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      A cross-sectional study on oral hygiene among Santhal tribal adults in a rural area of West Bengal

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          Abstract

          Context:

          Oral health is a key indicator of overall health and wellbeing. Despite adequate medical advancements in global oral health, problems still persist in many communities in India especially in the hard to reach areas of the vulnerable population.

          Aims:

          This study aimed to assess the oral hygiene status among adults of Santhal tribe in a rural area of West Bengal and to find out the factors associated with their oral hygiene status.

          Materials and Methods:

          A community-based, cross-sectional study was conducted among adults of Santhal tribe in a rural area of Paschim Bardhhaman district, West Bengal. Data was collected from 103 participants by simple random sampling (without replacement) technique using a predesigned pretested structured schedule. Data analysis was done using Microsoft Excel 2010.

          Results:

          The mean age of the study participants was 32.17 ± 12.72 years. Half (50.5%) were female participants. The proportion of poor oral hygiene status was 38.8%. Significant predictors of poor oral hygiene status on univariate logistic regression were age group ( P = 0.011), gender ( P = 0.013), alcohol consumption ( P = 0.001), use of “datun” ( P = 0.011), smokeless tobacco (SLT) use ( P = 0.000), and both smoking Tobacco (ST)-SLT use ( P = 0.000). In multivariable model, “datun” use ( P = 0.013), SLT use ( P = 0.001), both ST-SLT use ( P = 0.004) retained their significant association with poor oral hygiene status.

          Conclusion:

          The present study findings emphasize on necessity of awareness generation regarding oral hygiene and strategic implementation of essential oral care in tribal communities residing in this area of West Bengal.

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          Most cited references19

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          THE SIMPLIFIED ORAL HYGIENE INDEX.

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            Oral health status of children and adults in urban and rural areas of Burkina Faso, Africa.

            To analyse the oral health status of children and adults in rural and urban areas of Burkina Faso; to provide epidemiological data for planning and evaluation of oral health care programmes. Cross-sectional survey including different ethnic and socio-economic groups. Multistage cluster sampling of households in urban areas and random samples of participants selected based on the recent population census in rural areas. The final study population covered four age groups: 6 years (n = 424), 12 years (n = 505), 18 years (n = 492) and 35-44 years (n = 493). Clinical oral health data collected according to WHO methodology and criteria. At age 6, 38% of children had caries, with prevalence higher in urban than rural areas. At age 12, the mean DMFT was 0.7 with prevalence significantly higher among urban than rural children. Mean DMFT was 1.9 in 18-year-olds and 6.3 in 35-44-year-olds and figures were higher for women than men. In adults, no differences in caries experience were found by location whereas the caries index was significantly affected by ethnic group and occupation. CPI score 2 (gingivitis and calculus) was dominant for all ages: 6 years (58%), 12 years (57%), 18 years (58%), 35-44 years (49%). In addition, 10% of 35-44-year-olds had CPI score 4. Rural participants had more severe periodontal scores than did urban individuals. Health authorities should strengthen the implementation of community-based oral disease prevention and health promotion programmes rather than traditional curative care.
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              Utilization of dental care: An Indian outlook

              Oral health has a significant impact on the quality of life, appearance, and self-esteem of the people. Preventive dental visits help in the early detection and treatment of oral diseases. Dental care utilization can be defined as the percentage of the population who access dental services over a specified period of time. There are reports that dental patients only visit the dentist when in pain and never bother to return for follow-up in most cases. To improve oral health outcomes an adequate knowledge of the way the individuals use health services and the factors predictive of this behavior is essential. The interest in developing models explaining the utilization of dental services has increased; issues like dental anxiety, price, income, the distance a person had to travel to get care, and preference for preservation of teeth are treated as barriers in regular dental care. Published materials which pertain to the use of dental services by Indian population have been reviewed and analyzed in depth in the present study. Dental surgeons and dental health workers have to play an adequate role in facilitating public enlightenment that people may appreciate the need for regular dental care and make adequate and proper use of the available dental care facilities.
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                Author and article information

                Journal
                J Family Med Prim Care
                J Family Med Prim Care
                JFMPC
                Journal of Family Medicine and Primary Care
                Wolters Kluwer - Medknow (India )
                2249-4863
                2278-7135
                August 2021
                27 August 2021
                : 10
                : 8
                : 2859-2861
                Affiliations
                [1] Department of Epidemiology, All India Institute of Hygiene an Public Health (AIIH&PH), Kolkata, West Bengal, India
                Author notes
                Address for correspondence: Dr. Hasibur Zaman Haque, Post Graduate Trainee, Department of Epidemiology, AIIHPH, Salt Lake, Block-JC-27 & 27B, Sector III, Bidhannagar, Kolkata - 700 098, West Bengal, India. E-mail: hasi1325@ 123456gmail.com
                Article
                JFMPC-10-2859
                10.4103/jfmpc.jfmpc_2335_20
                8483141
                34660418
                0b4b2c84-1ee8-47fc-bf26-26b0c783acff
                Copyright: © 2021 Journal of Family Medicine and Primary Care

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 30 November 2020
                : 16 February 2021
                : 17 March 2021
                Categories
                Original Article

                oral hygiene,santhal tribes,tribal community,west bengal

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