Top

BMC Oral Health

Published in:

Open Access 01-12-2021 | Research article

Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan

Authors: Supa Pengpid, Karl Peltzer

Published in: BMC Oral Health | Issue 1/2021

Abstract

Background

Prompt dental service utilisation (DSU) is needed for the prevention and treatment of oral diseases, and it is therefore important to determine the facilitators and barriers of DSU. There is, however, scarce information available on DSU in Sudan. Therefore, this study aimed to investigate the prevalence and associated factors of DSU in a general population-based survey among 18–69 year-old persons in Sudan.

Methods

Cross-sectional nationally representative data of 7,722 18–69 year-old persons (36 years median age) from the 2016 Sudan Stepwise approach to surveillance (STEPS) survey were analysed. Using questionnaire, anthropometric and biochemical measures, predisposing, enabling and health and lifestyle factors of DSU were assessed. Multinomial logistic regression was conducted to estimate the predictors of DSU (> 12 months and past 12 months, with never DSU as the reference category).

Results

About two-thirds of the participants (64.6%) had never DSU, 22.0% had more than 12-month DSU, and 13.4% had past 12- month DSU. Among those who had ever DSU, the main reason for the last DSU was pain or trouble with teeth, gums, or mouth (66.9%), treatment or follow-up treatment 22.3%, and routine check-up treatment 5.0%. In adjusted multinomial logistic regression analysis, higher education (p < 0.001), urban residence (p < 0.001), screened for blood pressure (p < 0.001), raised total cholesterol (p < 0.05), poor SROH (p < 0.001), pain in teeth or mouth (p < 0.001), and not working because of teeth or mouth (p < 0.01) were positively and not knowing their household income (p < 0.01), high physical activity (p < 0.05), and having 20 or more teeth (p < 0.001), were negatively associated with both > 12 months and past 12 months DSU. Higher household income (p < 0.001), overweight/obesity (p < 0.05), using tooth paste (p < 0.001), and difficulty chewing (p < 0.001), were positively, and male sex (p < 0.01), and teeth cleaning twice or more times a day (p < 0.05), were negatively associated with > 12 months or past 12 months DSU.

Conclusion

More than one in ten participants had past 12 months DSU and several factors were detected which could be targeted in intervention activities. Study findings suggest to improve oral health awareness, in particular stressing the relevance of regular dental check-ups, by using different modalities of oral health promotion.

Available only for authorised users

World Health Organization. Factsheet, Oral health, 2020. URL: https://www.who.int/news-room/fact-sheets/detail/oral-health. Accessed 20 Oct 2020.

Khalifa N, Allen PF, Abu-bakr NH, Abdel-Rahman ME, Abdelghafar KO. A survey of oral health in a Sudanese population. BMC Oral Health. 2012;24(12):5. https://doi.org/10.1186/1472-6831-12-5.CrossRef

World Factbook. Sudan. https://www.cia.gov/library/publications/the-world-factbook/geos/su.html

FDI World Dental Federation 2015 The Challenge of Oral Disease: a call for global action. The Oral Health Atlas. 2nd ed. Geneva: FDI World Dental Federation; 2015. URL: https://www.fdiworlddental.org/sites/default/files/media/documents/complete_oh_atlas.pdf. Accessed 3 Sept 2020.

Yousif MAE, Miskeen E. Dental health service in Gezira Locality. Sudanese J Public Health. 2009;4(3):325–30.

World Health Organization (WHO) Regional Office for the Eastern Mediterranean. Sudan health profile 2015. URL: https://rho.emro.who.int/sites/default/files/Profiles-briefs-files/EMROPUB_EN_19610-SUD.pdf. Accessed 20 Jan 2021

Sudan Federal Ministry of Health. Health System Financing Review Report May 2014. URL: file:///C:/Users/user/Downloads/HealthSystemFinancingReviewReport.20141.pdf (20 Jan 21).

The World Bank. Moving toward Universal Health Coverage, Sudan. URL: http://documents1.worldbank.org/curated/en/929661513159699256/pdf/BRI-Moving-Toward-UHC-series-PUBLIC-WorldBank-UHC-Sudan-FINAL-Nov30.pdf. Accessed 20 Jan 2021.

Hosseinpoor AR, Itani L, Petersen PE. Socio-economic inequality in oral healthcare coverage: results from the World Health Survey. J Dent Res. 2012;91(3):275–81.CrossRef

10.

Šiljak S, Janković J, Marinković J, Erić M, Janevic T, Janković S. Dental service utilisation among adults in a European developing country: findings from a national health survey. Int Dent J. 2019;69(3):200–6. https://doi.org/10.1111/idj.12449.CrossRefPubMed

11.

MAE Ajeeb, AM Mudawi, NM Nurelhuda. Utilization of Dental Services among Beneficiaries of Health Insurance Corporation Khartoum State East African Scholars J Med Sci. 2019;2(1): 5–11. http://khartoumspace.uofk.edu/123456789/17169

12.

Nasir EF, Astrøm AN, David J, Ali RW. Utilization of dental health care services in context of the HIV epidemic- a cross-sectional study of dental patients in the Sudan. BMC Oral Health. 2009;16(9):30. https://doi.org/10.1186/1472-6831-9-30.CrossRef

13.

Reda SM, Krois J, Reda SF, Thomson WM, Schwendicke F. The impact of demographic, health-related, and social factors on dental services utilization: systematic review and meta-analysis. J Dent. 2018;75:1–6. https://doi.org/10.1016/j.jdent.2018.04.010.CrossRefPubMed

14.

Xu M, Cheng M, Gao X, Wu H, Ding M, Zhang C, Wang X, Feng X, Tai B, Hu D, Lin H, Wang B, Wang C, Zheng S, Liu X, Rong W, Wang W, Xu T, Si Y. Factors associated with oral health service utilization among adults and older adults in China, 2015–2016. Community Dent Oral Epidemiol. 2020;48(1):32–41. https://doi.org/10.1111/cdoe.12497.CrossRefPubMed

15.

Yuan C, Zhu L, Li YL, Liu M, Si Y, Zhang F. Oral health services utilization and influencing factors in downtown community residents older than 15 years in Beijing. Zhonghua Kou Qiang Yi Xue Za Zhi. 2011;46(3):182–5.PubMed

16.

Bahramian H, Mohebbi SZ, Khami MR, Asadi-Lari M, Shamshiri AR, Hessari H. Psychosocial determinants of dental service utilization among adults: results from a population-based survey (Urban HEART-2) in Tehran, Iran. Eur J Dent. 2015;9(4):542–50. https://doi.org/10.4103/1305-7456.172622.CrossRefPubMedPubMedCentral

17.

Herkrath FJ, Vettore MV, Werneck GL. Utilisation of dental services by Brazilian adults in rural and urban areas: a multi-group structural equation analysis using the Andersen behavioural model. BMC Public Health. 2020;20(1):953. https://doi.org/10.1186/s12889-020-09100-x.CrossRefPubMedPubMedCentral

18.

Olusile AO, Adeniyi AA, Orebanjo O. Self-rated oral health status, oral health service utilization, and oral hygiene practices among adult Nigerians. BMC Oral Health. 2014;14:140. https://doi.org/10.1186/1472-6831-14-140.CrossRefPubMedPubMedCentral

19.

Santoso CMA, Bramantoro T, Nguyen MC, Bagoly Z, Nagy A. Factors affecting dental service utilisation in Indonesia: a population-based multilevel analysis. Int J Environ Res Public Health. 2020;17(15):5282. https://doi.org/10.3390/ijerph17155282.CrossRefPubMedCentral

20.

Koletsi-Kounari H, Tzavara C, Tountas Y. Health-related lifestyle behaviours, socio-demographic characteristics and use of dental health services in Greek adults. Community Dent Health. 2011;28(1):47–52.PubMed

21.

Pavi E, Karampli E, Zavras D, Dardavesis T, Kyriopoulos J. Social determinants of dental health services utilisation of Greek adults. Community Dent Health. 2010;27(3):145–50.PubMed

22.

Rezaei S, Woldemichael A, Zandian H, Homaie Rad E, Veisi N, Karami MB. Dental health-care service utilisation and its determinants in West Iran: a cross-sectional study. Int Dent J. 2018;68(3):176–82. https://doi.org/10.1111/idj.12346.CrossRefPubMed

23.

Reda SF, Reda SM, Thomson WM, Schwendicke F. Inequality in utilization of dental services: a systematic review and meta-analysis. Am J Public Health. 2018;108(2):e1–7. https://doi.org/10.2105/AJPH.2017.304180.CrossRefPubMedPubMedCentral

24.

Slack-Smith LM, Mills CR, Bulsara MK, O’Grady MJ. Demographic, health and lifestyle factors associated with dental service attendance by young adults. Aust Dent J. 2007;52(3):205–9. https://doi.org/10.1111/j.1834-7819.2007.tb00490.x.CrossRefPubMed

25.

Pinto Rda S, Matos DL, de Loyola Filho AI. Características associadas ao uso de serviços odontológicos públicos pela população adulta brasileira. Cien Saude Colet. 2012;17(2):531–44. https://doi.org/10.1590/s1413-81232012000200026.CrossRefPubMed

26.

Herkrath FJ, Vettore MV, Werneck GL. Contextual and individual factors associated with dental services utilisation by Brazilian adults: a multilevel analysis. PLoS ONE. 2018;13(2):e0192771. https://doi.org/10.1371/journal.pone.0192771.CrossRefPubMedPubMedCentral

27.

World Health Organization (WHO) (2018). STEPwise approach to surveillance (STEPS). URL: https://www.who.int/ncds/surveillance/steps/en/. Accessed 3 April 2020.

28.

Federal Ministry of Health, Sudan. Sudan STEPwise survey for non-communicable diseases risk factors 2016 report. https://extranet.who.int/ncdsmicrodata/index.php/catalog/438. Accessed 5 Sept 2020.

29.

World Health Organization (WHO). Global physical activity questionnaire (GPAQ) analysis guide. Geneva: World Health Organization; 2012.

30.

Pengpid S, Peltzer K. Self-rated oral health status and social and health determinants among community dwelling adults in Kenya. Afr Health Sci. 2019;19(4):3146–53. https://doi.org/10.4314/ahs.v19i4.37.CrossRefPubMedPubMedCentral

31.

World Health Organization. Regional Office for Africa. Promoting oral health in Africa: prevention and control of oral diseases and noma as part of essential noncommunicable disease interventions, 2016. https://www.who.int/publications/i/item/promoting-oral-health-in-africa-prevention-and-control-of-oral-diseases-and-noma-as-part-of-essential-noncommunicable-disease-interventions

Title: Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan
Authors: Supa Pengpid
Karl Peltzer
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-021-01422-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2021

Correction to: Effect of dentin pretreatment on the resulting abrasive dentin wear

The efficacy of convenient cleaning methods applicable for customized abutments: an in vitro study

Fluoride in the drinking water and dental caries experience by tooth surface susceptibility among adults

Automatic detection of image sharpening in maxillofacial radiology

Salivary Porphyromonas gingivalis predicts outcome in oral squamous cell carcinomas: a cohort study

Clinical efficacy of scaling and root planing with and without metronidazole on glycemic control: three-arm randomized controlled trial