1
|
Novrinda H, Han DH. Oral health inequality among Indonesian workers in South Korea: role of health insurance and discrimination factors. BMC Oral Health 2022; 22:22. [PMID: 35090443 PMCID: PMC8799411 DOI: 10.1186/s12903-022-02050-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 01/14/2022] [Indexed: 11/26/2022] Open
Abstract
Background The health of migrant workers is becoming an important public health issue. Although there are an increasing number of migrant workers in Korea, the health status in migrant populations remains unknown. The aims of this study were (1) to evaluate the association between income and self-rated oral health (SROH), and (2) to assess the role of health insurance and self-perceived discrimination in the association between income and SROH among Indonesian migrant workers in Korea. Methods Information about self-reported income, SROH, coverage/utilization of health insurance (HI), living difficulties related to oral health (LDROH), oral health literacy (OHL), and discrimination were obtained from Indonesian migrant workers in Korea (n = 248). The main explanatory variable was income, and SROH was an outcome variable. Logistic regression analyses were performed controlling for age, gender, HI, LDROH, OHL, and discrimination. The paths from income to SROH were analyzed using the Partial Least Square-Structural Equation Model (PLS-SEM). Results Among Indonesian migrant workers, the lower income group had the highest probability of a poor SROH compared to the higher income group. The variables showing a high explanatory power were discrimination among the low income group and HI among the middle income group. In PLS-SEM, the variables such as HI, LDROH, OHL, and discrimination contributed 11% to explaining the association between income and SROH. Conclusion A monotonic gradient was revealed among migrant workers according to the association between income and SROH. Discrimination and HI contributed to oral health inequalities.
Collapse
|
2
|
Agustanti A, Ramadhani A, Adiatman M, Rahardjo A, El Tantawi M, Maharani DA. Validation of self-reported oral health among Indonesian adolescents. BMC Oral Health 2021; 21:586. [PMID: 34798849 PMCID: PMC8603482 DOI: 10.1186/s12903-021-01953-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 11/08/2021] [Indexed: 11/10/2022] Open
Abstract
Background and aim With the recognition of health as a subjective state, self-reported oral health has been applied in many epidemiological studies. However, the validity of self-reports may vary across different age groups and socio-cultural backgrounds and by using different tools. This study aimed to assess the validity of self-reported oral health of 15-year-old Indonesian adolescents.
Materials and methods This study used data from the Indonesian National Oral Health Survey, a part of the Indonesian Basic Health Survey 2018. The study included 572 15-year-old Indonesian adolescents. We compared the presence of clinically assessed dental caries, tooth loss, and fillings following the World Health Organization Basic Health Survey method and questionnaire-based self-reported oral conditions using McNemar test. The sensitivity (Sn), specificity (Sp), and likelihood ratios (LRs) of self-reports were calculated using clinical assessment as the reference standard. The overall accuracy of self-reports in identifying the clinical condition was assessed using the area under the curve (AUC) of a receiver operating characteristic curve. Results Self-reports significantly underestimated the clinical presence of caries (39.3% and 67.1%) and overestimated the clinical presence of tooth loss (9.3% and 4.2%) and filling (4.7% and 2.4%, p < 0.05). All self-reported conditions had higher Sp (at least 70.3%) than Sn (max 54.2%) and the AUC for all self-reported conditions were < 0.7. Self-reporting the presence of fillings had the highest LR+ = 11. Conclusions Self-reporting oral health in Indonesian adolescents had low accuracy. Further studies of other methods of self-reporting are needed before they can be used to assess adolescents’ oral health in epidemiological surveys.
Collapse
Affiliation(s)
- Ary Agustanti
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Atik Ramadhani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Melissa Adiatman
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Anton Rahardjo
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Diah Ayu Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia.
| |
Collapse
|
3
|
Yaghoubi Z, Malek Mohammadi T, Khajedaluee M. Inequalities in Unmet Oral Health Care Need Among Adults in East Iran, a Cross Sectional Population-Based Study. JOURNAL OF DENTISTRY (SHIRAZ, IRAN) 2021; 22:169-174. [PMID: 34514063 PMCID: PMC8417548 DOI: 10.30476/dentjods.2020.86319.1188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 09/14/2020] [Accepted: 10/29/2020] [Indexed: 11/25/2022]
Abstract
Statement of the Problem: Need assessment is considered as a key element of health care planning. Subjective measures can be useful tools in epidemiologic surveillances. Purpose: The aim of study was to evaluate inequality in perceived unmet oral health need (PUOHN) in adults in east of Iran. Materials and Method: In this cross-sectional population-based study, the target population included adult residents in the Mashhad and Kerman city. Data was collected through telephone
interviews using a validated structured questionnaire. Phone numbers were obtained from telecommunication company. Participants were selected by stratified random sampling.
Predisposing and enabling variables associated with PUOHN were included gender, age, educational level, job, insurance coverage, dental insurance, type of insurance, residential location,
household size, and family economic indicators. Logistic regression was used to examine association of PUOHN and predisposing and enabling factors. Results: 1475 individuals participated in the study (response rate of 63%). 52% of participants stated that their dental needs have not been met during the past year.
The mean ages of respondents were 39 years old and 69.8% were female. Logistic regression analyses indicated living in rental house [OR=2 (95% CI 1.25-3.21), p Value=0.004] and
higher household size [OR=1.19(95% CI 1.003-1.43), p= 0.04] significantly associated with PUOHN. Conclusion: The results of this study indicated high PUOHN in the adult population of East Iran. Effective strategies must be implemented to provide accessible dental services regardless of socioeconomic status.
Collapse
Affiliation(s)
- Zahra Yaghoubi
- Dept. of Community Oral Health, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Tayebeh Malek Mohammadi
- Social Determinants of Health Research Center, Institute for Futures Studies in Health, Dept. of Dental Public Health, Kerman, Iran
| | - Mohammad Khajedaluee
- Dept. of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| |
Collapse
|
4
|
Maharani DA, Zhang S, Gao SS, Chu CH, Rahardjo A. Dental Caries and the Erosive Tooth Wear Status of 12-Year-Old Children in Jakarta, Indonesia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16162994. [PMID: 31434265 PMCID: PMC6720660 DOI: 10.3390/ijerph16162994] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 08/17/2019] [Accepted: 08/18/2019] [Indexed: 11/30/2022]
Abstract
Background: Indonesia has the largest population of all countries in southeast Asia. However, little information is available on the oral health status of Indonesian children. The aims of this study were to assess dental caries and erosive tooth wear in 12-year-old children in Jakarta, Indonesia and to investigate the associated risk factors. Methods: Samples were selected using cluster sampling. Parents were asked to complete a self-administered questionnaire regarding their oral health knowledge, demographic information, their child’s dietary habits, and oral health-related behaviors. Experience of caries and erosive tooth wear were recorded using the Decayed, Missing (due to caries), and Filled Teeth (DMFT) index and the Basic Erosive Wear Examination (BEWE) index, respectively. Results: Of 779 children invited, 696 participated in the survey. Of these, 61% had experienced caries, and the mean DMFT score was 1.58. Almost all decay was untreated. Children who were female, who had a high frequency of soft drink intake, and whose father’s educational level was low were more likely to have dental caries. Most children had at least one lesion of erosive tooth wear. Children whose mother’s educational level was low were more likely to have erosive tooth wear. Conclusions: The prevalence of dental caries and erosive tooth wear was high in 12-year-old children in Jakarta. Their dietary habits and parental level of education were associated with the presence of these dental conditions.
Collapse
Affiliation(s)
- Diah Ayu Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta 10430, Indonesia
| | - Shinan Zhang
- Faculty of Stomatology, Kunming Medical University, Yunnan 650500, China
| | - Shiqian Sherry Gao
- Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR 999077, China
| | - Chun-Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR 999077, China
| | - Anton Rahardjo
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta 10430, Indonesia.
| |
Collapse
|
5
|
Rosalien R, Saragih FAI, Agustanti A, Setiawati F, Maharani DA. Validity of Self-perceived and Clinically Diagnosed Gingival Status among 12-15-year-old Children in Indonesia. Asian Pac Isl Nurs J 2019; 4:72-76. [PMID: 31259232 PMCID: PMC6571915 DOI: 10.31372/20190402.1033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
A few studies have revealed the self-perceived gingival status using questionnaires among children. Perceived health is a crucial factor that has an impact on quality of life. The objective of the study was to assess self-perceived and clinically diagnosed gingival status among children in Indonesia. This was a cross-sectional study of 494 schoolchildren (aged 12-15 years). Periodontal status was recorded using the gingival index (GI) and plaque index (PI) based on the World Health Organization standards. Data were collected through a brief visual, non-invasive clinical oral examination and a self-administered questionnaire. The sensitivity and specificity of self-perceived assessment were calculated using normative assessment as the gold standard. This study showed that self-perceived need for dental treatment showed the highest sensitivity (86% using PI and 85% using GI) and self-perceived swollen gums showed the highest specificity (89% using PI and 88% using GI) for clinically diagnosed plaque (PI cut-off value: 0.74) and gingival problems (GI cut-off value: 0.51). In conclusion, both self-perceived variables showed significant discordance between their respective sensitivity and specificity. Self-perceived information is at a higher-level unawareness that does not reflect the current gingival status. Thus, public health strategies are needed to improve the awareness of better oral health among children by promoting, empowering, and advocating.
Collapse
Affiliation(s)
- Robbykha Rosalien
- Oral Epidemiology and Clinical Studies in Dentistry Cluster, Faculty of Dentistry, Universitas Indonesia, Indonesia
| | | | - Ary Agustanti
- Oral Epidemiology and Clinical Studies in Dentistry Cluster, Faculty of Dentistry, Universitas Indonesia, Indonesia
| | - Febriana Setiawati
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia
| | - Diah Ayu Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Indonesia
| |
Collapse
|
6
|
Maharani DA, Adiatman M, Rahardjo A, Burnside G, Pine C. An assessment of the impacts of child oral health in Indonesia and associations with self-esteem, school performance and perceived employability. BMC Oral Health 2017; 17:65. [PMID: 28327110 PMCID: PMC5361816 DOI: 10.1186/s12903-017-0358-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2016] [Accepted: 03/03/2017] [Indexed: 11/17/2022] Open
Abstract
Background Previous surveys have indicated that a majority of Indonesian children have poor oral health. However, little detailed information is available on underlying causation and none that examine impacts of oral health on child self-esteem, school performance and perceived employability. The aim of this study was to determine levels of child oral health in primary school children in Indonesia, the prevalence of key causal factors; and, to determine relationships between oral health, self-esteem and school academic performance. Methods Cross-sectional epidemiological study in a sample (n = 984) of children aged 6–7 and 10–11 years old attending three public schools in Indonesia. A dental visual impact study was conducted, in which teachers reported their perceptions of the impact of child oral health on school academic performance. Oral health behaviors, self-esteem, and school performance were assessed. The children were clinically examined to measure dental caries and oral cleanliness. Results Teachers believe that children with visually poor oral health and impaired smiles are more likely to perform poorly at school, be socially excluded and have lower job prospects than their peers with visually good oral health and healthy smiles. The percentages of children with decayed teeth were 94 and 90% in the 6-7- and 10–11-year age groups, respectively. Families reported high levels of child consumption of sugar-containing foods and drinks; many had irregular use of fluoride toothpaste. Children with substantial plaque on their teeth achieved significantly lower levels of school performance than their peers with clean teeth. Significant associations were found between school performance and self-esteem for these children. Conclusions The study findings highlight the need for preventive care programs to improve the oral health of children in Indonesia and prospective determination of associations between child oral health; self-esteem and school academic performance. Electronic supplementary material The online version of this article (doi:10.1186/s12903-017-0358-5) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Diah Ayu Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia.
| | - Melissa Adiatman
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Anton Rahardjo
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Girvan Burnside
- Department of Biostatistics, University of Liverpool, Liverpool, England, UK
| | - Cynthia Pine
- Dental Public Health, Barts and The London Institute of Dentistry, Queen Mary University of London, Whitechapel, London, England, UK
| |
Collapse
|
7
|
Pradeep Y, Chakravarty KK, Simhadri K, Ghenam A, Naidu GM, Vundavalli S. Gaps in need, demand, and effective demand for dental care utilization among residents of Krishna district, Andhra Pradesh, India. J Int Soc Prev Community Dent 2016; 6:S116-21. [PMID: 27652242 PMCID: PMC5022387 DOI: 10.4103/2231-0762.189737] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIMS To identify the relation between need, demand, and effective demand for dental services in Andhra Pradesh, India. MATERIALS AND METHODS This is a cross-sectional study performed among populations residing in the rural and urban areas of Krishna district, Andhra Pradesh, India. Data were collected from 3102 individuals who were selected through multiphase random sampling. Data regarding self-perceived dental need, dental service utilization, and barriers for utilization were collected through s pretested questionnaire followed by type-III clinical examination to assess the normative need of the individuals. Chi-square test was used to compare independent and dependent variables, and further comparison was done with multivariate logistic regression analysis for significant variables. RESULTS Less than half (40%) of the participants perceived a need for dental care. Among the people who perceived need for care, only 21.4% utilized dental care and 78.6% of them had unmet dental needs. The two main reasons for not seeking dental care was lack of money, i.e., unaffordable dental treatment (48%) and having the perception that they do not have any dental problem (19.4%). CONCLUSIONS There is an enormous difference between normative need, demand, and actual utilization rates in dental care, and hindrances for effective demand need to be addressed to improve dental care delivery system.
Collapse
Affiliation(s)
- Y Pradeep
- Department of Public Health Dentistry, R. V. S. Dental College, Kannampalayam, Coimbatore, Tamil Nadu, India
| | | | - Kavya Simhadri
- Department of Prosthodontics, St. Joseph Dental College, Eluru, India
| | - Alexis Ghenam
- Department of General Dentistry, Eastman Institute of Oral Health, Rochester, New York, USA
| | - Guntipalli M Naidu
- Department of Public Health Dentistry, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Cinaoutpally, Gannavarm, Andhra Pradesh, India
| | - Sudhakar Vundavalli
- Department of Public Health Dentistry, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Cinaoutpally, Gannavarm, Andhra Pradesh, India
| |
Collapse
|
8
|
Miranda CDBC, Peres MA. Determinantes da utilização de serviços odontológicos entre adultos: um estudo de base populacional em Florianópolis, Santa Catarina, Brasil. CAD SAUDE PUBLICA 2013; 29:2319-32. [DOI: 10.1590/0102-311x00139912] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2012] [Accepted: 05/27/2013] [Indexed: 11/22/2022] Open
Abstract
Objetivou-se estimar a prevalência da utilização dos serviços odontológicos entre adultos e os fatores associados. Realizou-se um estudo transversal, de base populacional, com 1.720 adultos de Florianópolis, Santa Catarina, Brasil, em 2009. A associação entre a utilização de serviços odontológicos e fatores predisponentes, facilitadores e de necessidade, em nível individual, foi testada. A análise multivariável deu-se por meio de regressão de Poisson e estratificou-se por local da última consulta. A prevalência do uso de serviços odontológicos foi de 66% (IC95%: 62,9-70,7). A prevalência de consulta odontológica foi 20% maior entre as mulheres e 72% entre os mais escolarizados; estes, também foram a maioria nos serviços público e privado. A proporção de pessoas que tinham plano de saúde e utilizaram o serviço foi 13% maior do que as que não tinham. Em Florianópolis, o uso de serviços odontológicos é essencialmente privado e a escolaridade é a variável mais importante. Sugere-se um monitoramento dos fatores associados para que se obtenha uma utilização equitativa dos serviços.
Collapse
|
9
|
Ariani N, Mursid S, Odang RW, Sukotjo C, Kusdhany LS. Indonesian undergraduate dental students' perceptions toward implant treatment and education. ACTA ACUST UNITED AC 2012; 4:107-12. [DOI: 10.1111/j.2041-1626.2012.00166.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2012] [Accepted: 06/30/2012] [Indexed: 11/30/2022]
Affiliation(s)
- Nina Ariani
- Department of Prosthodontics; Faculty of Dentistry; University of Indonesia; Jakarta; Indonesia
| | - Saraventi Mursid
- Department of Prosthodontics; Faculty of Dentistry; University of Indonesia; Jakarta; Indonesia
| | - Roselani W. Odang
- Department of Prosthodontics; Faculty of Dentistry; University of Indonesia; Jakarta; Indonesia
| | - Cortino Sukotjo
- Department of Restorative Dentistry; University of Illinois at Chicago; College of Dentistry; Chicago; IL; USA
| | - Lindawati S. Kusdhany
- Department of Prosthodontics; Faculty of Dentistry; University of Indonesia; Jakarta; Indonesia
| |
Collapse
|
10
|
Maharani DA, Rahardjo A. Is the utilisation of dental care based on need or socioeconomic status? A study of dental care in Indonesia from 1999 to 2009. Int Dent J 2012; 62:90-4. [DOI: 10.1111/j.1875-595x.2011.00095.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|