Illness-related behaviour and utilization of oral health services among adult city-dwellers in Burkina Faso: evidence from a household survey

<p>Abstract</p> <p>Background</p> <p>In sub-Saharan Africa, the availability and accessibility of oral health services are seriously constrained and the provision of essential oral care is limited. Reports from the region show a very low utilization of oral health care...

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Main Authors: Ouattara Seydou, Gary Jean, Msellati Philippe, Fournet Florence, Petersen Poul, Varenne Benoît, Harang Maud, Salem Gérard
Format: Article
Language:English
Published: BMC 2006-12-01
Series:BMC Health Services Research
Online Access:http://www.biomedcentral.com/1472-6963/6/164
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author Ouattara Seydou
Gary Jean
Msellati Philippe
Fournet Florence
Petersen Poul
Varenne Benoît
Harang Maud
Salem Gérard
author_facet Ouattara Seydou
Gary Jean
Msellati Philippe
Fournet Florence
Petersen Poul
Varenne Benoît
Harang Maud
Salem Gérard
author_sort Ouattara Seydou
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>In sub-Saharan Africa, the availability and accessibility of oral health services are seriously constrained and the provision of essential oral care is limited. Reports from the region show a very low utilization of oral health care services, and visits to dental-care facilities are mostly undertaken for symptomatic reasons. The objectives of the present study were to describe the prevalence of oral symptoms among adults in Ouagadougou, capital city of Burkina Faso and the use of oral health services and self-medication in response to these symptoms and to measure the associations between predisposing, enabling and needs factors and decisions to seek oral health care.</p> <p>Methods</p> <p>The conceptual design of the study was derived from both the Andersen-Newman model of health care utilization and the conceptual framework of the WHO International Collaborative Study of Oral Health Outcomes. Data were obtained by two-stage stratified sampling through four areas representative of different stages of urbanization of Ouagadougou. The final study population comprised 3030 adults aged 15 years or over and the response rate was 65%.</p> <p>Results</p> <p>Overall, 28% of the respondents had experienced an oral health problem during the past 12 months; a high proportion (62%) reported pain or acute discomfort affecting daily life. In response to symptoms, only 28% used oral health facilities, 48% used self-medication and 24% sought no treatment at all. Multivariate analyses revealed that several socio-economic and socio-cultural factors such as religious affiliation, material living conditions and participation in a social network were significantly associated with the use of oral health care services by adults who had experienced oral health problems during the previous year.</p> <p>Conclusion</p> <p>The proportion of people who have obtained oral health care is alarmingly low in Ouagadougou and self-medication appears to be an important alternative source of care for adult city-dwellers. Decision-makers in sub-Saharan countries must seek to ensure that access to essential oral health care is improved.</p>
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spelling doaj.art-94618cd0144b4acaa0b44a0b92ec08832022-12-22T03:01:23ZengBMCBMC Health Services Research1472-69632006-12-016116410.1186/1472-6963-6-164Illness-related behaviour and utilization of oral health services among adult city-dwellers in Burkina Faso: evidence from a household surveyOuattara SeydouGary JeanMsellati PhilippeFournet FlorencePetersen PoulVarenne BenoîtHarang MaudSalem Gérard<p>Abstract</p> <p>Background</p> <p>In sub-Saharan Africa, the availability and accessibility of oral health services are seriously constrained and the provision of essential oral care is limited. Reports from the region show a very low utilization of oral health care services, and visits to dental-care facilities are mostly undertaken for symptomatic reasons. The objectives of the present study were to describe the prevalence of oral symptoms among adults in Ouagadougou, capital city of Burkina Faso and the use of oral health services and self-medication in response to these symptoms and to measure the associations between predisposing, enabling and needs factors and decisions to seek oral health care.</p> <p>Methods</p> <p>The conceptual design of the study was derived from both the Andersen-Newman model of health care utilization and the conceptual framework of the WHO International Collaborative Study of Oral Health Outcomes. Data were obtained by two-stage stratified sampling through four areas representative of different stages of urbanization of Ouagadougou. The final study population comprised 3030 adults aged 15 years or over and the response rate was 65%.</p> <p>Results</p> <p>Overall, 28% of the respondents had experienced an oral health problem during the past 12 months; a high proportion (62%) reported pain or acute discomfort affecting daily life. In response to symptoms, only 28% used oral health facilities, 48% used self-medication and 24% sought no treatment at all. Multivariate analyses revealed that several socio-economic and socio-cultural factors such as religious affiliation, material living conditions and participation in a social network were significantly associated with the use of oral health care services by adults who had experienced oral health problems during the previous year.</p> <p>Conclusion</p> <p>The proportion of people who have obtained oral health care is alarmingly low in Ouagadougou and self-medication appears to be an important alternative source of care for adult city-dwellers. Decision-makers in sub-Saharan countries must seek to ensure that access to essential oral health care is improved.</p>http://www.biomedcentral.com/1472-6963/6/164
spellingShingle Ouattara Seydou
Gary Jean
Msellati Philippe
Fournet Florence
Petersen Poul
Varenne Benoît
Harang Maud
Salem Gérard
Illness-related behaviour and utilization of oral health services among adult city-dwellers in Burkina Faso: evidence from a household survey
BMC Health Services Research
title Illness-related behaviour and utilization of oral health services among adult city-dwellers in Burkina Faso: evidence from a household survey
title_full Illness-related behaviour and utilization of oral health services among adult city-dwellers in Burkina Faso: evidence from a household survey
title_fullStr Illness-related behaviour and utilization of oral health services among adult city-dwellers in Burkina Faso: evidence from a household survey
title_full_unstemmed Illness-related behaviour and utilization of oral health services among adult city-dwellers in Burkina Faso: evidence from a household survey
title_short Illness-related behaviour and utilization of oral health services among adult city-dwellers in Burkina Faso: evidence from a household survey
title_sort illness related behaviour and utilization of oral health services among adult city dwellers in burkina faso evidence from a household survey
url http://www.biomedcentral.com/1472-6963/6/164
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