Oral Health of Rohingya Refugees Accessing Emergency Dental Care in the Refugee Camp in Cox's Bazar, Bangladesh.

IF 2.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2025-06-10 DOI:10.1111/cdoe.13050

Khaleda Zaheer, Mohammad Jonayed Hossain, Kala Chand Debnath, James Coughlan

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Abstract

Objective: Oral health (OH) of refugees is under-researched and most publications are from developed countries despite the majority of refugees hosted in low-middle income countries. Most of the Rohingya refugees in the camps in Bangladesh have no access to dental care. The objective of this study was to report on the OH behaviours and utilisation of an emergency dental service in the camp in Cox's Bazar, Bangladesh.

Methods: This study utilised the data from clinical records of Rohingya refugees attending an emergency dental clinic in camp four in Cox's Bazar, Bangladesh from February 2019 to March 2020. Data included education levels, OH practices, tobacco consumption, diagnosis and treatment provided. Descriptive analysis of the data was undertaken.

Results: A total of 4111 patients were included, of which 50.1% were female. Education levels were very low, with 75.8% reporting no formal education. Although daily toothbrushing was reported by 64.4%, there was significant variation in the materials used for a dentifrice, with 78.1% using abrasive substances. Tobacco use was high, with 65.7% reporting its use, and of those, 95.4% chewed paan. Pain was the commonly reported symptom (87.1%) and nearly half, 46.9%, reported poor OH. Functional difficulties and problems sleeping were highly prevalent, at 85.3% and 51.6% respectively. A high prevalence of caries was reported, at 79.8%, and a mean number of 2.8 teeth affected. Extraction and temporary restorations were the common treatment modalities, at 52.1% and 23.1% respectively.

Conclusions: The Rohingya refugees in the camps in Bangladesh have low education levels, unhealthy oral health practices, high consumption of tobacco and a high prevalence of oral disease. Further research is required to inform the design and delivery of community-based oral health intervention strategies suitable for refugee camps to improve oral health literacy, knowledge and practices.

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在孟加拉国考克斯巴扎尔难民营获得紧急牙科护理的罗兴亚难民的口腔健康

目的：难民的口腔健康（OH）研究不足，大多数出版物来自发达国家，尽管大多数难民收容在中低收入国家。孟加拉国难民营中的大多数罗兴亚难民无法获得牙科护理。本研究的目的是报告在孟加拉国考克斯巴扎尔难民营的保健行为和紧急牙科服务的利用情况。方法：本研究利用了2019年2月至2020年3月期间在孟加拉国考克斯巴扎尔4号难民营紧急牙科诊所就诊的罗兴亚难民的临床记录数据。数据包括教育水平、卫生保健实践、烟草消费、所提供的诊断和治疗。对数据进行了描述性分析。结果：共纳入4111例患者，其中女性占50.1%。教育水平很低，75.8%的人没有接受过正规教育。虽然64.4%的人每天刷牙，但使用的牙膏材料差异很大，78.1%的人使用磨料。烟草使用率很高，65.7%的人报告使用烟草，其中95.4%的人咀嚼烟草。疼痛是常见的症状（87.1%），近一半（46.9%）报告OH差。功能障碍和睡眠问题非常普遍，分别占85.3%和51.6%。龋齿发病率高达79.8%，平均有2.8颗牙齿受到影响。拔牙和临时修复是常见的治疗方式，分别占52.1%和23.1%。结论：孟加拉国难民营中的罗兴亚难民受教育程度低，口腔卫生习惯不健康，烟草消费量高，口腔疾病患病率高。需要进一步研究，为设计和实施适合难民营的社区口腔卫生干预战略提供信息，以提高口腔卫生素养、知识和做法。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.