Oral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016

Abstract Background In 2016 the United Nation Relief and Work Agency for Palestine refugees in the Near East (UNRWA) commissioned a survey on oral health among 12-year-old students at UNRWA schools in five fields of operation (Jordan, Lebanon, Syria, Gaza Strip and West Bank), following World Health...

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Main Authors: Lilia Biscaglia, Patrizia di Caccamo, Irene Terrenato, Maria Antonietta Arrica, Akihiro Seita, Guglielmo Campus, UNRWA group
Format: Article
Language:English
Published: BMC 2019-07-01
Series:BMC Oral Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12903-019-0844-z
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author Lilia Biscaglia
Patrizia di Caccamo
Irene Terrenato
Maria Antonietta Arrica
Akihiro Seita
Guglielmo Campus
UNRWA group
author_facet Lilia Biscaglia
Patrizia di Caccamo
Irene Terrenato
Maria Antonietta Arrica
Akihiro Seita
Guglielmo Campus
UNRWA group
author_sort Lilia Biscaglia
collection DOAJ
description Abstract Background In 2016 the United Nation Relief and Work Agency for Palestine refugees in the Near East (UNRWA) commissioned a survey on oral health among 12-year-old students at UNRWA schools in five fields of operation (Jordan, Lebanon, Syria, Gaza Strip and West Bank), following World Health Organization guidelines. The survey aimed to determine the prevalence of dental caries and periodontal diseases among Palestine students attending UNRWA schools and how this has changed over time. Methods A two-stage stratified cluster sample design was used. For each Field of operation, the sample size was calculated based on 95% confidence level, 80% power and margin of error of 4%. Clinical examination was carried out by trained Field Oral Health services Officers (FOHSOs) from the 5 fields. Teeth presence and condition, gingival bleeding and calculus and the presence of dental sealants in occlusal surfaces of permanent molars were recorded. Behavior information of students/parents were collected using a questionnaire that was self-completed by the child/parent under supervision. Results were compared with those from a previous survey carried out in 2011 with the same methodology. Results In the two surveys the distributions of students who had caries experience in their permanent teeth were similar (73.1% in 2011 vs 72.8% in 2016, p = 0.83). In 2016 a significant increase of missing teeth (p < 0.01) and sealants (p < 0.01) was observed. Both surveys have identified behavioral determinants for dental caries, particularly dietary habits such as soft drinks consumption. Gingival health also showed statistical differences among the fields. Conclusions The prevalence of caries experience was very high in all fields and, with regard to main oral health indices, no trend of improvement was observed through 2011 and 2016. Surveys’ results advocates the need of a large-scale integrated preventive approach toward oral health and the emerging growth of Noncommunicable Diseases (NCDs), in line with the WHO recommendations.
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spelling doaj.art-aeeaa38442f845f7a75f6f85e03868922022-12-21T18:15:59ZengBMCBMC Oral Health1472-68312019-07-0119111010.1186/s12903-019-0844-zOral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016Lilia Biscaglia0Patrizia di Caccamo1Irene Terrenato2Maria Antonietta Arrica3Akihiro Seita4Guglielmo Campus5UNRWA groupCOI Cooperazione Odontoiatrica Internazionale NGOCOI Cooperazione Odontoiatrica Internazionale NGOBiostatistics and Bioinformatic Unit- Scientific Direction, IRCCS - Regina Elena National Cancer InstituteDepartment of Surgery, Medicine and Experimental Sciences, School of Dentistry, University of SassariDepartment of Health, UNRWA Headquarters AmmanBiostatistics and Bioinformatic Unit- Scientific Direction, IRCCS - Regina Elena National Cancer InstituteAbstract Background In 2016 the United Nation Relief and Work Agency for Palestine refugees in the Near East (UNRWA) commissioned a survey on oral health among 12-year-old students at UNRWA schools in five fields of operation (Jordan, Lebanon, Syria, Gaza Strip and West Bank), following World Health Organization guidelines. The survey aimed to determine the prevalence of dental caries and periodontal diseases among Palestine students attending UNRWA schools and how this has changed over time. Methods A two-stage stratified cluster sample design was used. For each Field of operation, the sample size was calculated based on 95% confidence level, 80% power and margin of error of 4%. Clinical examination was carried out by trained Field Oral Health services Officers (FOHSOs) from the 5 fields. Teeth presence and condition, gingival bleeding and calculus and the presence of dental sealants in occlusal surfaces of permanent molars were recorded. Behavior information of students/parents were collected using a questionnaire that was self-completed by the child/parent under supervision. Results were compared with those from a previous survey carried out in 2011 with the same methodology. Results In the two surveys the distributions of students who had caries experience in their permanent teeth were similar (73.1% in 2011 vs 72.8% in 2016, p = 0.83). In 2016 a significant increase of missing teeth (p < 0.01) and sealants (p < 0.01) was observed. Both surveys have identified behavioral determinants for dental caries, particularly dietary habits such as soft drinks consumption. Gingival health also showed statistical differences among the fields. Conclusions The prevalence of caries experience was very high in all fields and, with regard to main oral health indices, no trend of improvement was observed through 2011 and 2016. Surveys’ results advocates the need of a large-scale integrated preventive approach toward oral health and the emerging growth of Noncommunicable Diseases (NCDs), in line with the WHO recommendations.http://link.springer.com/article/10.1186/s12903-019-0844-zOral healthDental health surveysDental cariesHealth status indicatorsRisk factors
spellingShingle Lilia Biscaglia
Patrizia di Caccamo
Irene Terrenato
Maria Antonietta Arrica
Akihiro Seita
Guglielmo Campus
UNRWA group
Oral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016
BMC Oral Health
Oral health
Dental health surveys
Dental caries
Health status indicators
Risk factors
title Oral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016
title_full Oral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016
title_fullStr Oral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016
title_full_unstemmed Oral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016
title_short Oral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016
title_sort oral health status and caries trend among 12 year old palestine refugee students results from the unrwa s oral health surveys 2011 and 2016
topic Oral health
Dental health surveys
Dental caries
Health status indicators
Risk factors
url http://link.springer.com/article/10.1186/s12903-019-0844-z
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