Otayto Kusse, Godana Wanzahun, Feleke Tesfaye, Hussen Sultan, Alemu Mathewos
School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Pediatric Health Med Ther. 2022 Jul 1;13:257-269. doi: 10.2147/PHMT.S365768. eCollection 2022.
Milk tooth extraction (MTE) is one of the most common harmful traditional practices performed by traditional healers without anesthesia and unsterile materials. The acute and chronic complications of this practice greatly affect the health of children. In order to develop effective preventive measures towards this harmful practice, the extent of the problem and factors contributing to the practice should be verified. The objective of this study was to assess the prevalence and associated factors of MTE among under five-years-old children in Alle special Woreda.
A community-based cross-sectional survey was undertaken at Alle Special Woreda among 363 women using a multi-stage stratified sampling method. Data was collected using semi-structured questionnaires and data entry was done with Epi-data version 4.4.3.1, while data management and analysis were done with STATA version 14.0. Univariate and multivariate binary logistic regression models were used while model's fitness was checked by Hosmer and Lemeshow test. Variables having a p-value of less than 0.05 were declared statistically significant in the final model.
Milk teeth extraction was practiced on 58.68% (95% CI:0.5,0.6) of children. Age of the child less than 12 months, AOR:1.27 (95% CI:1.02,1.6), maternal occupation (housewife) AOR:1.3 (95% CI:1.04,65), paternaleducational, level (illiterate) AOR:1.4 (95% CI:1.2,1.9), residence (rural) AOR:3.6 (95% CI:1.08,12.4), positive attitude AOR:1.65 (95% CI:1.01,2.8) and intentions AOR: 1.82 (95% CI:1.1,3.3) towards MTE practice showed statistically significant association with MTE practice.
It was found that milk teeth extraction practice was the most common practice in the study area, with a prevalence of 58.68%. Age of the child, maternal occupation, paternal educational level, residence, having a positive attitude and intentions toward MTE practice all had a statistically significant (P value less than 0.05) association with MTE practice. Society's barriers, such as knowledge, attitude, and practice (KAP) related, health facility related, and peer and social pressure-related factors, were identified. All stakeholders should put great emphasis on the elimination of this harmful practice.
乳牙拔除（MTE）是传统治疗师在无麻醉和未使用无菌材料的情况下进行的最常见的有害传统做法之一。这种做法的急慢性并发症极大地影响儿童健康。为制定针对这种有害做法的有效预防措施，应核实该问题的严重程度及导致这种做法的因素。本研究的目的是评估阿勒特别沃雷达五岁以下儿童中乳牙拔除的患病率及相关因素。
在阿勒特别沃雷达采用多阶段分层抽样方法对363名妇女进行了基于社区的横断面调查。使用半结构化问卷收集数据，数据录入采用Epi - data 4.4.3.1版本，数据管理和分析采用STATA 14.0版本。使用单变量和多变量二元逻辑回归模型，同时通过霍斯默和莱梅肖检验检查模型的拟合优度。在最终模型中，p值小于0.05的变量被宣布具有统计学意义。
58.68%（95%置信区间：0.5,0.6）的儿童接受了乳牙拔除。儿童年龄小于12个月，调整后比值比（AOR）：1.27（95%置信区间：1.02,1.6）；母亲职业（家庭主妇），AOR：1.3（95%置信区间：1.04,1.65）；父亲教育水平（文盲），AOR：1.4（95%置信区间：1.2,1.9）；居住在农村，AOR：3.6（95%置信区间：1.08,12.4）；对乳牙拔除做法持积极态度，AOR：1.65（95%置信区间：1.01,2.8）；有乳牙拔除意图，AOR：1.82（95%置信区间：1.1,3.3），这些因素与乳牙拔除做法显示出统计学上的显著关联。
研究发现乳牙拔除做法是研究地区最常见的做法，患病率为58.68%。儿童年龄、母亲职业、父亲教育水平、居住地点、对乳牙拔除做法持积极态度和有乳牙拔除意图均与乳牙拔除做法存在统计学上的显著关联（P值小于0.05）。识别出了与知识、态度和行为（KAP）相关、与卫生设施相关以及与同伴和社会压力相关的社会障碍因素。所有利益相关者应高度重视消除这种有害做法。
