Oral health perceptions, behaviors, and barriers among differently abled and healthy children.
behavior
developmental disability
oral health
perception
Journal
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
ISSN: 1754-4505
Titre abrégé: Spec Care Dentist
Pays: United States
ID NLM: 8103755
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
revised:
15
11
2020
received:
18
05
2020
accepted:
31
12
2020
pubmed:
7
2
2021
medline:
18
5
2021
entrez:
6
2
2021
Statut:
ppublish
Résumé
To describe and compare the oral health perceptions, behaviors, and barriers for utilization of dental care among differently abled and healthy children. Participants in this cross-sectional study were differently abled and healthy children belonging to the age group of 7-15 years. A questionnaire for measuring the children's perceptions, behaviors, and barriers was developed, validated, and applied to this study. Cronbach's α was calculated to test reliability, and test-retest reliability was assessed by Pearson's correlation test. Chi-square/Fisher exact test, Mann-Whitney U test, and factor analysis were also applied. Statistical significant differences were defined as P < 0.05, two-tailed. A total number of 300 children in each group participated in the study. The correlations of test and retest for the questionnaire ranged from 0.69 to 0.86 (P < 0.05) with Cronbach's α score of 0.862. More than half in both the groups were aware of the presence of fluoride in their toothpaste, and parents agreed that a child's dental health is satisfactory yet only one-third of them perceived dental problems as serious. Regarding brushing twice daily, the frequency was better in the study group (26.3% and 17.3%, P = 0.01), most of them changed their toothbrush between 3 and 6 months (67.3% and 82.0%, P < 0.001), and tongue cleaner were regularly used as an oral hygiene aid (62.3% and 88.5%, P = 0.01). Members of the study group appear to have visited the dentist (26.0%) more as compared to the control group (17.7%) (P = 0.01), and most of the respondents (50.0% and 41.5%) consulted the dentist on account of dental caries. In the study group, no priority care (8.82±2.81), difficulty in communicating with the dentist (7.85±1.92), treatment cost (6.90±1.98) and fear of dental instruments (6.90±1.98), respectively, were the barriers with the highest means of scores, whereas in the control group it was related to affordability and fear. Facilities in dental clinics excluding wheelchairs (76.3% and 76.7%) and corridor signs (66.3% and 61.7%) were lacking. Knowledge and attitude scores were adequate but there was a discrepancy present concerning oral health practices. Dental health was not viewed as a threat, and therefore, not many visited the dentist. Priority care and communication problems were the central issues among differently abled children, while among healthy children, the main factor was cost and fear.
Types de publication
Journal Article
Langues
eng
Pagination
358-366Subventions
Organisme : Ethical clearance was obtained from Institutional Ethical Review Committee of Government Dental College and Research institute, Bangalore
ID : GDCRI/ACM(2)/07/2017-18
Informations de copyright
© 2021 Special Care Dentistry Association and Wiley Periodicals LLC.
Références
Leonardi M, Bickenbach J, Ustun TB, Kostanjsek N, Chatterji S. MHADIE Consortium. The definition of disability: what is in a name? Lancet. 2006;368(9543):1219-1221.
World Report on Disability. (Cited 2019 March 6). Available from https://www.who.int/disabilities/world_report/2011/report.pdf.
Learning lessons: defining, representing and measuring disability. London, Disability Rights Commission; 2007. (Cited 2019 April 16). Available from https://disability-studies.leeds.ac.uk/DRC-Learning-lessons-defining-measuring-and-classifyingdisability.pdf.
Differently abled dictionary definition (Cited 2020 March 15). Available from https://www.yourdictionary.com/differently-abled.
2011 Census Data. Census of India. (Cited 2020 March 15). Available from http://censusindia.gov.in/2011-Common/CensusData2011.html.
Dandona R, Pandey A, George S, Kumar GA, Dandona L. India's disability estimates: limitations and way forward. PLoS ONE. 2019;14(9):e0222159.
Disabled persons in India a statistical profile 2016 (Cited 2020 March 22). Available from http://www.mospi.gov.in.
Howell R, Brimble M. Dental health management for children with special healthcare needs. Nurs Child Young People. 2013;25(5):19-22.
Ajayi D, Arigbede AO. Barriers to oral health care utilisation in Ibadan, South West Nigeria. Afr Health Sci. 2012;12(4):507-513.
Suma G, Das UM, Akashatha BS. Dentition status and oral health practice among hearing and speech-impaired children: a cross-sectional study. Int J Clin Pediatr Dent. 2011;4(2):105-108.
Rajput S, Kumar A, Puranik MP, Sowmya KR. Oral health inequalities between differently abled and healthy school children in Bengaluru-a cross-sectional study. Spec Care Dentist. 2019;40(1):55-61.
Konakeri V, Bennadi D, Manjunath M, Reddy C. Dental caries experience and treatment needs of institutionalized mentally challenged and normal children of age group 6-13 years in Mysore city. J Indian Assoc Public Health Dent. 2016;14(2):164-170.
Sinha N, Singh B, Chhabra KG, Patil S. Comparison of oral health status between children with cerebral palsy and normal children in India: a case-control study. J Indian Soc Periodontol. 2015;19(1):78-82.
Nouri SM, Alaki SM, El-Ashiry EA. Oral health in children with cerebral palsy. Oral Health Dent Manag. 2014;13(4):1067-1075.
Sabbarwal B, Puranik MP, Uma SR. Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: a cross-sectional, comparative study. J Indian Assoc Public Health Dent. 2018;16:4-10.
Priyadarshini P, Pushpanjali K, Sagarkar A, Bhoomika, Shenoy S. Assessment of oral health status among visually impaired children. J Dent Orofac Res. 2015;11(1):3-6.
Grandhi VV, Savanur NR, Raju R. Barrier-free dental health care: a situation analysis of the dental care settings and providers’ attitudes in private dental clinics for the movement-disabled in Bengaluru City. J Indian Assoc Public Health Dent. 2017;15:166-169.
Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Int J Surg. 2014;12(12):1500-1524.
Koneru A, Sigal MJ. Access to dental care for persons with developmental disabilities in Ontario. J Can Dent Assoc. 2009;75(2):121.
Al-Shehri SA. Access to dental care for persons with disabilities in Saudi Arabia (caregivers’ perspective). J Disabil Oral Health. 2012;13(2):51-61.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-3191.
Martin LR, Williams SL, Haskard KB, Dimatteo MR. The challenge of patient adherence. Ther Clin Risk Manag. 2005;1(3):189-199.
Shukla D, Bablani D, Chowdhry A, Thapar R, Gupta P, Mishra S, et al. Dentofacial and cranial changes in down syndrome. Osong Public Health Res Perspect. 2014;5(6):339-344.
Tagelsir A, Khogli AE, Nurelhuda NM. Oral health of visually impaired schoolchildren in Khartoum State, Sudan. BMC Oral Health. 2013;13:33.
Ahmad SM, Jindal MK, Khan S, Hashmi SH. Oral health knowledge, practice, oral hygiene status and dental caries prevalence among visually impaired students in residential institute of Aligarh. J Dent Oral Hyg. 2009;1(2):22-26.
Bhaskar BV, Janakiram C, Joseph J. Access to dental care among differently-abled children in Kochi. J Indian Assoc Public Health Dent. 2016;14(1):29-34.
Millar WJ, Dental consultations. Health Reports. Vol. 16, No. 1. Statistics Canada Catalogue no: 82-003-XIE. p. 41; 2004. (Cited 2020 March 17). Available from http://dsp-psd.pwgsc.gc.ca/Collection-R/Statcan/82-003-XIE/0010482-003-XIE.pdf.
Grant E, Carlson G, Cullen-Erickson M. Oral health for people with intellectual disability and high support needs: positive outcomes. Spec Care Dentist. 2004;24(2):70-79.
Accessibility for the disabled. A design manual for barrier free environment. (Cited 2020 April 5). Available from http://www.un.org/esa/socdev/enable/designm/index.html.
Economic and Social Commission for Asia and the Pacific. Disability at a Glance 2010: A Profile of 36 Countries and Areas in Asia and the Pacific. (Cited 2020 April 5). Available from https://www.unescap.org/publications/disability-glance-2010-profile-36-countries-and-areas-asia-and-pacific.