Türkiye'deki Roman toplumunun ağız diş sağlığı durumunun değerlendirilmesi

Amaç: Bu çalışma, Türkiye'de yaşayan belirli bir etnik kökene sahip (Roman) bireylerin ağız ve diş sağlığı düzeylerini belirlemek ve ağız-diş sağlığının bireylerin yaşam kalitesine etkisini araştırmak amacıyla yapılmıştır. Gereç ve Yöntem: Bu çalışma, Ekim 2018-Temmuz 2019 tarihleri arasında Adana (Yüreğir) ilinde yürütülmüştür. 183 roman bireyden, yüz yüze görüşme tekniğiyle, tanıtıcı bilgi formu, ağız hijyen alışkanlıklarını değerlendiren form ve Ağız Sağlığı Etki Profili (OHIP) -14 ölçeği kullanılarak veriler toplanmıştır. Katılımcıların ağız içi muayeneleri yapılarak; eksik, çürük diş sayıları, periodontal sağlık düzeyleri, ağız kokusu şikâyetleri ve fırçalama alışkanlıkları değerlendirildi.. Bulgular: Çalışmaya katılan bireylerin OHIP-14 puanı eksik diş sayısına, dişlerdeki çürük sayısına ve fırçalama alışkanlığına göre istatistiksel olarak anlamlı bir değişim göstermiştir. Buna göre eksik ve çürük dişleri olan bireylerde OHIP-14 skoru daha yüksek bulunmuştur. Periodontal parametreler ile OHIP-14 skorları arasında istatistiksel olarak anlamlı bir korelasyon bulunamamıştır. Sonuç: Çalışmanın sınırları dahilinde; Roman bireylerde ağız- diş sağlığı bilgi düzeylerinin ve ağız hijyen alışkanlıklarının arttırılması gerektiği düşünülmektedir.

Anahtar Kelimeler:

Ağız ve diş sağlığı, yaşam kalitesi, etnik köken.

Evaluation of the oral dental health status of the Romani community in Turkey

Purpose: This study was conducted to determine the oral and dental health levels of individuals of a specific ethnic origin (Romani) living in Turkey and investigate its effects on quality of life. Materials and Methods: The study was carried out in Adana (Yüreğir) between October 2018 and July 2019. Data were collected from 183 Romani individuals using face-to-face interview technique, an introductory information form, a form evaluating oral hygiene habits, and the Oral Health Impact Profile (OHIP) -14 scale. The number of dental caries, the number of missing teeth, and periodontal health levels, halitosis, and toothbrushing habits were evaluated by performing intraoral examinations of the participants. Results: The OHIP-14 score of the individuals participating in the study showed a statistically significant change according to the number of missing teeth, the number of dental caries teeth, and brushing habits. Accordingly, the OHIP-14 score was observed higher in individuals with extracted teeth and decay in teeth. No statistically significant correlation was found between periodontal parameters and OHIP-14 scores. Conclusion: Within the limitation of the study; It is thought that oral-dental health knowledge levels and oral hygiene habits should be increased in Romani individuals.

Keywords:

Oral and dental health, Quality of life, Ethnicity.,

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1. Dressler W, Oths K, Gravlee C. Race and ethnicity in public health research: models to explain health disparities. Annu Rev Anthropol. 2005;34:231-52.
2. Andrews P, Benninghaus R. Ethnic groups in the Republic of Turkey, Wiesbaden, Reichert, 1989.
3. Nazroo J. Genetic, cultural or socio‐economic vulnerability? Explaining ethnic inequalities in health. Sociology of Health & Illness. 1998;20:710-30.
4. Delgado A, Elsa K, Bernabé E, Marcenes W. Ethnic inequalities in periodontal disease among British adults. J Clin Periodontol. 2016;43:926-33.
5. Williams N, Whittle J, Gatrell A. The relationship between socio-demographic characteristics and dental health knowledge and attitudes of parents with young children. Br Dent J. 2002;193:651-4.
6. Watt R, Sheiham A. Inequalities in oral health: a review of the evidence and recommendations for action. Br Dent J. 1999; 187:6-12.
7. Bonfim M, Mattos F, Ferreira E, Campos A. Social determinants of health and periodontal disease in Brazilian adults: a cross-sectional study. BMC Oral Health. 2013;13:22.
8. Shi C, Tian J, Wang Q, Petkovic C, Ren D, Yang K. How equity is addressed in clinical practice guidelines: a content analysis. BMJ Open. 2014;4:56-60.
9. World Health Organization. A conceptual framework for action on the social determinants of health. https://apps.who.int//irishandle/10665/44489. (2010).
10. Kılıç D, Çalışkan Z. Sağlık hizmetleri kullanımı ve davranışsal model. Nevşehir Hacı Bektaş Veli Üniversitesi SBE Dergisi. 2013;2:192-206.
11. Jones C, Jensen J, Scherr C, Brown N. The health belief model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health Commun. 2015;30:566- 76.
12. Costa S, Martins C, Bonfrim M, Zina L. A systematic review of socioeconomic indicators and dental caries in adults. Int J Environ Res Public Health. 2012;9:3540-74.
13. Petersen P. Sociobehavioural risk factors in dental caries–international perspectives. Community Dent Oral Epidemiol. 2005;33:274-9.
14. Lanfranco L, Eggers S. Caries through time: an anthropological overview. Intech Open Access Publisher, 2012.
15. Ismail A, Sohn W, Tellez M, Willem J. Risk indicators for dental caries using the International Caries Detection and Assessment System (ICDAS). Community Dent Oral Epidemiol. 2008;36:55-68.
16. Mamai-Homata E, Topitsoglou V, Oulis C, Margaritis V, Polychronopoulou A. Risk indicators of coronal and root caries in Greek middle-aged adults and senior citizens. BMC Public Health. 2012;12:1-9.
17. Dye B, Li X, Thorton-Evans G. Oral health disparities as determined by selected healthy people 2020 oral health objectives for the United States, 2009-2010, NCHS Data Brief. 2012.
18. Wldstrom E, Martinsson T. Comparison of use of dental services by Finnish immigrants and Swedes using national health statistics. Community Dent Oral Epidemiol. 1983;11:266-70.
19. Sischo L, Broder H. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90:1264-70.
20. Locker D. Measuring oral health: a conceptual framework. Community Dent Health. 1988;5:3-18.
21. Lee J, Divaris K. The ethical imperative of addressing oral health disparities: a unifying framework. J Dent Res. 2014;93:224-30.
22. Akkan B,Deniz M, Ertan M. Sosyal dışlanmanın roman halleri. İstanbul: Sosyal Politika Forumu, 2011.
23. Ekmekçi P. Sağlık ve romanlar; Türkiye’de yaşayan romanlara yönelik niteliksel bir araştırma. Sürekli Tıp Eğitimi Dergisi. 2015;24:142-8.
24. Cochran W. Double sampling. John Wiley & Sons. 1977;3:327-58.
25. Slade G, Spencer A. Development and evaluation of the oral health impact profile. Community Dental Health. 1994;11:3-11.
26. Mumcu E, Geckili O, Bilhan H. The evaluation of the effect of age, gender, and experience of patient with dentures on life quality and patient satisfaction of edentulous patients. İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2011;45:57-63.
27. Steele J, Sanders A, Slade G. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol. 2004;32:107-14.
28. John M, Koepsell T, Hujoel P. Demographic factors, denture status and oral health‐related quality of life. Community Dent Oral Epidemiol. 2004;32:125-32.
29. John M, Koepsell T, Hujoel P. Demographic factors, denture status and oral health‐related quality of lif. J dental Res. 2004;83:956-60.
30. Barbato P, Nagano H, Zanchet F, Boing A, Peres M. Tooth loss and associated socioeconomic, demographic, and dental-care factors in Brazilian adults: an analysis of the Brazilian Oral Health Survey. 2002-2003. Cad Saude Publica. 2007;23:1803-14.
31. Brennan D, Spencer A. Dimensions of oral health related quality of life measured by EQ-5D+ and OHIP-14. Health Qual Life Outcomes. 2004;2:1-9.
32. Beşiroğlu E, Lütfioğlu M. Ağız Diş Sağlığının Yaşam Kalitesine Etkisi ve Yaygın Değerlendirme Yöntemleri. Uluslararası Diş Hekimliği Bilimleri Dergisi. 2018;2:81-9.
33. Needleman I, McGrath C, Floyd P. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol. 2004;31:454-7.
34. Sam K, Leung W. Oral health‐related quality of life and periodontal status. Community Dent Oral Epidemiol. 2006;34:114-22.
35. Ozcelik O, Haytac M, Seydaoglu G. Immediate post‐ operative effects of different periodontal treatment modalities on oral health‐related quality of life: a randomized clinical trial. J Clin Periodontol. 2007;34:788-96.
36. Porter S, Scully C. Oral malodor (halitosis). BMJ. 2006;333:632-5.
37. Morita M, Wang H. Association between oral malodor and adult periodontitis: a review. J Clin Periodontol. 2001;28:813-9.
38. Borrell L, Taylor G, Borgnakke W. Factors influencing the effect of race on established periodontitis prevalence. J Public Health Dent. 2003;63:20-9.
39. Watson J, Logan H, Tomar S. The influence of active coping and perceived stress on health disparities in a multi-ethnic low-income sample. BMC Public Health. 2008;8:41.
40. Borrell L, Crawford N. Social disparities in periodontitis among US adults: the effect of allostatic load. J Epidemiol Community Health. 2011;65:144-9.
41. Borrell L, Taylor G, Borgnakke W, Woolfolk M, Nyquist L. Perception of general and oral health in White and African American adults: assessing the effect of neighborhood socioeconomic conditions. Community Dent Oral Epidemiol. 2004;32:363-73.