Oral health vulnerability and its associated risk factors among tribal elderly people in Bangladesh: a primary pilot initiative of national oral health survey

Authors

  • Shomrita Barua Directorate General of Health Services (DGHS), Mohakhali, Dhaka-1212, Bangladesh
  • Sunanda Bosu Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka-1212, Bangladesh
  • Mohammad Farhadul Haque Shaheed Monsur Ali Medical College Hospital, Uttara, Dhaka
  • Liza Bosak Basic Science Division, World University of Bangladesh
  • Md Rezowan Rashid Director General of Health Services of Bangladesh, Dhaka-1212, Bangladesh
  • Shaikh Riaduz Zaman Director General of Health Services of Bangladesh, Dhaka-1212, Bangladesh
  • Md. Foyzur Rahman Department of Community Medicine, National Institute of Preventive and Social Medicine, Dhaka-1212, Bangladesh
  • Mohammad Meshbahur Rahman Department of Biostatistics, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka-1212

DOI:

https://doi.org/10.31646/gbio.232

Abstract

Background

Tribal elderly is a vulnerable population due to their geographic location and lack of access to healthcare services including poor oral health. As the primary initiative for representative ethnic oral health survey for elderly, this pilot study aims to assess the oral health status of tribal elderly in Bangladesh and identify the associated risk factors.

Methods

This cross-sectional pilot survey was conducted among 280 tribal elderlies aged 60 years and above residing in the main tribal residing region in Bangladesh. The data was collected through cluster sampling methods using a semi-structured questionnaire and oral examination. Different statistical tools including frequency distribution, Chi-square association test and multivariable logistic regression model were performed in data analysis.

Results

The results showed that 25.35% of the tribal elderly had high DMFT score, indicating poor oral health. Respondents’ age, sex, marital status, occupational status, sweet eater, tobacco, and alcohol consumption were significantly associated with oral health. The major oral clinical sign and symptoms were dental carries, teeth sensitivity, loose teeth, broken teeth, calculus and staining in teeth, tongue pain and bad breath. The logistic regression analysis suggested that elderly aged 80 and above had 3.33 times more, males were 4.6 time less, tobacco user (smoked/smokeless) were 2.03 times more and alcohol consumers were 6.83 times more likely to experienced poor oral health condition than their counterparts.

Conclusions

Elderly individuals were found to be more likely to suffer from poor oral health condition than younger individuals, and certain lifestyle factors such as tobacco and alcohol consumption, meal frequency, and sweet consumption can further increase the risk of poor oral health condition. The findings can be a primary initiative for further investigation on the nationally representative oral health survey among ethnic elderly.

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Published

2024-04-17

How to Cite

Shomrita Barua, Sunanda Bosu, Mohammad Farhadul Haque, Liza Bosak, Md Rezowan Rashid, Shaikh Riaduz Zaman, … Rahman, M. M. (2024). Oral health vulnerability and its associated risk factors among tribal elderly people in Bangladesh: a primary pilot initiative of national oral health survey. Global Biosecurity, 6(1). https://doi.org/10.31646/gbio.232

Issue

Section

Research Articles
Received 2023-09-21
Accepted 2024-01-08
Published 2024-04-17