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坦桑尼亚达累斯萨拉姆市公共卫生机构牙科门诊患者中龋齿相关牙痛的自我药疗:一项横断面研究。

Self-medication for dental caries-associated toothache among dental outpatients attended at public health facilities in Dar es Salaam, Tanzania: A cross-sectional study.

作者信息

Sohal Karpal Singh, Jeremiah Linus, Okechi Uchenna, Agbor Ashu Michael

机构信息

Department of Oral Health Services Muhimbili National Hospital Dar es Salaam Tanzania.

Department of Orthodontics, Paedodontics and Community Dentistry Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania.

出版信息

Health Sci Rep. 2024 Aug 31;7(9):e70032. doi: 10.1002/hsr2.70032. eCollection 2024 Sep.

DOI:10.1002/hsr2.70032
PMID:39221048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11365525/
Abstract

BACKGROUND AND AIM

Self-medication is a common practice worldwide, and its prevalence ranges between 20% and 80% among patients suffering from dental pain. The socioeconomic status of an individual plays a key role in self-medication practice, especially sex and education level. This study aims to investigate the extent of self-medication practice for toothache due to dental caries among adults in Dar es Salaam, Tanzania.

METHODS

This was an analytical cross-sectional study carried out over 6 months. It included adult patients presenting with toothache in public dental clinics. A questionnaire captured information on demography, self-medication practice, the substance used for self-medication, duration of self-medication, and reason for self-medication. Univariate analysis was carried out to assess factors associated with self-care remedies. The probability level of  < 0.05 was selected for statistical significance.

RESULTS

A total of 420 participants took part in this survey with a majority (54.3%) being females. The ages of the participants ranged between 18 years and 79 years, with a mean age of 33.37 (SD = 12.64) years. Nearly all (98.5%) participants used some sort of self-prescribed remedies for managing toothache before attending a dental clinic for appropriate treatment. The sociodemographic status of the participants did not influence the practice of self-medication.

CONCLUSION

About 98% of patients suffering from toothache in Tanzania practice self-medication, and it cuts across all social strata of the adult dental population.

PATIENT OR PUBLIC CONTRIBUTION

Patients with toothache secondary to dental caries participated in the pilot study and were consulted on the suitability of the study tool.

摘要

背景与目的

自我药疗在全球都是一种常见现象,在患有牙痛的患者中,其发生率在20%至80%之间。个人的社会经济状况在自我药疗行为中起着关键作用,尤其是性别和教育水平。本研究旨在调查坦桑尼亚达累斯萨拉姆成年人中因龋齿导致牙痛的自我药疗程度。

方法

这是一项为期6个月的分析性横断面研究。研究对象包括在公立牙科诊所就诊的成年牙痛患者。通过问卷调查收集有关人口统计学、自我药疗行为、自我药疗所用药物、自我药疗持续时间以及自我药疗原因等信息。进行单因素分析以评估与自我护理疗法相关的因素。选取P < 0.05作为具有统计学意义的概率水平。

结果

共有420名参与者参与了本次调查,其中大多数(54.3%)为女性。参与者年龄在18岁至79岁之间,平均年龄为33.37(标准差 = 12.64)岁。几乎所有(98.5%)参与者在前往牙科诊所接受适当治疗之前,都使用了某种自行开的药物来缓解牙痛。参与者的社会人口统计学状况并未影响自我药疗行为。

结论

在坦桑尼亚,约98%的牙痛患者会进行自我药疗,且涵盖了成年牙科患者的所有社会阶层。

患者或公众贡献

继发于龋齿的牙痛患者参与了初步研究,并就研究工具的适用性接受了咨询。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac05/11365525/aade2868af80/HSR2-7-e70032-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac05/11365525/29dcded4b895/HSR2-7-e70032-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac05/11365525/93331309b4d5/HSR2-7-e70032-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac05/11365525/aade2868af80/HSR2-7-e70032-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac05/11365525/29dcded4b895/HSR2-7-e70032-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac05/11365525/93331309b4d5/HSR2-7-e70032-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac05/11365525/aade2868af80/HSR2-7-e70032-g003.jpg

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本文引用的文献

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Cureus. 2023 Jan 18;15(1):e33917. doi: 10.7759/cureus.33917. eCollection 2023 Jan.
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Reasons for Delay in Seeking Treatment for Dental Caries in Tanzania.坦桑尼亚人延迟治疗龋齿的原因。
Int Dent J. 2023 Apr;73(2):296-301. doi: 10.1016/j.identj.2022.07.012. Epub 2022 Aug 25.
3
Prevalence and predictors of self-medication with antibiotics in selected urban and rural districts of the Dodoma region, Central Tanzania: a cross-sectional study.
坦桑尼亚中部多多马地区部分城乡地区自行使用抗生素的流行情况及影响因素:一项横断面研究。
Antimicrob Resist Infect Control. 2022 Jun 16;11(1):86. doi: 10.1186/s13756-022-01124-9.
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Self-diagnosis & pain management in dental students in Riyadh, KSA.沙特阿拉伯利雅得牙科学生的自我诊断与疼痛管理
Pan Afr Med J. 2019 Dec 16;34:198. doi: 10.11604/pamj.2019.34.198.18347. eCollection 2019.
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The Use of Medicinal Plants for the Treatment of Toothache in Ethiopia.埃塞俄比亚药用植物在牙痛治疗中的应用
Evid Based Complement Alternat Med. 2019 Aug 20;2019:2645174. doi: 10.1155/2019/2645174. eCollection 2019.
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Self-medication for oral health problems among adults attending the University Dental Hospital, Sharjah.沙迦大学牙科医院成年就诊者口腔健康问题的自我药疗
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Introduction to Pain.
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Association between beliefs about medicines and self-medication with analgesics among patients with dental pain.关于药物信念与牙痛患者自我使用镇痛药之间的关系。
PLoS One. 2018 Aug 2;13(8):e0201776. doi: 10.1371/journal.pone.0201776. eCollection 2018.
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Dental pain and self-care: a cross-sectional study of people with low socio-economic status residing in rural India.牙痛与自我护理:对居住在印度农村地区社会经济地位较低人群的横断面研究。
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