Swapnil G Ghotane, Ahmed Al-Baiyaa, Stephen J Challacombe, Patric Don-Davis, David Kamara, Jennifer E Gallagher
{"title":"感知口腔健康和疾病经验的成年人在塞拉利昂：一项探索性研究。","authors":"Swapnil G Ghotane, Ahmed Al-Baiyaa, Stephen J Challacombe, Patric Don-Davis, David Kamara, Jennifer E Gallagher","doi":"10.4102/jphia.v16i1.1385","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Oral health often receives low priority in fragile countries like Sierra Leone (SL), which have constrained health systems and resources.</p><p><strong>Aim: </strong>To explore both normative and perceived oral health needs of adults in SL to guide strategies for the development of future oral health programmes and services.</p><p><strong>Setting: </strong>This study was conducted across all four regions of SL.</p><p><strong>Methods: </strong>This study utilised a self-completion questionnaire exploring access to dental care, oral hygiene practices, diet, risk behaviours, general and dental health and oral health-related quality of life. Clinical examinations used the International Caries Detection and Assessment System (ICDAS) and the PUFA (pulp, ulcer, fistula, abscess) Index, among other tools. Descriptive statistics summarised key variables, while bivariate analyses explored associations using STATA and Statistical Package for Social Sciences (SPSS).</p><p><strong>Results: </strong>One hundred and sixty one participants aged between 19 years and 70 years (mean = 35.6 years) completed the questionnaire survey. Two-thirds (75%, <i>n</i> = 121) reported having 'never been to a dentist', 40% (<i>n</i> = 62) experiencing toothache and 68% (<i>n</i> = 82) consuming one or more sugary items at least once a day, particularly males. Urban participants reported good dental health (63%), while 17% - 29% of rural participants reported significant impacts on daily life due to oral health issues. Of the 45 participants who underwent a clinical examination, 84% (<i>n</i> = 38) had cavitated dental caries into dentine with over five heavily diseased teeth on average (D<sub>5-6</sub>MFT = 5.2).</p><p><strong>Conclusion: </strong>This survey suggests a high level of perceived need and untreated dental disease among participating adults, limited dental care access, notable sugar consumption and significant impacts on quality of life.</p><p><strong>Contribution: </strong>This study highlights the necessity for a national-level adult dental health survey to better inform the planning of oral health services in support of adults in SL.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1385"},"PeriodicalIF":0.8000,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421474/pdf/","citationCount":"0","resultStr":"{\"title\":\"Perceived oral health and disease experience among adults in Sierra Leone: An exploratory study.\",\"authors\":\"Swapnil G Ghotane, Ahmed Al-Baiyaa, Stephen J Challacombe, Patric Don-Davis, David Kamara, Jennifer E Gallagher\",\"doi\":\"10.4102/jphia.v16i1.1385\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Oral health often receives low priority in fragile countries like Sierra Leone (SL), which have constrained health systems and resources.</p><p><strong>Aim: </strong>To explore both normative and perceived oral health needs of adults in SL to guide strategies for the development of future oral health programmes and services.</p><p><strong>Setting: </strong>This study was conducted across all four regions of SL.</p><p><strong>Methods: </strong>This study utilised a self-completion questionnaire exploring access to dental care, oral hygiene practices, diet, risk behaviours, general and dental health and oral health-related quality of life. Clinical examinations used the International Caries Detection and Assessment System (ICDAS) and the PUFA (pulp, ulcer, fistula, abscess) Index, among other tools. Descriptive statistics summarised key variables, while bivariate analyses explored associations using STATA and Statistical Package for Social Sciences (SPSS).</p><p><strong>Results: </strong>One hundred and sixty one participants aged between 19 years and 70 years (mean = 35.6 years) completed the questionnaire survey. Two-thirds (75%, <i>n</i> = 121) reported having 'never been to a dentist', 40% (<i>n</i> = 62) experiencing toothache and 68% (<i>n</i> = 82) consuming one or more sugary items at least once a day, particularly males. Urban participants reported good dental health (63%), while 17% - 29% of rural participants reported significant impacts on daily life due to oral health issues. Of the 45 participants who underwent a clinical examination, 84% (<i>n</i> = 38) had cavitated dental caries into dentine with over five heavily diseased teeth on average (D<sub>5-6</sub>MFT = 5.2).</p><p><strong>Conclusion: </strong>This survey suggests a high level of perceived need and untreated dental disease among participating adults, limited dental care access, notable sugar consumption and significant impacts on quality of life.</p><p><strong>Contribution: </strong>This study highlights the necessity for a national-level adult dental health survey to better inform the planning of oral health services in support of adults in SL.</p>\",\"PeriodicalId\":44723,\"journal\":{\"name\":\"Journal of Public Health in Africa\",\"volume\":\"16 1\",\"pages\":\"1385\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-08-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421474/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Public Health in Africa\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4102/jphia.v16i1.1385\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health in Africa","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/jphia.v16i1.1385","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Perceived oral health and disease experience among adults in Sierra Leone: An exploratory study.
Background: Oral health often receives low priority in fragile countries like Sierra Leone (SL), which have constrained health systems and resources.
Aim: To explore both normative and perceived oral health needs of adults in SL to guide strategies for the development of future oral health programmes and services.
Setting: This study was conducted across all four regions of SL.
Methods: This study utilised a self-completion questionnaire exploring access to dental care, oral hygiene practices, diet, risk behaviours, general and dental health and oral health-related quality of life. Clinical examinations used the International Caries Detection and Assessment System (ICDAS) and the PUFA (pulp, ulcer, fistula, abscess) Index, among other tools. Descriptive statistics summarised key variables, while bivariate analyses explored associations using STATA and Statistical Package for Social Sciences (SPSS).
Results: One hundred and sixty one participants aged between 19 years and 70 years (mean = 35.6 years) completed the questionnaire survey. Two-thirds (75%, n = 121) reported having 'never been to a dentist', 40% (n = 62) experiencing toothache and 68% (n = 82) consuming one or more sugary items at least once a day, particularly males. Urban participants reported good dental health (63%), while 17% - 29% of rural participants reported significant impacts on daily life due to oral health issues. Of the 45 participants who underwent a clinical examination, 84% (n = 38) had cavitated dental caries into dentine with over five heavily diseased teeth on average (D5-6MFT = 5.2).
Conclusion: This survey suggests a high level of perceived need and untreated dental disease among participating adults, limited dental care access, notable sugar consumption and significant impacts on quality of life.
Contribution: This study highlights the necessity for a national-level adult dental health survey to better inform the planning of oral health services in support of adults in SL.
期刊介绍：
The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.
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