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印度南部一个初级卫生中心地区农村成年人的社会经济地位、牙科服务需求及利用情况

Socio-economic Status, Needs, and Utilization of Dental Services among Rural Adults in a Primary Health Center Area in Southern India.

作者信息

Bommireddy Vikram Simha, Pachava Srinivas, Ravoori Srinivas, Sanikommu Suresh, Talluri Devaki, Vinnakota Narayana Rao

机构信息

Senior Lecturer, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India.

Professor and Head, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India.

出版信息

J Int Oral Health. 2014 Nov-Dec;6(6):56-60.

Abstract

BACKGROUND

The oral disease burden in India is showing a steady increase in the recent years. Utilization of dental care being the major factor affecting the oral health status of the population is used as an important tool in oral health policy decision-making and is measured in terms of the number of dental visits per annum.

MATERIALS AND METHODS

A cross-sectional house to house questionnaire survey was conducted in three rural clusters which were randomly selected from a total of eight clusters served by a primary health center. Simple random sampling was used to select 100 houses from each cluster. Screening was done to examine the existing oral diseases. A total of 385 completed questionnaires were collected from 300 houses.

RESULTS

Of 385 study subjects, 183 have experienced previous dental problems. Major dental problem experienced by the study subjects was toothache (68.85%) and the treatment underwent was extraction (50.27%). Most preferred treatment centers by the study subjects were private dental hospital (68.25%) and reason identified was accessibility which constituted (45.24%) of all the reasons given. Negative attitude toward dental care is one of the important barriers; 50.8% of the non-utilizers felt dental treatment is not much important.

CONCLUSION

Person's attitude, lack of awareness, and affordability remain the barriers for utilization of dental services. Effective methods have to be exercised to breach such barriers.

摘要

背景

近年来,印度的口腔疾病负担呈稳步上升趋势。牙科护理的利用率是影响人群口腔健康状况的主要因素,在口腔健康政策决策中被用作一项重要工具,并以每年的牙科就诊次数来衡量。

材料与方法

在一个初级卫生中心服务的总共八个群组中随机选择了三个农村群组,进行挨家挨户的横断面问卷调查。从每个群组中使用简单随机抽样法选取100户人家。进行筛查以检查现有的口腔疾病。从300户人家中总共收集到385份完整问卷。

结果

在385名研究对象中,183人曾有过牙科问题。研究对象经历的主要牙科问题是牙痛(68.85%),接受的治疗是拔牙(50.27%)。研究对象最常选择的治疗中心是私立牙科医院(68.25%),所提及的原因是可及性,在所有给出的原因中占比45.24%。对牙科护理的消极态度是重要障碍之一;50.8%的未使用者认为牙科治疗不太重要。

结论

个人态度、缺乏意识和支付能力仍然是牙科服务利用的障碍。必须采取有效方法来突破这些障碍。

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