Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional study

Abstract Background The oral health care-seeking behavior among prison inmates is an overlooked area, often leading to deteriorating general health due to the prisoners’ limited awareness of oral hygiene practices. It is crucial to address this issue and understand the factors associated with oral h...

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Main Authors: Zia Ul Haq, Kashif Nawaz, Shamsul Alam, Farhad Ali Khattak, Naeem Ullah, Ahmed, Sobia Anwar, Abid Rahim, Saima Afaq, Syed Nasir Shah
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03705-5
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author Zia Ul Haq
Kashif Nawaz
Shamsul Alam
Farhad Ali Khattak
Naeem Ullah
Ahmed
Sobia Anwar
Abid Rahim
Saima Afaq
Syed Nasir Shah
author_facet Zia Ul Haq
Kashif Nawaz
Shamsul Alam
Farhad Ali Khattak
Naeem Ullah
Ahmed
Sobia Anwar
Abid Rahim
Saima Afaq
Syed Nasir Shah
author_sort Zia Ul Haq
collection DOAJ
description Abstract Background The oral health care-seeking behavior among prison inmates is an overlooked area, often leading to deteriorating general health due to the prisoners’ limited awareness of oral hygiene practices. It is crucial to address this issue and understand the factors associated with oral healthcare-seeking behavior in prisons. Objective To assess the oral healthcare-seeking behavior of prison inmates at Central Prisoner Jail, Peshawar Pakistan and to look the factors associated with their dental care utilization. Material and Methods This cross-sectional study was conducted at Central Prisoner Jail, Peshawar Khyber Pakhtunkhwa, Pakistan from November 2021 to April 2022. A consecutive sampling technique was used to collect data from both convicted and under-trial prisoners by using a pre-tested WHO Basic Oral Health Survey 2013 tool. Our outcome variable was “Visit to a dentist in the last 12 months (Never/Once or more than one visit). Chi-square test was used to determine univariate association with other explanatory variables while multivariable logistic regression was performed to adjust for potential confounders. Result A total of 225 participants were recruited to the study with a mean (SD) age of 32.9(11.4). More than two-thirds of 200(88.9%) of the participants were males. One-third of the sample never visited the dentist75(33.3). Participants who completed college/university education and never visited the dentist in the last 12 months constituted a smaller proportion (17.6%) compared to those who visited the dentist once or more than once n = 28(82.4%, p-value = 0.003). Individuals who were using toothbrushes were most frequently visiting the dentist n = 130(72.6%=p value = 0.001) as compared to never visitors. Multivariate logistic regression analysis revealed that Participants who experienced teeth pain or discomfort had 0.42 times lower odds of visiting the dentist compared to those who did not experience any pain or discomfort [AOR 0.42 (95% CI 0.17–0.80), p = 0.04]. Similarly, Participants who do not use any denture have 4.06 times higher odds[AOR 4.06(95% CI 1.76–9.36), p = 0.001] of visiting the dentist compared to those who use a denture. Conclusion Our result demonstrates that those prisoners who were experiencing tooth pain or discomfort and not using dentures were the strong predictors with lower dental visit frequency to seek oral health care.
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spelling doaj.art-6ee7f33c74014a83909a7f42d5b1cffe2023-12-10T12:34:08ZengBMCBMC Oral Health1472-68312023-12-0123111110.1186/s12903-023-03705-5Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional studyZia Ul Haq0Kashif Nawaz1Shamsul Alam2Farhad Ali Khattak3Naeem Ullah4Ahmed5Sobia Anwar6Abid Rahim7Saima Afaq8Syed Nasir Shah9Khyber Medical UniversityHealth DepartmentHealth DepartmentKhyber College of DentistrySaidu Medical CollegeSardar Begum Dental College, Gandhara UniversityKhyber College of DentistrySardar Begum Dental College, Gandhara UniversityImperial College LondonKhyber College of DentistryAbstract Background The oral health care-seeking behavior among prison inmates is an overlooked area, often leading to deteriorating general health due to the prisoners’ limited awareness of oral hygiene practices. It is crucial to address this issue and understand the factors associated with oral healthcare-seeking behavior in prisons. Objective To assess the oral healthcare-seeking behavior of prison inmates at Central Prisoner Jail, Peshawar Pakistan and to look the factors associated with their dental care utilization. Material and Methods This cross-sectional study was conducted at Central Prisoner Jail, Peshawar Khyber Pakhtunkhwa, Pakistan from November 2021 to April 2022. A consecutive sampling technique was used to collect data from both convicted and under-trial prisoners by using a pre-tested WHO Basic Oral Health Survey 2013 tool. Our outcome variable was “Visit to a dentist in the last 12 months (Never/Once or more than one visit). Chi-square test was used to determine univariate association with other explanatory variables while multivariable logistic regression was performed to adjust for potential confounders. Result A total of 225 participants were recruited to the study with a mean (SD) age of 32.9(11.4). More than two-thirds of 200(88.9%) of the participants were males. One-third of the sample never visited the dentist75(33.3). Participants who completed college/university education and never visited the dentist in the last 12 months constituted a smaller proportion (17.6%) compared to those who visited the dentist once or more than once n = 28(82.4%, p-value = 0.003). Individuals who were using toothbrushes were most frequently visiting the dentist n = 130(72.6%=p value = 0.001) as compared to never visitors. Multivariate logistic regression analysis revealed that Participants who experienced teeth pain or discomfort had 0.42 times lower odds of visiting the dentist compared to those who did not experience any pain or discomfort [AOR 0.42 (95% CI 0.17–0.80), p = 0.04]. Similarly, Participants who do not use any denture have 4.06 times higher odds[AOR 4.06(95% CI 1.76–9.36), p = 0.001] of visiting the dentist compared to those who use a denture. Conclusion Our result demonstrates that those prisoners who were experiencing tooth pain or discomfort and not using dentures were the strong predictors with lower dental visit frequency to seek oral health care.https://doi.org/10.1186/s12903-023-03705-5Dentist-patient relations. Oral healthOral HygienePrisonersHealth Behavior
spellingShingle Zia Ul Haq
Kashif Nawaz
Shamsul Alam
Farhad Ali Khattak
Naeem Ullah
Ahmed
Sobia Anwar
Abid Rahim
Saima Afaq
Syed Nasir Shah
Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional study
BMC Oral Health
Dentist-patient relations. Oral health
Oral Hygiene
Prisoners
Health Behavior
title Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional study
title_full Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional study
title_fullStr Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional study
title_full_unstemmed Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional study
title_short Oral health behind the bars: oral health seeking behavior among jail prisoners at central jail of Peshawar, Pakistan: a cross-sectional study
title_sort oral health behind the bars oral health seeking behavior among jail prisoners at central jail of peshawar pakistan a cross sectional study
topic Dentist-patient relations. Oral health
Oral Hygiene
Prisoners
Health Behavior
url https://doi.org/10.1186/s12903-023-03705-5
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