 June [cited 2009 June]. Available at: http://www.nscb.gov.ph/poverty/default.asp.
2009 Official Poverty Statistics. Republic of the Philippines: National Statistical Coordination Board; 2011 June [cited 2011 June]. Available at: http://www.nscb.gov.ph/poverty/2009/Presentation_RAVirola.pdf.
Available at: http://www.ibon.org/ibon_surveys.php.
Available at: http://www.doh.gov.ph/node/1066.html.
BMC Public Health 2011 Jul 13;11:558.
Health promotion planning: an educational and ecological approach. 3rd ed. Mountain View, CA: Mayfield Pub Co; 1999.
Attitudes of Chinese parents toward the oral health of their children with caries: a qualitative study. Pediatr Dent 2005 Nov-Dec;27(6):505-512.
Parental knowledge, attitudes and cul- tural beliefs regarding oral health and dental care of preschool children in an Indian population: a qualitative study. Eur Arch Paediatr Dent 2012 Apr;13(2):76-82.
2010 Census of Population and Housing. National Statistics Office. Retrieved 11 November 2013.
Statistics with confidence. 2nd ed. London, UK: BMJ Books; 2000. p. 46-47.
Intraclass correlations: uses in assessing rater reliability. Psychol Bulletin 1979;86(2):420-428.
Oral Health Surveys: Basic methods. 4th ed. Geneva: World Health Organization; 1997.
Prostho- dontic and periodontal status and needs in a selected population of urban poor in the Philippines. Int J Prosthodont Oper Dent 2013;3(4):136-142.
Dental service utili- zation among independently dwelling older adults in Manitoba, Canada. J Can Dent Assoc 2008 Mar;74(2):161-161f.
Prevalence of oral pain and barriers to use of emergency oral care facilities among adult Tanzanians. BMC Oral Health 2008 Sep 29;8:28.
Barriers to oral health care utilization in Ibadan, South West Nigeria. Afr Health Sci 2012 Dec;12(4):507-513.
Available at: http://www.doh.gov.ph/node/1066.html.
Country Report: Phillipines 2009. Geneva: World Health Organization; 2010. Available at: http://www.who.int/tobacco/surveillance/2009_gats_report_philippines.pdf?ua=1.
Global epidemiology of areca nut usage. Addict Biol 2002 Jan;7(1):77-83.
Barriers to accessing dental care: patient factors. Br Dent J 1999 Aug 14;187(3):141-144.
Implementation of a basic package of oral care: towards a reorientation of dental NGOs and their volunteers. Int Dent J 2006 Feb;56(1):44-48.
Dental volunteerism: is the current model working? J Can Dent Assoc 2013;79:d69.
Sociobehavioural risk factors in dental caries - an international perspective. Comm Dent Oral Epidemiol 2005;33:274-279.