Dental caries status and related factors among 12‐year‐old Somali school children in Hargeisa

Objectives There is little data on the oral health conditions of Somali children. The aim was to assess the dental caries status and related risk factors of 12‐aged children in primary schools in Hargeisa, Somaliland. Methods A school‐based survey was conducted in Hargeisa in December 2022. Using 2‐...

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Veröffentlicht in:Community dentistry and oral epidemiology 2024-12, Vol.52 (6), p.861-870
Hauptverfasser: Dahroug, Abdelrahman Eid, Heen, Espen Kolstad, Hussein, Mohamed A., Madar, Ahmed Ali
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container_issue 6
container_start_page 861
container_title Community dentistry and oral epidemiology
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creator Dahroug, Abdelrahman Eid
Heen, Espen Kolstad
Hussein, Mohamed A.
Madar, Ahmed Ali
description Objectives There is little data on the oral health conditions of Somali children. The aim was to assess the dental caries status and related risk factors of 12‐aged children in primary schools in Hargeisa, Somaliland. Methods A school‐based survey was conducted in Hargeisa in December 2022. Using 2‐stage cluster sampling, 405 children (12‐aged) were randomly selected from 16 primary schools. Data collection involved WHO structured interviewer‐administered questionnaire and clinical examinations. The DMFT index was measured according to WHO criteria, and accordingly, the mean for the significant caries index (SiC) was calculated. The association between the DMFT and the relevant variables was analysed using negative binomial regression in STATA. Results The overall prevalence of dental caries was found to be 62.7%, with a mean DMFT of 1.7 and a SiC score of 3.7. Non‐public school pupils showed significantly higher prevalence of dental caries and mean DMFT compared to public school counterparts (68.5% vs. 58.6%) and (1.91 vs. 1.48), respectively. Merely 14.7% of the participants utilized dental care services in the previous year. The multivariable analysis showed a significant positive association of the DMFT outcome with attending a non‐public school (95% CI 1.16–2.12) and having many previous dental visits (95% CI 1.22–2.83). In the adjusted model, fathers of low education had children with better dental caries status (lower mean DMFT) than their well‐educated counterparts. The mean DMFT was not significantly influenced by the factors sex, location, educational attainment (school class of the participants) and frequency of teeth cleaning. Conclusion Although the overall mean DMFT of school children in Hargeisa could be regarded low, the high levels of untreated caries especially in the one‐third most affected are a cause for concern. Children enrolled in non‐public schools formed the high‐risk group. Preventive oral public health programs targeting Somali school children are recommended.
doi_str_mv 10.1111/cdoe.12990
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The aim was to assess the dental caries status and related risk factors of 12‐aged children in primary schools in Hargeisa, Somaliland. Methods A school‐based survey was conducted in Hargeisa in December 2022. Using 2‐stage cluster sampling, 405 children (12‐aged) were randomly selected from 16 primary schools. Data collection involved WHO structured interviewer‐administered questionnaire and clinical examinations. The DMFT index was measured according to WHO criteria, and accordingly, the mean for the significant caries index (SiC) was calculated. The association between the DMFT and the relevant variables was analysed using negative binomial regression in STATA. Results The overall prevalence of dental caries was found to be 62.7%, with a mean DMFT of 1.7 and a SiC score of 3.7. Non‐public school pupils showed significantly higher prevalence of dental caries and mean DMFT compared to public school counterparts (68.5% vs. 58.6%) and (1.91 vs. 1.48), respectively. Merely 14.7% of the participants utilized dental care services in the previous year. The multivariable analysis showed a significant positive association of the DMFT outcome with attending a non‐public school (95% CI 1.16–2.12) and having many previous dental visits (95% CI 1.22–2.83). In the adjusted model, fathers of low education had children with better dental caries status (lower mean DMFT) than their well‐educated counterparts. The mean DMFT was not significantly influenced by the factors sex, location, educational attainment (school class of the participants) and frequency of teeth cleaning. Conclusion Although the overall mean DMFT of school children in Hargeisa could be regarded low, the high levels of untreated caries especially in the one‐third most affected are a cause for concern. Children enrolled in non‐public schools formed the high‐risk group. Preventive oral public health programs targeting Somali school children are recommended.</description><identifier>ISSN: 0301-5661</identifier><identifier>ISSN: 1600-0528</identifier><identifier>EISSN: 1600-0528</identifier><identifier>DOI: 10.1111/cdoe.12990</identifier><identifier>PMID: 38923041</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Children ; Childrens health ; Data collection ; dental Care for Children ; Dental caries ; dental health survey ; Hargeisa ; Oral hygiene ; Public health ; Public schools ; Risk factors ; Silicon carbide ; Somali children</subject><ispartof>Community dentistry and oral epidemiology, 2024-12, Vol.52 (6), p.861-870</ispartof><rights>2024 The Author(s). published by John Wiley &amp; Sons Ltd.</rights><rights>2024 The Author(s). Community Dentistry and Oral Epidemiology published by John Wiley &amp; Sons Ltd.</rights><rights>2024. 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The aim was to assess the dental caries status and related risk factors of 12‐aged children in primary schools in Hargeisa, Somaliland. Methods A school‐based survey was conducted in Hargeisa in December 2022. Using 2‐stage cluster sampling, 405 children (12‐aged) were randomly selected from 16 primary schools. Data collection involved WHO structured interviewer‐administered questionnaire and clinical examinations. The DMFT index was measured according to WHO criteria, and accordingly, the mean for the significant caries index (SiC) was calculated. The association between the DMFT and the relevant variables was analysed using negative binomial regression in STATA. Results The overall prevalence of dental caries was found to be 62.7%, with a mean DMFT of 1.7 and a SiC score of 3.7. Non‐public school pupils showed significantly higher prevalence of dental caries and mean DMFT compared to public school counterparts (68.5% vs. 58.6%) and (1.91 vs. 1.48), respectively. Merely 14.7% of the participants utilized dental care services in the previous year. The multivariable analysis showed a significant positive association of the DMFT outcome with attending a non‐public school (95% CI 1.16–2.12) and having many previous dental visits (95% CI 1.22–2.83). In the adjusted model, fathers of low education had children with better dental caries status (lower mean DMFT) than their well‐educated counterparts. The mean DMFT was not significantly influenced by the factors sex, location, educational attainment (school class of the participants) and frequency of teeth cleaning. Conclusion Although the overall mean DMFT of school children in Hargeisa could be regarded low, the high levels of untreated caries especially in the one‐third most affected are a cause for concern. Children enrolled in non‐public schools formed the high‐risk group. 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The aim was to assess the dental caries status and related risk factors of 12‐aged children in primary schools in Hargeisa, Somaliland. Methods A school‐based survey was conducted in Hargeisa in December 2022. Using 2‐stage cluster sampling, 405 children (12‐aged) were randomly selected from 16 primary schools. Data collection involved WHO structured interviewer‐administered questionnaire and clinical examinations. The DMFT index was measured according to WHO criteria, and accordingly, the mean for the significant caries index (SiC) was calculated. The association between the DMFT and the relevant variables was analysed using negative binomial regression in STATA. Results The overall prevalence of dental caries was found to be 62.7%, with a mean DMFT of 1.7 and a SiC score of 3.7. Non‐public school pupils showed significantly higher prevalence of dental caries and mean DMFT compared to public school counterparts (68.5% vs. 58.6%) and (1.91 vs. 1.48), respectively. Merely 14.7% of the participants utilized dental care services in the previous year. The multivariable analysis showed a significant positive association of the DMFT outcome with attending a non‐public school (95% CI 1.16–2.12) and having many previous dental visits (95% CI 1.22–2.83). In the adjusted model, fathers of low education had children with better dental caries status (lower mean DMFT) than their well‐educated counterparts. The mean DMFT was not significantly influenced by the factors sex, location, educational attainment (school class of the participants) and frequency of teeth cleaning. Conclusion Although the overall mean DMFT of school children in Hargeisa could be regarded low, the high levels of untreated caries especially in the one‐third most affected are a cause for concern. Children enrolled in non‐public schools formed the high‐risk group. 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source Wiley Online Library Journals Frontfile Complete
subjects Children
Childrens health
Data collection
dental Care for Children
Dental caries
dental health survey
Hargeisa
Oral hygiene
Public health
Public schools
Risk factors
Silicon carbide
Somali children
title Dental caries status and related factors among 12‐year‐old Somali school children in Hargeisa
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