Effect of referral for dental service on dental-service utilization by primary school children aged 8 to 11 years in Enugu, Nigeria

Nneka Kate Onyejaka, Morenike Oluwatoyin Folayan, Nkiruka Folaranmi

Abstract


Aim: To determine how one dental education session and referral of study participants aged 8-11 years would affect utilization of oral-health care services. Methods: This descriptive prospective study recruited 1,406 pupils aged 8-11 years from randomly selected primary schools in Enugu metropolis. All pupils received one oral-health education and referral letters for treatment. Data were collected on the pupils’ socio-demographic profile, family structure, and history of oral-health care utilization in the 12 months preceding the study and within 12 months of receipt of referral letter. The effect of these factors as predictors of past and recent dental service utilization was determined using logistic regression. Results: Only 4.3% of the study participants had ever used oral-health services in the 12 months prior to the study. Within 12 months of issuing the referral letters, 9.0% of pupils used the oral-health services. Children from middle (AOR: 0.46; CI: 0.29-0.73; p=0.001) and low socioeconomic strata (AOR: 0.21; CI: 0.11-0.39; p<0.001) and those living with relatives/guardians (AOR: 0.08, CI: 0.01-0.56; p=0.01) were still less likely to have utilized oral-health services. Conclusions: Referral of children for oral-health care increased the number of children who utilized oral health care services.


Keywords


Physician self-referral. Oral health. Utilization.

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References


Luzzi L, Spencer AJ. Factors influencing the use of public dental services. An application of theory of planned behavior. BMC Health Serv Res. 2008 Apr 30;8:93. doi:10.1186/1472-6963-8-93.

Lopez R, Baelum V. Factors associated with dental attendance among adolescents in Santiago, Chile. BMC Oral-health. 2007Apr 10;7:4. doi: 10.1186/1472-6831-7-4.

Kim J, Choi Y Park S, Kim JL, Lee TH, Cho KH et al. Disparities in the experience and treatment of dental caries among children aged 9-18 years: the cross-sectional study of Korean National Health and Nutrition Examination Survey (2012-2013). Int J Equity Health. 2016 Jun 7;15:88. doi:10.1186/s12939-016-0377-x.

Amin S M, Perez Arnado, Nyanchhyon P. Barrier to utilization of dental services for children among low income families in Alberta. J Can Dent Assoc. 2014;80:e51.

Heck EK, Parker DJ: Family structure, socioeconomic status and access to health care for children. Health Serv Res. 2002 Feb;37(1):171-84.

Adegbembo AO. Household utilization of dental services in Ibadan, Nigeria. Community Dent Oral Epidemiol. 1994 Oct;22(5Pt 1):338-9.

Tapias-Ledesma MA, Garrido PC, Y Pena ME, Hernanez-Barrera V, de Miquel AG, Jimenez-Garcia R. Use of dental care and prevalence of caries among immigrant and Spanish born children. J Dent Child. 2011Jan-Apr;78(1):36-42.

Onyejaka NK, Folayan MO, Folaranmi N. Barriers and facilitators of dental service utilization by children aged 8 to 11 years in Enugu State, Nigeria. BMC Health Serv Res. 2016 Mar 15;16:93. doi: 10.1186/s12913016-1341-6.

Crall JJ, Illum J, Martinez A, Pourat N. An innovative project breaks down barriers to oral health care for vulnerable young children in Los Angeles County. Policy Brief UCLA Cent Health Policy Res. 2016 Jun;(PB2016-5):1-8.

Adekoya-Sofowora CA. The effect of poverty on access to oral health care in Nigeria. Nig Dent J. 2008,16(1):40-2.

Slade GD. Epidemiology of dental pain and dental caries among children and adolescents. Community Dent Health. 2001 Dec;18(4):219-27.

Varenne B, Petersen P, Fournet F, Msellati P, Gary J, Quattara S et al. Illness related behavior and utilization of oral-health services among adult dwellers in Burkina Faso, evidence from household survey. BMC Health Serv Res. 2006 Dec;6:164. doi:10.1186/1472-6963-6-164.

Oredugba FA. Use of oral-health care services and oral findings in children with special need in Lagos, Nigeria. Spec Care Dentist. 2006 Mar-Apr;26(2):59-65.

Akaji EA, Oredugba FA, Jeboda SO. Utilization of dental services among secondary school students in Lagos, Nigeria. Nig Dent J. 2007;15(2):8791.

Folayan MO, Oziegbe E, Oyedele T, Ola D. Factors limiting dental service utilization by pupils in a suburban town in Nigeria. Niger J Health Sci. 2013,2:18-23.

Folayan MO, Khami MR, Onyejaka N, Popoola BO, Adeyemi YI. Preventive oral-health practices of school pupils in southern Nigeria. BMC Oral-health. 2014 Jul 7;14:83. doi:1186/1472-6831-14-83.

National Population Commission (NPC) [Nigeria] and ICF International. 2014. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International.

Araoye MO. Research methodology with statistics for health and social sciences. Ilorin: Nathadex Publisher; 2003. p.115-9.

Enugu State Ministry of Education. Annual school census report 20092010, Enugu. Esspin; 2010. p.1-8.

Blishen BR. Indices of social classification. In: Merton RK. Social stratification- a comparative analysis of structure and process. 2nd ed. Harcourt Brace; 1957. p.78-185.

Newacheck PW: Characteristics of children with high and low usage of physician services. Med Care. 1992 Jan;30(1):30-42.

Baldani MH, Mendes YB, Lawder JA, de Lara AP, Rodrgues MM, Antunes JL. Inequalities in dental services utilization among Brazilian low income children: the role of individual determinants. J Public Health Dent. 2011 Winter;71(1):46-53.

Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W. Prevalence of dental caries in 5 year old Greek children and the use of dental services: evaluation of socioeconomic, behavioural factors and living conditions. Int Dent J. 2013 Apr;63(2):72-9.

Owino RO, Masiga MA, Macigo FG, Nganga PM. Oral-health knowledge, hygiene practices and treatment seeking behaviour among 12 year old children from Kitale municipality in Kenya. East Afr Med J. 2011 Oct;88(10):332-6.

Ola D, Gamboa AB, Folayan MO, Marcenes W. Family structure, socioeconomic status and oral-health service utilization in Nigerian Senior Secondary school students. J Public Health Dent. 2013 Spring;73(2):158-65.

Denloye OO, Bankole OO, Onyeaso CO: Dental health service utilization by children seen at the University College Hospital-an update. Trop Dent J. 2004;27:29-32.

Okoye LO, Chukwuneke FN, Akaji EA, Folaranmi N. Caries experience among school children in Enugu, Nigeria. J Coll Med. 2010; 15(2):17-23.

Adeleke OA, Danfillo IS. Utilization of oral-health services by mothers of preschool children in Jos North Local Government Area, Plateau State, Nigeria. Malawi Med J. 2005;16(2):33-6.




DOI: https://doi.org/10.20396/bjos.v15i2.8648767

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