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dc.contributor.authorMohamed Ali, Hibaen_US
dc.contributor.authorMustafa, Manalen_US
dc.contributor.authorNasir, Elwalid Fadulen_US
dc.contributor.authorLie, Stein Atleen_US
dc.contributor.authorHasabalrasol, Sihamen_US
dc.contributor.authorElshazali, Osama Hafizen_US
dc.contributor.authorAli, Raouf Wahaben_US
dc.contributor.authorSkeie, Marit Slåtteliden_US
dc.PublishedMohamed Ali HM, Mustafa M, Nasir EF, Lie SA, Hasabalrasol S, Elshazali OH, Ali RW, Skeie MS. Oral-health-related background factors and dental service utilisation among Sudanese children with and without a congenital heart defects. BMC Oral Health. 2016;16:123eng
dc.description.abstractBackground: Sudanese children with congenital heart defects (CHDs) were found to have poorer oral health than those without CHDs. The aims of this study were to: describe the patterns of oral-health-related background factors in children with and without CHD and explore any differences, and to evaluate the effects of background factors on caries and gingivitis prevalence and dental services utilisation. Methods: In this analytical cross-sectional study, caregivers of children aged 3–12 years with (CHD cases n = 111) and without CHDs (Controls n = 182), underwent face-to-face interviews using a structured questionnaire. The questionnaire items covered several oral health background factors (independent variables) including: child’s health status, oral hygiene practices, dental services utilization, mother’s level of education, and caregiver’s perception and awareness of their child’s oral health. The relationship between these factors and occurrence of ‘caries’ and ‘gingivitis’ as well as ‘child’s dental services utilisation’ (dependent variables) were explored using multiple adjusted and hierarchal logistic regression analyses. Results: Compared with controls, CHD cases had lower frequencies of brushing and use of fluoridated toothpaste, and their caregivers were less knowledgeable about caries. Among CHD cases, the variables (brushing and fluoridated toothpaste use) had significant impacts on caries prevalence (odd ratio (OR) =5.6, 95% confidence interval (CI): 1.4–22.8 and OR = 0.3, 95% CI: 0.1–0.8 for infrequent compared to frequent ones, respectively) as well as the mother’s level of education (OR = 2.6, 95% CI: 1.0–6.4). When differences in background factors were controlled for, the adjusted ORs for caries and gingivitis prevalence in CHD cases compared with controls were 1.8, (95% CI: 1.1–3.2) and 5.3 (95% CI: 2.9–9.4), respectively. Among CHD cases, the child’s age (8–12 years: OR = 11.9, 95% CI: 1.9–71.6), and the mother’s level of education (lower education: OR = 0.2, 95% CI: 0.03–0.9) were significantly associated with the child’s dental services utilisation. Conclusions: Lower frequencies of brushing and use of fluoride tooth paste were reported among CHD cases, and brushing had the predominant significant impact on caries prevalence. The child’s age and the mother’s level of education were the main factors affecting the child’s (CHD cases) dental services utilisation.en_US
dc.publisherBioMed Centraleng
dc.rightsAttribution CC BYeng
dc.subjectCongenital heart defectseng
dc.subjectDental health serviceseng
dc.subjectOral health background factorseng
dc.titleOral-health-related background factors and dental service utilisation among Sudanese children with and without a congenital heart defectsen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2016 The Author(s)
dc.source.journalBMC Oral Health

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