Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana

Abstract Background There is a paucity of data on oral health problems among the residents of Fanteakwa districts (South and North) in the Eastern region of Ghana. Therefore, this study assessed the prevalence and factors associated with self-reported oral health problems in the Fanteakwa districts...

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Main Authors: Joana Kwabena-Adade, Enoch Aninagyei, Joy Ato Nyarko
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-024-05405-0
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author Joana Kwabena-Adade
Enoch Aninagyei
Joy Ato Nyarko
author_facet Joana Kwabena-Adade
Enoch Aninagyei
Joy Ato Nyarko
author_sort Joana Kwabena-Adade
collection DOAJ
description Abstract Background There is a paucity of data on oral health problems among the residents of Fanteakwa districts (South and North) in the Eastern region of Ghana. Therefore, this study assessed the prevalence and factors associated with self-reported oral health problems in the Fanteakwa districts of Ghana. Methods This community-based cross-sectional study targeted residents of the towns of the Fanteakwa districts, who have not had any dental care visit in the past six months preceding the study. The participants were enrolled from July – October, 2023. Socio-demographic study variables collected were sex, age, educational level, income level, ethnicity, area of residence, household size and frequency of brushing teeth in a day. Whereas the self-reported oral health problems were tooth ache, swollen gum, bleeding gum, sensitive tooth/teeth, hole in tooth/teeth, discoloured tooth/teeth and mouth odour. The chi-square statistical test was used to test the association between the presence of oral health problem(s) and other independent variables. Whereas, Modified Poisson regression was used to test the relationships among the variables. Results In total, 400 community members were interviewed. The mean age of respondents was 31 years (SD ± 12.4, Min = 19, Max = 81). The majority were females (55.2%) and more than 96% had some form of formal education. The Akan ethnic group accounted for as much as 47% of the respondents. The overall prevalence of self-reported oral health problems was 58.5% (95% CI 53.5% – 63.4%). The commonly reported oral health problems were toothache (51.7%), swollen gum (38.5%), difficulty in chewing (33.3%), bleeding gum (32.1%), and mobile teeth (17.1%). About 98% (229/234) of the study participants who self-reported oral health problems, reported up to four different problems. Self-reported oral health problems associated with participants’ age (χ2 = 7.2, p = 0.027), income level (χ2 = 19.3, p < 0.001), ethnicity (χ2 = 21.2, p < 0.001), area of residence (χ2 = 26.9, p < 0.001), religious affiliation (χ2 = 15.7, p < 0.001) and frequency of brushing teeth in a day (χ2 = 6.85, p < 0.032). Despite the observed relationships, Modified Poisson regression identified that compared to the rural dwellers, the urban dwellers had lower odds of self-reporting oral health problems (aOR = 0.718, p = 0.032, CI: 0.531–0.971), after controlling for age and frequency of teeth brushing in a day. Conclusion High rate of self-reported oral health problems was observed in the study site. Participants from rural residence were disproportionately affected. Therefore, local health authorities are encouraged to leverage on the identified risk groups for enhanced oral health education towards reduction in the reported oral health problems.
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spelling doaj-art-4e89ec41d04143f3a0efbb0557ffb51c2025-01-12T12:42:17ZengBMCBMC Oral Health1472-68312025-01-012511810.1186/s12903-024-05405-0Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in GhanaJoana Kwabena-Adade0Enoch Aninagyei1Joy Ato Nyarko2Department of General and Liberal Studies, School of Basic and Biomedical Sciences, University of Health and Allied SciencesDepartment of Biomedical Sciences, School of Basic and Biomedical Sciences, University of Health and Allied SciencesDepartment of General and Liberal Studies, School of Basic and Biomedical Sciences, University of Health and Allied SciencesAbstract Background There is a paucity of data on oral health problems among the residents of Fanteakwa districts (South and North) in the Eastern region of Ghana. Therefore, this study assessed the prevalence and factors associated with self-reported oral health problems in the Fanteakwa districts of Ghana. Methods This community-based cross-sectional study targeted residents of the towns of the Fanteakwa districts, who have not had any dental care visit in the past six months preceding the study. The participants were enrolled from July – October, 2023. Socio-demographic study variables collected were sex, age, educational level, income level, ethnicity, area of residence, household size and frequency of brushing teeth in a day. Whereas the self-reported oral health problems were tooth ache, swollen gum, bleeding gum, sensitive tooth/teeth, hole in tooth/teeth, discoloured tooth/teeth and mouth odour. The chi-square statistical test was used to test the association between the presence of oral health problem(s) and other independent variables. Whereas, Modified Poisson regression was used to test the relationships among the variables. Results In total, 400 community members were interviewed. The mean age of respondents was 31 years (SD ± 12.4, Min = 19, Max = 81). The majority were females (55.2%) and more than 96% had some form of formal education. The Akan ethnic group accounted for as much as 47% of the respondents. The overall prevalence of self-reported oral health problems was 58.5% (95% CI 53.5% – 63.4%). The commonly reported oral health problems were toothache (51.7%), swollen gum (38.5%), difficulty in chewing (33.3%), bleeding gum (32.1%), and mobile teeth (17.1%). About 98% (229/234) of the study participants who self-reported oral health problems, reported up to four different problems. Self-reported oral health problems associated with participants’ age (χ2 = 7.2, p = 0.027), income level (χ2 = 19.3, p < 0.001), ethnicity (χ2 = 21.2, p < 0.001), area of residence (χ2 = 26.9, p < 0.001), religious affiliation (χ2 = 15.7, p < 0.001) and frequency of brushing teeth in a day (χ2 = 6.85, p < 0.032). Despite the observed relationships, Modified Poisson regression identified that compared to the rural dwellers, the urban dwellers had lower odds of self-reporting oral health problems (aOR = 0.718, p = 0.032, CI: 0.531–0.971), after controlling for age and frequency of teeth brushing in a day. Conclusion High rate of self-reported oral health problems was observed in the study site. Participants from rural residence were disproportionately affected. Therefore, local health authorities are encouraged to leverage on the identified risk groups for enhanced oral health education towards reduction in the reported oral health problems.https://doi.org/10.1186/s12903-024-05405-0Bleeding gumDifficulty chewingMobile teethSelf-reported oral health problemsSwollen gumToothache
spellingShingle Joana Kwabena-Adade
Enoch Aninagyei
Joy Ato Nyarko
Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana
BMC Oral Health
Bleeding gum
Difficulty chewing
Mobile teeth
Self-reported oral health problems
Swollen gum
Toothache
title Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana
title_full Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana
title_fullStr Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana
title_full_unstemmed Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana
title_short Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana
title_sort prevalence and associated factors of self reported oral health problems among adults in the fanteakwa districts in ghana
topic Bleeding gum
Difficulty chewing
Mobile teeth
Self-reported oral health problems
Swollen gum
Toothache
url https://doi.org/10.1186/s12903-024-05405-0
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