Oral health care-seeking behaviour and influencing factors among 18-34 years old women in Kochi, India

Nija M. A.; Geethu Gireesh; Minu Maria Mathew; Ramanarayanan Venkitachalam

doi:10.18203/2394-6040.ijcmph20204748

Authors

Nija M. A. Department of Community Medicine and Public Health, Amrita School of Medicine, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
Geethu Gireesh Department of Public Health Dentistry, Amrita School of Medicine, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
Minu Maria Mathew Department of Community Medicine and Public Health, Amrita School of Medicine, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
Ramanarayanan Venkitachalam Department of Public Health Dentistry, Amrita School of Medicine, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India http://orcid.org/0000-0002-5587-3453

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20204748

Keywords:

Barriers, Oral health, Women

Abstract

Background: Oral health, though an integral part of general health, is accorded low priority and remains an issue of neglect. Women during their reproductive years suffer from various oral problems that warrant timely utilization of care. Understanding factors affecting health-seeking behavior is necessary. The objective of this study was to determine the personal level and system-level factors that affect utilization of oral health care among 18-34 year-old women visiting a dental health care facility.

Methods: A cross-sectional questionnaire-based study was conducted among 18-34 year old women. Participants were recruited using convenience sampling from a tertiary dental health care facility. A Chi-square test was used to determine the association of sociodemographic variables on factors affecting the utilization of oral care.

Results: A total of 194 responses were obtained. The mean age of study participants was 27.1±5.2 years. Around 62% of women suffered from multiple dental problems in the past year of which tooth decay and swelling of gums were most common. About 68% of them sought treatment with a dentist. Half of the respondents were themselves responsible for making health care decisions. 55% of the participants reported barriers in availing dental care. The cost of dental treatment, fear of pain, and lack of time were the most commonly reported barriers.

Conclusions: Oral health-seeking behaviour among women was found to be good with regard to dental attendance. Personal level barriers were greater than system-level barriers in availing dental care.

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References

Gambhir RS, Brar P, Singh G, Sofat A, Kakar H. Utilization of dental care: An Indian outlook. J Nat Sci Biol Med. 2013;4(2):292-7.

Bommireddy V, Pachava S, Viswanath V, Talluri D, Ravoori S, Sanikommu S. Oral health care-seeking behaviors and influencing factors among south Indian rural adults: A cross-sectional study. J Indian Assoc Public Health Dent. 2017;15(3):252.

Chauhan RC, Kandan M, Purty AJ, Samuel A, Singh Z. Determinants of health care seeking behavior among rural population of a coastal area in South India. Int J Sci Rep. 2015;1(2):118-22.

Oberoi S, Chaudhary N, Patnaik S, Singh A. Understanding health seeking behavior. J Fam Med Prim Care. 2016;5(2):463-4.

Cummings KM, Becker MH, Maile MC. Bringing the models together: an empirical approach to combining variables used to explain health actions. J Behav Med. 1980;3(2):123-45.

Kroeger A. Anthropological and socio-medical health care research in developing countries. Soc Sci Med. 1983;17(3):147-61.

Musoke D, Boynton P, Butler C, Musoke MB. Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda. Afr Health Sci. 2014;14(4):1046-55.

Shaikh BT, Hatcher J. Health seeking behaviour and health services utilization trends in national health survey of Pakistan: what needs to be done? JPMA J Pak Med Assoc. 2007;57(8):411-4.

Rocha JS, Arima LY, Werneck RI, Moysés SJ, Baldani MH. Determinants of Dental Care Attendance during Pregnancy: A Systematic Review. Caries Res. 2018;52(1–2):139-52.

Malhi R, Basavaraj P, Singla A, Jankiram C, Pandita V, Vashishtha V. Perceived barriers in accessing dental care among patients attending dental institute using decision-making trial and evaluation laboratory method. J Indian Assoc Public Health Dent. 2015;13(2):152.

Janakiram C, Rudrappa RB, Taha F, Ramanarayanan V, Arkalgud HG, Kadanakuppe S. Equity in Oral Healthcare in India: A Review on Health System Analysis. Econ Polit Wkly. 2017;52(9):82-9.

Kessler JL. A Literature Review on Women’s Oral Health Across the Life Span. Nurs Womens Health. 2017;21(2):108-21.

Singhal A, Chattopadhyay A, Garcia AI, Adams AB, Cheng D. Disparities in Unmet Dental Need and Dental Care Received by Pregnant Women in Maryland. Matern Child Health J. 2014;18(7):1658-66.

Das M, Angeli F, Krumeich AJSM, van Schayck OCP. The gendered experience with respect to health-seeking behaviour in an urban slum of Kolkata, India. Int J Equity Health. 2018;14:17. Available at: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC5813424/.

Boban D. Oral diseases and health seeking behaviours among women aged 18 to 34 years in Rural Ernakulam, Kerala. Achutha Menon Centre for Health Science Studies; 2014. Available from: http://dspace.sctimst.ac.in/jspui/bitstream/123456789/2471/1/6454.pdf.

Shaikh BT, Haran D, Hatcher J. Women’s social position and health-seeking behaviors: is the health care system accessible and responsive in Pakistan? Health Care Women Int. 2008;29(8):945-59.

Varambally KVM. Impact of Autonomy on Health-seeking Behaviour: Evidence from Rural India. J Health Manag. 2017;19(1):109-20.

Deolia SG, Kela KS, Sawhney IM, Sonavane PA, Nimbulkar G, Reche A. Evaluation of oral health care seeking behavior in rural population of central India. J Fam Med Prim Care. 2020;9(2):886.

Gupta S, Ranjan V, Rai S, Mathur H, Solanki J, Koppula S. Oral health services utilization among the rural population of western Rajasthan, India. J Indian Acad Oral Med Radiol. 2014;26(4):410.

Fotedar S, Sharma KR, Bhardwaj V, Sogi GM. Barriers to the utilization of dental services in Shimla, India. Eur J Gen Dent. 2013;2(2):139.

Settineri S, Tati F, Fanara G. Gender Differences in Dental Anxiety: Is the Chair Position Important? J Contemp Dent Pract. 2005;6(1):115-22.

Natarajan S, Seenivasan M, Paturu R, Arul Q, Padmanabhan T. Dental Fear and Anxiety In Different Gender Of Chennai Population. Internet J Epidemiol. 2011;9(1):1-5.

Heft MW, Meng X, Bradley MM, Lang PJ. Gender differences in reported dental fear and fear of dental pain. Community Dent Oral Epidemiol. 2007;35(6):421-8.

Garcha V, Shetiya SH, Kakodkar P. Barriers to oral health care amongst different social classes in India. Community Dent Health. 2010;27(3):158-62.

Venkatesh N, Ramanarayanan V. Universal Oral Health Coverage: An Indian Perspective. J Indian Assoc Public Health Dent. 2019;17(4):266-8.

Ramanarayanan V, Janakiram C, Joseph J, Krishnakumar K. Oral health care system analysis: A case study from India. J Fam Med Prim Care. 2020;9(4):1950.