Oral health status and factors associated with oral health of primary school children in Gulu district, northern Uganda.
Humans
Child
Uganda
/ epidemiology
Male
Female
Oral Health
/ statistics & numerical data
Cross-Sectional Studies
Adolescent
Dental Caries
/ epidemiology
Health Knowledge, Attitudes, Practice
Health Status
DMF Index
Rural Population
/ statistics & numerical data
Urban Population
/ statistics & numerical data
Gingival Hemorrhage
/ epidemiology
Associated factors
Child
Dental caries
Gingivitis
Oral health
Primary school
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
04 Oct 2024
04 Oct 2024
Historique:
received:
01
11
2023
accepted:
23
09
2024
medline:
5
10
2024
pubmed:
5
10
2024
entrez:
4
10
2024
Statut:
epublish
Résumé
Globally, oral diseases remain a major public health problem. However, there is limited information about the oral health status and factors associated with oral disease among children in Uganda. The aim of this study was to examine the oral health status and factors associated with oral health of primary school children in urban and rural areas of the Gulu district of northern Uganda. A comparative cross-sectional study was conducted among 356 school children aged 11-13 years attending six schools located in urban and rural areas. The children received a clinical oral examination and participated in a questionnaire survey that collected information on sociodemographic and oral health knowledge, attitude, and practices. All data were entered and analysed using IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp statistical software. Logistic regression analyses examined factors associated with dental caries and gingival bleeding. Of the 356 children (11-13 years) included, the mean age was 12.2 years, 140 (39.3%) were male and 176 (49.4%) were from urban areas. The proportion of school children with dental caries was 33.6% (n = 119), with the mean decayed, missing due to caries, and filled teeth (DMFT) index of 0.81 (25th percentile = 0; 75th percentile = 1.00). There was no significant difference in caries prevalence between rural and urban children (31.6% versus 35.6%, p = 0.33). Of the children involved in the study, 141(39.8%) had gum bleeding. The mean oral knowledge score was 2.85 ± 1.53 (range, 0-7), while the mean attitude, hygiene practice, frequency of sweets consumption, and oral health related impact scores were 4.25 ± 1.23 (range, 1-6), 5.40 ± 1.81 (range, 0-9), 25.66 ± 4.29 (range 9-54) and 2.1 ± 1.65 (range, 0-6), respectively. Using logistic regression analyses, as oral health knowledge score increased the odds of not having dental caries increased (aOR = 1.19, 95% CI 1.02-1.39). The prevalence of dental caries and gum bleeding of primary school children in Gulu district is high. Children lacked knowledge on causes of oral disease, and behaviour towards oral disease prevention. In addition, oral health knowledge scores were significantly associated with dental caries. Oral health education programs in schools should emphasise providing skills-based education.
Sections du résumé
BACKGROUND
BACKGROUND
Globally, oral diseases remain a major public health problem. However, there is limited information about the oral health status and factors associated with oral disease among children in Uganda. The aim of this study was to examine the oral health status and factors associated with oral health of primary school children in urban and rural areas of the Gulu district of northern Uganda.
METHODS
METHODS
A comparative cross-sectional study was conducted among 356 school children aged 11-13 years attending six schools located in urban and rural areas. The children received a clinical oral examination and participated in a questionnaire survey that collected information on sociodemographic and oral health knowledge, attitude, and practices. All data were entered and analysed using IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp statistical software. Logistic regression analyses examined factors associated with dental caries and gingival bleeding.
RESULTS
RESULTS
Of the 356 children (11-13 years) included, the mean age was 12.2 years, 140 (39.3%) were male and 176 (49.4%) were from urban areas. The proportion of school children with dental caries was 33.6% (n = 119), with the mean decayed, missing due to caries, and filled teeth (DMFT) index of 0.81 (25th percentile = 0; 75th percentile = 1.00). There was no significant difference in caries prevalence between rural and urban children (31.6% versus 35.6%, p = 0.33). Of the children involved in the study, 141(39.8%) had gum bleeding. The mean oral knowledge score was 2.85 ± 1.53 (range, 0-7), while the mean attitude, hygiene practice, frequency of sweets consumption, and oral health related impact scores were 4.25 ± 1.23 (range, 1-6), 5.40 ± 1.81 (range, 0-9), 25.66 ± 4.29 (range 9-54) and 2.1 ± 1.65 (range, 0-6), respectively. Using logistic regression analyses, as oral health knowledge score increased the odds of not having dental caries increased (aOR = 1.19, 95% CI 1.02-1.39).
CONCLUSION
CONCLUSIONS
The prevalence of dental caries and gum bleeding of primary school children in Gulu district is high. Children lacked knowledge on causes of oral disease, and behaviour towards oral disease prevention. In addition, oral health knowledge scores were significantly associated with dental caries. Oral health education programs in schools should emphasise providing skills-based education.
Identifiants
pubmed: 39367364
doi: 10.1186/s12903-024-04949-5
pii: 10.1186/s12903-024-04949-5
doi:
Types de publication
Journal Article
Comparative Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1176Informations de copyright
© 2024. The Author(s).
Références
World Health Organization. Promoting oral health in Africa: prevention and control of oral diseases and noma as part of essential noncommunicable disease intervention. 2016. ISBN: 978-929023297-1 (NLM Classification: WU 140).
Jain N, Dutt U, Radenkov I, Jain S. WHO’s global oral health status report 2022: actions, discussion and implementation. Oral Dis. 2024;30:73–9. https://doi.org/10.1111/odi.14516 .
doi: 10.1111/odi.14516
pubmed: 36680388
Mafuvadze BT, Mahachi L, Mafuvadze B. Dental caries and oral health practice among 12-year-old school children from low socio-economic status background in Zimbabwe. Pan Afr Med J. 2013;14:164. https://doi.org/10.11604/pamj.2013.14.164.2399 . PMID: 23819006; PMCID: PMC3696470.
doi: 10.11604/pamj.2013.14.164.2399
pubmed: 23819006
pmcid: 3696470
Ullah MS, Aleksejuniene J, Eriksen HM. Oral health of 12-year-old Bangladeshi children. Acta Odontol Scand. 2002;60(2):117–22.
doi: 10.1080/000163502753509536
pubmed: 12020115
Dixit LP, Shakya A, Shrestha M, Shrestha A. Dental caries prevalence, oral health knowledge and practice among indigenous Chepang school children of Nepal. BMC Oral Health. 2013;13(1):20–4.
doi: 10.1186/1472-6831-13-20
Kutesa A, Kasangaki A, Nkamba M, Muwazi L, Okullo I, Rwenyonyi CM. Prevalence and factors associated with dental caries among children and adults in selected districts in Uganda. Afr Health Sci. 2015;15(4):1302–7.
doi: 10.4314/ahs.v15i4.33
pubmed: 26958035
pmcid: 4765403
Muwazi LM, Rwenyonyi CM, Tirwomwe FJ, Ssali C, Kasangaki A, Nkamba ME, et al. Prevalence of oral diseases/conditions in Uganda. Afr Health Sci. 2005;5(3):227–33.
pubmed: 16245993
pmcid: 1831927
Ayele FA, Taye BW, Ayele TA, Gelaye KA. Predictors of dental caries among children 7–14 years old in Northwest Ethiopia: a community based cross-sectional study. BMC Oral Health. 2013;13:7. https://doi.org/10.1186/1472-6831-13-7 . PMID: 23331467; PMCID: PMC3554509.
doi: 10.1186/1472-6831-13-7
pubmed: 23331467
pmcid: 3554509
Shitie A, Addis R, Tilahun A, Negash W. Prevalence of Dental Caries and Its Associated Factors among Primary School Children in Ethiopia. International Journal of Dentistry. 2021; 2021:6637196.
Republic of Uganda. Ministry of Health. National oral Health Policy in: Ministry of Health. editor. Kampala. 2007.
Akera P, Kennedy SE, Obwolo MJ, Schutte AE, Lingam R, Richmond R. Primary school teachers’ contributions to oral health promotion in urban and rural areas of the Gulu District, Northern Uganda: a qualitative study. BMC Oral Health. 2022;22(1):211. https://doi.org/10.1186/s12903-022-02239-6 . PMID: 35643454; PMCID: PMC9145116.
doi: 10.1186/s12903-022-02239-6
pubmed: 35643454
pmcid: 9145116
Akera P, Kennedy SE, Schutte AE, Richmond R, Hodgins M, Lingam R. Perceptions of oral health promotion in primary schools among health and education officials, community leaders, policy makers, teachers, and parents in Gulu district, northern Uganda: a qualitative study. PLoS ONE. 2023;18(11):e0293761.
doi: 10.1371/journal.pone.0293761
pubmed: 37917631
pmcid: 10621852
Nalweyiso N, Busingye J, Whitworth J, Robinson PG. Dental treatment needs of children in a rural subcounty of Uganda. Int J Pediatr Dent. 2004;14:27–33.
doi: 10.1111/j.1365-263X.2004.00514.x
World Health Organization. Oral Health Surveys- Basic Methods 2013. 5th ed. ISBN 978 92 4 154864 9 (NLM classification: WU 30).
Uganda Bureau of Statistics (UBOS). Rural and urban population for the 146 districts in Uganda. Kampala. Uganda Bureau of Statistics; 2022.
Wiegand H, Kish L: Survey Sampling. John Wiley, Sons I, York N. London 1965, IX + 643 S., 31 Abb., 56 Tab., Preis 83 s. Biometrische Zeitschrift. 1968;10(1):88 – 9.
Al-Omiri MK, Board J, Al-Wahadni AM, Saeed KN. Oral health attitudes, knowledge, and Behavior among School Children in North Jordan. J Dent Educ. 2006;70(2):179–87.
doi: 10.1002/j.0022-0337.2006.70.2.tb04074.x
pubmed: 16478932
Smyth E, Caamaño F, Fernández-Riveiro P. Oral health knowledge, attitudes and practice in 12-year-old schoolchildren. Med Oral Patol Oral Cir Bucal. 2007;12(8):614–20.
Zhu L, Petersen PE, Wang H-Y, Bian J-Y, Zhang B-X. Oral health knowledge, attitudes and behaviour of children and adolescents in China. International Dental Journal. 2003;53(5):289 – 98. https://doi.org/10.1111/j.1875-595x.2003.tb00762 . x. PMID: 14560803.
Gao J, Ruan J, Zhao L, Zhou H, Huang R, Tian J. Oral health status and oral health knowledge, attitudes and behavior among rural children in Shaanxi, western China: a cross-sectional survey. BMC Oral Health 2014 Nov 29; 14:144. https://doi.org/10.1186/1472-6831-14-144 . PMID: 25433658; PMCID: PMC4349707.
World Health Organization. Guideline: Sugars intake for adults and children. Geneva. 2015.
Suprabha BS, Rao A, Shenoy R, Khanal S. Utility of knowledge, attitude, and practice survey, and prevalence of dental caries among 11- to 13-year-old children in an urban community in India. Glob Health Action 2013 Apr 30; 6:20750. https://doi.org/10.3402/gha.v6i0.20750 . PMID: 23639177; PMCID: PMC3643074.
Freire M, Bahia Reis S, Figueiredo N, De Glazer K, da Silveira Moreira R, Antunes J. Individual and contextual determinants of dental caries in Brazilian 12-year-olds in 2010. 2013. Revista de Saude Publica. 2013;47 Suppl 3:40–49. https://doi.org/10.1590/s0034-8910.2013047004322 . PMID: 24626580.
Fisher-Owens SA, Gansky SA, Platt LJ, Weintraub JA, Soobader M-J, Bramlett MD, et al. Influences on children’s oral health: a conceptual model. Paediatrics. 2007;120(3):510–20.
doi: 10.1542/peds.2006-3084
World Health Organization. Oral Health Promotion: an essential element of a health-promoting School Geneva, Switzerland. WHO; 2003. https://www.who.int/oral_health/media/en/orh_school_doc11.pdf .
World Health Organization. Local Action Creating Health Promoting Schools. 2000 https://apps.who.int/iris/bitstream/handle/10665/66576/WHO_NMH_HPS_00.3.pdf?sequence=1
World Health Organization. Health Promoting Schools: An effective approach to early action on Non-Communicable Disease risk factors Geneva, Switzerland. World Health Organization. 2017. https://apps.who.int/iris/bitstream/handle/10665/255625/WHO-NMH-PND-17.3-eng.pdf?sequence=1