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BMC Oral Health
Published in: BMC Oral Health 1/2020

Open Access 01-12-2020 | Caries | Research article

Perception and belief in oral health among Karen ethnic group living along Thai-Myanmar border, Thailand

Authors: Sai Wai Yan Myint Thu, Yaowaluk Ngeonwiwatkul, Pannamas Maneekan, Suparat Phuanukoonnon

Published in: BMC Oral Health | Issue 1/2020

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Abstract

Background

Utilization of oral health services has been low among rural populations in Thailand, especially for minority ethnicity populations living along the borders. The aim of this study was to increase understanding of the determinants of the underutilization of oral health services among these populations.

Methods

A qualitative study using in-depth interview and semi-structured interview was conducted among participants of Karen ethnicity living in Mae Tan Sub-district, Thasongyang District, Tak Province, Thailand. The interviews focused on exploring the participants’ perceptions of oral health problems, oral health and hygiene, and oral health-seeking behaviors. The verbatim-transcribed interviews were analyzed using thematic analysis.

Results

A total of 101 participants (50 adults and 51 children) with a Karen ethnic background took part in the interviews. Most participants could not identify oral health problems and did not perceive dental disease as a problem unless there was severe pain that could not be relieved by painkillers. The Karen ethnic community worked as subsistence farmers, and their busy daily activities consisted of farming, going to the forest to hunt and gather, performing housework, and taking care of their children. Dental health was given a lower priority compared with general health. The perceived value of primary teeth was low, which was identified as an underlying factor resulting in delayed oral health care seeking among this population. The participants had relied on self-care throughout their lifetimes, using either traditional medicines or modern painkillers to relieve toothaches. Fear of dental procedures among children was also described as a barrier to seeking dental health care.

Conclusions

This study found that the lifestyle and traditions of Karen people living in this area influence their oral health care and hygiene activities as well as their health-seeking behaviors. Further research should emphasize how to improve oral health promotion by providing necessary services and health education appropriately to Karen ethnic populations living along the Thai-Myanmar border.
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Metadata
Title
Perception and belief in oral health among Karen ethnic group living along Thai-Myanmar border, Thailand
Authors
Sai Wai Yan Myint Thu
Yaowaluk Ngeonwiwatkul
Pannamas Maneekan
Suparat Phuanukoonnon
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Caries
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01318-w

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