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H H, Ruslin M, Al-Jamaei AA, Van Cann EM, Helder MN, Tajrin A, Forouzanfar T. Contextualizing sociocultural beliefs about cleft, knowledge of the treatments, and factors associated with delay of treatment in Eastern Indonesia. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2024; 125:101766. [PMID: 38286219 DOI: 10.1016/j.jormas.2024.101766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 01/13/2024] [Accepted: 01/18/2024] [Indexed: 01/31/2024]
Abstract
INTRODUCTION Indonesia is a multicultural Asian country with a high incidence of cleft. This study contextualizes how patients' sociocultural backgrounds hinder cleft management in a diverse nation. MATERIAL AND METHODS This study involved 202 families of cleft patients attending six tertiary care hospitals in South Sulawesi between 2021 and 2022. A mixed-methods, descriptive cross-sectional study employed semi-structured interviews and focus group discussions. Thematic content analysis was done using Murdock's causal attribution of illness. Knowledge of the treatments and surgery expectations used open coding. We held medical team focus group discussions to validate education on treatments. Cleft management education was thematically analyzed based on Indonesia's Minister of Health Decree. RESULTS Two hundred-two families and ten medical teams participated. Thematic content analysis revealed common beliefs and factors that hinder medical treatments. The participants were 109 Buginese, 57 Makassarese, 16 Durinese, 8 Luwunese, 8 Torajanese, and 4 Mandarese. 22.3 % were unaware of causation, while 29.2 % attributed it to natural causes. About half of the interviewees believed in supernatural attribution. Even though 40 % of participants knew little about the surgery, they agreed that surgery improves appearance and speech. Medical treatments are delayed due to a lack of treatment knowledge, parents' concerns about surgical safety, and beliefs about causes. DISCUSSION Indigenous societies in South Sulawesi believe in supernatural causes of cleft. Most had incomplete surgical treatment information. An intensive educational health program about causes, treatments, medical specialists, and treatment goals is warranted to enhance patient compliance with medical treatment, ultimately leading to improved health outcomes.
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Affiliation(s)
- Hasanuddin H
- Department of Oral and Maxillofacial Surgery/Oral Pathology, Amsterdam UMC, Location VUMC, De Boelelaan 1118, Reception T-second floor, Amsterdam 1081 HV, the Netherlands; Department of Oral and Maxillofacial Surgery, Leiden University Medical Center, Leiden, the Netherlands; Department of Dental Public Health, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia.
| | - Muhammad Ruslin
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
| | - Aisha Ah Al-Jamaei
- Department of Oral and Maxillofacial Surgery/Oral Pathology, Amsterdam UMC, Location VUMC, De Boelelaan 1118, Reception T-second floor, Amsterdam 1081 HV, the Netherlands; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia; Department of Oral Medicine, Periodontology, and Radiology, Faculty of Dentistry, Sanaá University, Yemen
| | - Ellen M Van Cann
- Department of Oral and Maxillofacial Surgery/Oral Pathology, Amsterdam UMC, Location VUMC, De Boelelaan 1118, Reception T-second floor, Amsterdam 1081 HV, the Netherlands; Department of Head and Neck Surgical Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Marco N Helder
- Department of Oral and Maxillofacial Surgery/Oral Pathology, Amsterdam UMC, Location VUMC, De Boelelaan 1118, Reception T-second floor, Amsterdam 1081 HV, the Netherlands
| | - Andi Tajrin
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
| | - Tymour Forouzanfar
- Department of Oral and Maxillofacial Surgery/Oral Pathology, Amsterdam UMC, Location VUMC, De Boelelaan 1118, Reception T-second floor, Amsterdam 1081 HV, the Netherlands; Department of Oral and Maxillofacial Surgery, Leiden University Medical Center, Leiden, the Netherlands
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