Factors affecting access to oral health care among adults in Abha city, Saudi Arabia

Almutlaqah, Mohammed Abdullah; Baseer, Mohammad Abdul; Ingle, Navin Anand; Assery, Mansour K; Khadhari, Majdah A Al

doi:10.4103/jispcd.jispcd_205_18

Cited by 34 publications

(46 citation statements)

References 23 publications

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“…Of those who did not think they needed dental treatments, three-quarters were not utilizing dental services properly. This is similar to what was reported by other research,[1611] where a lack of perceived need for dental treatment significantly affected seeking dental care. This figure of low access and utilization of dental services among the elderly population of Saudi Arabia might be reflected in their dental care.…”

Section: Discussionsupporting

confidence: 91%

“…However, Saudi adults utilize dental services more often (56.7%). [11] As there is no literature review article to compare with, comparison with results of other studies is justified. The percentage of those with proper access in our study was lower than that reported in other studies.…”

Section: Discussionmentioning

confidence: 99%

“…A noteworthy study was recently published in Abha, Saudi Arabia, related to access and utilization of health-care services among adults not the elderly. [11] Therefore, the aim of this study was to evaluate barriers associated with access and utilization of dental services among the elderly population in Riyadh, Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia

Hamasha

Aldosari

Alturki

et al. 2019

J Int Soc Prevent Communit Dent

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Objectives: The study aimed to evaluate barriers associated with access and utilization of dental services among the elderly population of Saudi Arabia. Materials and Methods: A systematic random sample of 350 elderly people recruited from various gathering places of the elderly including all nursing home residents ( n = 73) was included in this study. The data were collected through face-to-face structured interviews related to access and utilization of dental services, and sociodemographic, behavioral, medical, and financial barriers to dental services. Statistical analysis included frequency distributions, chi-squared tests, and regression analysis using the Statistical Package for the Social Sciences (SPSS) program. Results: Approximately 37% of the elderly had proper access to and utilization of dental services. Independent variables that affect access and utilization of dental services were low income (odds ratio [OR] = 2.23, confidence interval [CI] = 1.34–3.72), unmarried participants (OR = 3.25, CI = 1.75–6.05), community residents (OR = 5.15, CI = 2.52–10.53), smokers (OR = 1.93, CI = 1.02–3.68), irregular users of toothbrushing (OR = 3.53, CI = 2.09–5.95), no dental insurance (OR = 1.88, CI = 1.06–3.37), and unaffordable price (OR = 2.55, CI = 1.38–4.69) in the bivariate analysis. In logistic regression analysis, the significant variables that were associated with proper access and utilization of dental services were having dental insurance (OR = 2.24, CI = 1.15–3.82), affordable prices (OR = 2.19, CI = 1.21–3.70), brushing regularly (OR = 3.58, CI = 2.01–6.37), higher education (OR = 1.87, CI = 1.10–3.20), and being married (OR = 1.68. CI = 0.97–2.91). Conclusion: Lack of perceived need, no dental insurance, unaffordable price, transportation, and fear from dental treatment were the most common significant barriers to dental services.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia

Hamasha

Aldosari

Alturki

et al. 2019

J Int Soc Prevent Communit Dent

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“…One of the limitations of this study was that the sample, which mostly comes from the rural area might have some barriers to assess the public oral health service, such as transportation and income problems. [28] However, this study reflected the high demand in preventive and interceptive orthodontic treatment need around this location, which needed the intensive oral health care. Even though, the cause of malocclusion could be identified in genetic basis, many different variables had an influence during malocclusion development.…”

Section: Discussionmentioning

confidence: 99%

Etiology of malocclusion and dominant orthodontic problems in mixed dentition: A cross-sectional study in a group of Thai children aged 8–9 years

Rapeepattana

Thearmontree

Suntornlohanakul

2019

J Int Soc Prevent Communit Dent

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Background: Etiology of malocclusion can be the cause of deviation in the skeleton, dental, and soft tissue development in children. Identifying etiology of malocclusion and dominant orthodontic problems as well as early detection could help in future effective treatment, management, and public health planning. Materials and Methods: A cross-sectional study was performed among 202 children. Consensus process was carried out between experienced orthodontic experts in etiology of malocclusion, dominant orthodontic problems, type of early treatment, and malocclusion severity. Fisher’s exact test and descriptive statistics were used to explain the study results. Results: Etiology of malocclusion was detected in both congenital and acquired etiology (64.3%), followed by acquired etiology only (29.7%). The top three dominant orthodontic problems were caries (22.5%), early loss of primary tooth (15.6%), and tendency of crowding in permanent dentition (14.6%). Nearly all the children needed restoration (86.4%) and interceptive orthodontic treatment (69.3%), whereas severe malocclusion level was found in one-fourth of the children (26.0%). Statistical significance was found between type of early treatment and malocclusion severity ( P < 0.001). Conclusion: Acquired etiology was very high. Caries and early loss of primary teeth were dominant orthodontic problems. An early treatment, especially preventive orthodontic treatment, was needed in almost all children. Malocclusion severity higher than moderate level was found in more than half of the children.

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“…2 Also, the high prevalence of the periodontal disease, excessive tooth loss, dental caries experiences, oral cancers and xerostomia are the major issues reported among adult populations particularly in older ages with poor oral health, globally. 3 Availability of dental care and timely access to oral healthcare facilities preserves the function, morbidity and mortality hence the overall quality of life can be improved. 4 The best possible health outcomes are only possible if the personal health care services are accessible timely.…”

Section: Introductionmentioning

confidence: 99%

Barriers to the access of oral health care facilities among adults: an exploratory study from Lahore

Akram¹,

Yasmin

Atif

et al. 2020

J Fatima Jinnah Med Univ

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Background: Oral health is one of the key indicators of the quality of life, overall health and well‑being of the general population. Globally, the high prevalence of the periodontal disease, excessive tooth loss, dental caries experiences, oral cancers and xerostomia are the major issues reported among adult populations. Timely access to oral healthcare facilities preserves the function, morbidity and mortality. The best possible health outcomes are only possible if the personal health care services are accessible timely. So, the primary objective of this study was to explore the barriers to the access of oral health care facilities among adults. In addition, the study also determined the association between adult’s demographic factors and their visits to dental clinics. Subjects and methods: This exploratory study was conducted for two months between November 2019 and January 2020. The study recruited 400 adults including 200 males and 200 females visiting outpatient department (OPD) of public hospital i.e. Jinnah Hospital, Lahore. Participants were included in this study if they were 18 years of age or older and had provided written informed consent before data collection. Data were collected using a structured questionnaire whereas barriers to access the oral healthcare facilities was confirmed by asking an open-ended question. Statistical Package for Social Sciences (SPSS) software was used to calculate descriptive statistics (i.e., mean, standard deviation, percentages). The study also determined the association between sociodemographic factors of adults and their tendency to visit dental clinics just for routine checkups using the chi-square test. Results: The average age of the participants was 36.81±9.29 years ranged from 18 – 63 years. Of the 400 participants, 259 (64.75%) reported costly treatment as a barrier affecting access to oral healthcare facilities followed by difficulty in access to dental clinics (27.75%) and fear of the pain of dental procedures (20.25%). Only 52 (13%) adults were regularly visiting dental clinics for routine check-ups whereas 21 (5.25%) respondents never had been to the dentist throughout their life. Nearly, half of the respondents i.e. 189 (47.25%) stated that dental care expenditures were borne by them and none of them was health insured. Statistically, a significant association was found between demographics (i.e. education, rural background and income) and the tendency to visit the dental clinics (p<0.05). Conclusion: Expensive treatment, difficulty in accessing dental facilities and fear from dental procedures are the major barriers to the utilization of dental services. Access to dental clinics for routine check-ups is significantly influenced by sociodemographic factors.

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Factors affecting access to oral health care among adults in Abha city, Saudi Arabia

Cited by 34 publications

References 23 publications

Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia

Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia

Etiology of malocclusion and dominant orthodontic problems in mixed dentition: A cross-sectional study in a group of Thai children aged 8–9 years

Barriers to the access of oral health care facilities among adults: an exploratory study from Lahore

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