埃塞俄比亚北部梅克莱地区学龄儿童中牙科服务利用率低的预测因素：一项横断面研究。

Predictors of low dental service utilization among school children in Mekelle, Northern Ethiopia: a cross-sectional study.

机构信息

College of Medicine and Health Sciences, Adigrat University, P.O. Box 50, Adigrat, Ethiopia.

College of Health Sciences, Mekelle University, Mekelle, Ethiopia.

出版信息

BMC Oral Health. 2023 Jan 25;23(1):41. doi: 10.1186/s12903-023-02740-6.

DOI:10.1186/s12903-023-02740-6

PMID:36698181

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9875511/

Abstract

BACKGROUND

Dental service utilization is important for maintaining and enhancing children's oral health status. However, there is paucity of information regarding dental service utilization and factors affecting it among school aged children in Ethiopia.

OBJECTIVES

The purpose of this study was to determine the dental service utilization and associated factors among school aged children (6-15) years in Mekelle city, Northern Ethiopia.

METHODS

A school-based cross-sectional study was conducted in Mekelle city of Northern Ethiopia from January 2016 to June 2016. A multi-stage sampling method was used to select 405 school children. A modified World Health Organization oral health assessment form for children was used to collect data. Univariate and multivariable logistic regressions with 95% CI were used to test the association between past-year dental service utilization, as an outcome variable, and parental socio-demographic, and child characteristics as independent variables.

RESULTS

A total of 398 school children participated in the study. The overall dental service utilization among these children was (10.6%), 95% Confidence Interval (CI) (7.5%, 13.6%). In multivariable logistic regression analysis, maternal educational status (illiterate versus college and above (adjusted odds ratio (AOR) 0.13, 95% CI 0.01, 0.93)), higher monthly income (AOR 11.69, 95% CI 1.19, 114.61)), and having dental pain (AOR 50.8, 95% CI 17.8, 145.17)) were significantly associated with past year dental service utilization.

CONCLUSION

Our findings showed that a small proportion of the study population visited a dentist in the past year. Maternal educational status, monthly income, and dental pain were associated with past year dental service utilization. Oral health education programs focusing on dental service utilization targeting school children are crucial.

摘要

背景

对于维护和提高儿童的口腔健康状况而言，牙科服务的利用非常重要。然而，在埃塞俄比亚，有关学龄儿童牙科服务的利用情况和影响因素的信息却很少。

目的

本研究旨在确定埃塞俄比亚北部梅克莱市学龄儿童（6-15 岁）的牙科服务利用情况及其相关因素。

方法

本研究是在 2016 年 1 月至 6 月期间在埃塞俄比亚北部的梅克莱市进行的一项基于学校的横断面研究。采用多阶段抽样方法选择了 405 名在校儿童。采用改良后的世界卫生组织儿童口腔健康评估表收集数据。采用单变量和多变量逻辑回归分析（95%置信区间），以检验过去一年牙科服务利用情况（作为因变量）与父母社会人口统计学和儿童特征（作为自变量）之间的关系。

结果

共有 398 名在校儿童参加了这项研究。这些儿童的总体牙科服务利用率为（10.6%），95%置信区间（CI）为（7.5%，13.6%）。在多变量逻辑回归分析中，母亲的教育程度（文盲与大学及以上（调整后的优势比（OR）0.13，95%CI 0.01，0.93））、较高的月收入（OR 11.69，95%CI 1.19，114.61））和有牙痛（OR 50.8，95%CI 17.8，145.17））与过去一年的牙科服务利用显著相关。