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Prevalence and determinants of oral diseases and oral health care needs in slums : a comparative study with non-slum urban settings in Nigeria
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Osuh, Mary Ebelechukwu (2022) Prevalence and determinants of oral diseases and oral health care needs in slums : a comparative study with non-slum urban settings in Nigeria. PhD thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b3869652
Abstract
Background: Little is known about the prevalence, determinants, and treatment needs of people who reside in the slums of Nigeria, and information on slum dwellers’ experiences about oral health care is scarce. Such information is needed to plan appropriate interventions to improve the oral health and well-being of Nigeria’s growing slum population, hence this study.
Methods: This thesis was mixed methods parallel convergent in design and was approached by conducting three research works: 1) a systematic review on oral health in slum and nonslum urban settings of the Low and Middle-Income Countries (LMICs); 2) a community oral health survey on the prevalence of oral health conditions, the determinants and treatment needs among slum residents in comparison with non-slum residents in Ibadan; 3) qualitative research exploring the perspectives of slum dwellers about their dental health experience.
Results: Combined findings suggest bleeding gum, periodontal pocket, and dental caries as prevalent oral diseases in the slum. Oral health outcomes were worse when compared to the non-slum counterpart and this is comparable to findings from the LMICs in terms of high prevalence. Verified normative needs confirmed the slum residents’ felt treatment needs and identified 35% that required the "prompt and urgent" levels of treatment. Dental visits were generally low, mostly problem-driven, often as last resort, and worse in the slum. Wide practice of alternative dental care remedy options that generally preceded professional healthcare seeking abound. Oral health needs include improved access to more comprehensive dental treatments at reduced costs as well as increased oral health literacy.
Conclusions: The slum residents had high oral disease burden with worse outcomes relative to their non-slum counterparts. Potentially harmful oral self‐care remedy options abound among them and these generally precede professional healthcare seeking. They could benefit from targeted oral health education and improved access to professional dental care.
| Item Type: | Thesis (PhD) | ||||
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| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RK Dentistry |
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| Library of Congress Subject Headings (LCSH): | Mouth -- Diseases -- Nigeria, Dentistry -- Nigeria, Dental health education -- Nigeria, Health services accessibility -- Nigeria, Slums -- Nigeria | ||||
| Official Date: | October 2022 | ||||
| Dates: |
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| Institution: | University of Warwick | ||||
| Theses Department: | Warwick Medical School | ||||
| Thesis Type: | PhD | ||||
| Publication Status: | Unpublished | ||||
| Supervisor(s)/Advisor: | Lilford, Richard, 1950- ; Gbemi, Oke ; Owoaje, Eme ; Harris, Bronwyn ; Chen, Y-F. (Yen-Fu) | ||||
| Sponsors: | UK Aid Direct | ||||
| Format of File: | |||||
| Extent: | xxii, 276 pages : illustrations | ||||
| Language: | eng |
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