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. 2025 Jan 11;25(1):57.
doi: 10.1186/s12903-024-05405-0.

Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana

Joana Kwabena-Adade  1 , Enoch Aninagyei  2 , Joy Ato Nyarko  3
Affiliations

Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana

Joana Kwabena-Adade et al. BMC Oral Health. .

Abstract

Background: There is a paucity of data on oral health problems among the residents of Fanteakwa districts (South and North) in the Eastern region of Ghana. Therefore, this study assessed the prevalence and factors associated with self-reported oral health problems in the Fanteakwa districts of Ghana.

Methods: This community-based cross-sectional study targeted residents of the towns of the Fanteakwa districts, who have not had any dental care visit in the past six months preceding the study. The participants were enrolled from July - October, 2023. Socio-demographic study variables collected were sex, age, educational level, income level, ethnicity, area of residence, household size and frequency of brushing teeth in a day. Whereas the self-reported oral health problems were tooth ache, swollen gum, bleeding gum, sensitive tooth/teeth, hole in tooth/teeth, discoloured tooth/teeth and mouth odour. The chi-square statistical test was used to test the association between the presence of oral health problem(s) and other independent variables. Whereas, Modified Poisson regression was used to test the relationships among the variables.

Results: In total, 400 community members were interviewed. The mean age of respondents was 31 years (SD ± 12.4, Min = 19, Max = 81). The majority were females (55.2%) and more than 96% had some form of formal education. The Akan ethnic group accounted for as much as 47% of the respondents. The overall prevalence of self-reported oral health problems was 58.5% (95% CI 53.5% - 63.4%). The commonly reported oral health problems were toothache (51.7%), swollen gum (38.5%), difficulty in chewing (33.3%), bleeding gum (32.1%), and mobile teeth (17.1%). About 98% (229/234) of the study participants who self-reported oral health problems, reported up to four different problems. Self-reported oral health problems associated with participants' age (χ2 = 7.2, p = 0.027), income level (χ2 = 19.3, p < 0.001), ethnicity (χ2 = 21.2, p < 0.001), area of residence (χ2 = 26.9, p < 0.001), religious affiliation (χ2 = 15.7, p < 0.001) and frequency of brushing teeth in a day (χ2 = 6.85, p < 0.032). Despite the observed relationships, Modified Poisson regression identified that compared to the rural dwellers, the urban dwellers had lower odds of self-reporting oral health problems (aOR = 0.718, p = 0.032, CI: 0.531-0.971), after controlling for age and frequency of teeth brushing in a day.

Conclusion: High rate of self-reported oral health problems was observed in the study site. Participants from rural residence were disproportionately affected. Therefore, local health authorities are encouraged to leverage on the identified risk groups for enhanced oral health education towards reduction in the reported oral health problems.

Keywords: Bleeding gum; Difficulty chewing; Mobile teeth; Self-reported oral health problems; Swollen gum; Toothache.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Ethics approval for the study was obtained from the Ghana Health Service Ethics Review Committee. The approval number was GHS-ERC: 007/02/22. Written informed consent was obtained from each study participant. Anonymity and confidentiality were adhered to. There were no experiments on humans, and the ethical principles outlined in the Declaration of Helsinki were followed in this study. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

References

    1. Shoaee S, Ghasemi E, Sofi-Mahmudi A, Shamsoddin E, Tovani-Palone MR, Roshani S, et al. Global, regional, and national burden and quality of care index (QCI) of oral disorders: a systematic analysis of the global burden of disease study 1990–2017. BMC Oral Health. 2024;24:116. 10.1186/s12903-023-03808-z.The citation(s) (75, 78, 90, 124) is present in the text, but reference is missing in the reference section. Could you please provide the reference or delete the text citation.These were not citations, they were frequencies. They have been edited and percentages provided instead of the frequencies to avoid confusion. - DOI - PMC - PubMed
    1. WHO. Oral health. 2023.
    1. Beyene DH, Shashamo BB, Digesa LE, Tariku EZ. Oral Hygiene practices and Associated Factors among patients visiting private Dental clinics at Hawassa City, Southern Ethiopia, 2018. Int J Dent. 2021;2021:1–6. 10.1155/2021/8868308. - DOI - PMC - PubMed
    1. WHO. Global Oral Health Status Report. 2022.
    1. Deh Y, Nonvignon S, Aikins J, Agyemang MA, Aryeetey SC. Patient treatment cost of oral diseases in Ghana. Ghana Med J. 2022;56:176–84. 10.4314/gmj.v56i3.7. - DOI - PMC - PubMed

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