Hubungan Perilaku Oral Hygiene, Sosial Ekonomi, Budaya Merokok, Akses Pelayanan Kesehatan Terhadap Besaran Indeks Dmft

Abstract

Background: In Indonesia, the National Health Survey by Department of Health year 2001 showed that about 70% of people 10 years old and aboved had dental impairment. The dental impairment for persons aged 12 years old reached 43.9%, for people aged 15 years old reached 37.4%, for people aged 18 years old reached 51.1%, for people aged 35-44 years old reached 80.1%, and for people aged 65 years old and aboved reached 96.7%. Methods: Data were based on the Riskesdas year 2007 data. The dependent variables were DMFT index, data in ordinal scales. The independent variables were oral hygiene behaviors, socioeconomic factors, smoking habits, access to health facilities data in nominal scales. Multivariate analysis was done by ordinal regression. Results: Results indicated that the oral hygiene behaviors; socioeconomic factors: age, household expenditure per capita, smoking and access to health facilities: duration of time to health facilities were significantly associated to DMFT index. Meanwhile the distance to health facilities was not significantly associated to the DMFT index, p = 0.777. Recommendation: Health education is important to enhance the awareness brushing teeth correctly and on exact times for people at the lowest household expenditure per capita (quintile 1) to be a need and become a value in the community, and especially in the lowest household expenditure group. It needs a cross subsidy to enhance the ability to buy teeth pasta containing flouride and brush teeth that are affordable by low in comepeople including farmers/fishermen/workers and non workers. Was also needed to enhance accessibility for access to health facilities, especially dental services in remote, islands, and borders areas; either infrastructures, instruments facilities and dental health staffs. Besides, it needs to socialize the danger of smoking to impairment of teeth.