Prevalence of Milk Teeth Extraction and Enabling Community Factors Among Under Five-Year-Old Children in Alle Special Woreda, SNNPR, Ethiopia, 2022: Community-Based Cross-Sectional Study; Based on Theory of Planned Behavior Model.

IF 1.7 Q2 PEDIATRICS
Pediatric health, medicine and therapeutics Pub Date : 2022-07-01 eCollection Date: 2022-01-01 DOI:10.2147/PHMT.S365768
Kusse Otayto, Wanzahun Godana, Tesfaye Feleke, Sultan Hussen, Mathewos Alemu
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引用次数: 0

Abstract

Background: Milk tooth extraction (MTE) is one of the most common harmful traditional practices performed by traditional healers without anesthesia and unsterile materials. The acute and chronic complications of this practice greatly affect the health of children. In order to develop effective preventive measures towards this harmful practice, the extent of the problem and factors contributing to the practice should be verified. The objective of this study was to assess the prevalence and associated factors of MTE among under five-years-old children in Alle special Woreda.

Methods: A community-based cross-sectional survey was undertaken at Alle Special Woreda among 363 women using a multi-stage stratified sampling method. Data was collected using semi-structured questionnaires and data entry was done with Epi-data version 4.4.3.1, while data management and analysis were done with STATA version 14.0. Univariate and multivariate binary logistic regression models were used while model's fitness was checked by Hosmer and Lemeshow test. Variables having a p-value of less than 0.05 were declared statistically significant in the final model.

Result: Milk teeth extraction was practiced on 58.68% (95% CI:0.5,0.6) of children. Age of the child less than 12 months, AOR:1.27 (95% CI:1.02,1.6), maternal occupation (housewife) AOR:1.3 (95% CI:1.04,65), paternaleducational, level (illiterate) AOR:1.4 (95% CI:1.2,1.9), residence (rural) AOR:3.6 (95% CI:1.08,12.4), positive attitude AOR:1.65 (95% CI:1.01,2.8) and intentions AOR: 1.82 (95% CI:1.1,3.3) towards MTE practice showed statistically significant association with MTE practice.

Conclusions and recommendations: It was found that milk teeth extraction practice was the most common practice in the study area, with a prevalence of 58.68%. Age of the child, maternal occupation, paternal educational level, residence, having a positive attitude and intentions toward MTE practice all had a statistically significant (P value less than 0.05) association with MTE practice. Society's barriers, such as knowledge, attitude, and practice (KAP) related, health facility related, and peer and social pressure-related factors, were identified. All stakeholders should put great emphasis on the elimination of this harmful practice.

Abstract Image

Abstract Image

埃塞俄比亚SNNPR Alle Special Woreda地区5岁以下儿童乳牙拔除率及有利社区因素,2022:基于社区的横断面研究基于计划行为理论的模型。
背景:乳牙拔牙(MTE)是传统治疗师在没有麻醉和非无菌材料的情况下进行的最常见的有害传统做法之一。这种做法的急性和慢性并发症极大地影响了儿童的健康。为了对这种有害做法制定有效的预防措施,应核实问题的程度和导致这种做法的因素。本研究的目的是评估Alle特殊地区5岁以下儿童MTE的患病率及其相关因素。方法:采用多阶段分层抽样方法,在Alle Special worda对363名妇女进行社区横断面调查。数据采集采用半结构化问卷,数据录入采用Epi-data 4.4.3.1版本,数据管理与分析采用STATA 14.0版本。采用单因素和多因素二元logistic回归模型,采用Hosmer和Lemeshow检验模型的适应度。p值小于0.05的变量在最终模型中被认为具有统计学意义。结果:58.68% (95% CI:0.5,0.6)患儿成功拔乳牙。儿童年龄小于12个月,AOR:1.27 (95% CI:1.02,1.6),母亲职业(家庭主妇)AOR:1.3 (95% CI:1.04,65),父亲教育程度(文盲)AOR:1.4 (95% CI:1.2,1.9),居住地(农村)AOR:3.6 (95% CI:1.08,12.4),积极态度AOR:1.65 (95% CI:1.01,2.8)和意向AOR: 1.82 (95% CI:1.1,3.3)对MTE实践有统计学意义。结论与建议:发现乳牙拔牙是研究区最常见的做法,患病率为58.68%。儿童年龄、母亲职业、父亲受教育程度、居住地、对MTE实践持积极态度和意向与MTE实践的相关性均有统计学意义(P值< 0.05)。社会障碍,如与知识、态度和实践(KAP)相关的因素,与卫生设施相关的因素,以及与同伴和社会压力相关的因素。所有利益攸关方都应高度重视消除这种有害做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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