HomeInternational Journal of Multidisciplinary: Applied Business and Education Researchvol. 4 no. 12 (2023)

Exploring Socio-Economics and Its Role in the Oral Health Care of Patients in A Philippine Government Hospital

Carmi Angeline Alas | Emilio Paul Candelaria | Jocelyn Canlas | Jaya Grace Patacsil | Bernandino P. Malang

 

Abstract:

Despite the availability of dental services and educational programs, as well as, established national health system responses, and oral health interventions and procedures, oral health problems (dental caries, gum diseases and unmet dental needs) persist in the Philippines. The aim of this study was to investigate the socioeconomic factors in terms of sex, age, marital status, educational attainment, occupation, and monthly income and their effect on the oral health awareness in terms of benefit and practices. A total of 100 patients from a selected government hospital were surveyed. The respondents were asked to answer a standardized questionnaire about their socioeconomic status, awareness on the benefits of oral health care, and awareness on the practices for oral health care. Chi-Square Test for Independence was used to identify which demographic and socioeconomic indicators determined the level of awareness of the respondents on the benefits of and practices for good oral health. The Chi-Square Test showed that only sex had a significant relationship with the awareness on the benefits of good oral health (p-value = 0.05). All the other indicators had insignificant effects; Age group (p-value = 0.435), Civil Status (p-value = 0.443), Education (p-value = 0.244), Employment status (p-value = 0.722), Income (p-value = 0.986). For the awareness on good oral practice, both sex and civil status showed a significant relationship (p-values 0.028 and 0.01). For the other indicators, null hypothesis was accepted; Age group (p-value = 0.61), education (p-value = 0.914), employment status (p-value = 0.334), income (p-value = 0.64). The results of this study are in line with the Andersen Healthcare Utilization Model, which holds that people's use of healthcare services is influenced by several predisposing, enabling, and need-related factors. The knowledge of, and observance of, good oral health is essential in determining the need for oral healthcare. Moreover, a variety of socioeconomic and personal factors (enabling and predisposing) are crucial in facilitating or impeding people's ability to access and make use of oral healthcare services. Addressing these issues and promoting education and knowledge about the value of excellent oral health practices are crucial for good oral health.



References:

  1. Andersen, R. M. (1995). Revisiting the Behav-ioral Model and Access to Medical Care: Does it Matter? Journal of Health and So-cial Behavior, 36(1), 1–10.
  2. Cigu, A. T., & Cigu, E. (2022, October 14). Ex-ploring Dental Health and Its Economic Determinants in Romanian Regions. Healthcare. Retrieved September 22, 2023.
  3. Dotado-Maderazo, J. U., & Beloso-delos Reyes, J. J. V. (2014). Knowledge, Attitude and Practices on Oral Health of Public School Children of Batangas City. Asia Pacific Journal of Multidisciplinary Research, 2(4).
  4. Fiorillo, L. (2019, October). Oral Health: The First Step of Well-Being. Editorial Medic-ina Global oral health status report: to-wards universal health coverage for oral health by 2030. Geneva: World Health Organization; 2022
  5. Jain, N., Dutt, U., Radenkov, I., & Jain, S. (2023). who’s Global Oral Health Status Report 2022: Actions, discussion and implemen-tation. Oral Diseases. https://doi.org/10.1111/odi.14516
  6. Jiyan Aslan Ceylan, Yusuf Aslan & Ayse Ozfer Ozcelic (2022, April 11). The effects of socioeconomic status, oral and dental health practices, and nutritional status on dental health in 12-year-old schoolchil-dren. Egyptian Pediatric Association Ga-zette
  7. Kassebaum, N. J., Smith, A. G. C., Bernabé, E., Fleming, T. D., Reynolds, A. E., Vos, T., Murray, C. J. L., Marcenes, W., & GBD 2015 Oral Health Collaborators (2017). Global, Regional, and National Preva-lence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990-2015: A Systematic Analysis for the Global Burden of Diseas-es, Injuries, and Risk Factors. Journal of dental research, 96(4), 380–387. https://doi.org/10.1177/0022034517693566
  8. Lieberman S. S et al (2004, August). Health Decentralization in East Asia: Some Les-sons from Indonesia, the Philippines and Vietnam. Discussion Paper University of the Philippines, School of Economics
  9. Luczon, N. (2022, February 3) Tooth decay, gum diseases still prevalent in 87% of Pi-noys: DOH. pna.gov.ph/articles/1167016.
  10. Mendoza, M. A. F. et al. (2020, December). Ex-amining the Oral Health of Filipinos: Poli-cy Analysis. University of the Philippines-Manila
  11. National Policy on Oral Health, Department of Health Administrative Order 101, s. 2003
  12. National Survey on Oral Health (NSOH) in the Philippines, Final Report, January 2019
  13. Oberoi, S.S.; Sharma, G.; Oberoi A. A cross-sectional survey to assess the effect of so-cio-economic status on the oral hygiene habits. Indian Society of Periodontology. September 2016.
  14. Park, JB.; Han, K.; Park, YG; and Ko, Y. Associa-tion between socio-economic status and oral health behaviors: The 2008-2010 Korea national health and nutrition ex-amination survey. Experimental and Therapeutic Medicine 12: 2657-2664; 2016
  15. Paula, J.S.; Ambrosano, G.M,; Mialhe, F.L. The impact of social determinants on school-children's oral health in Brazil. Braz Oral Res. 2015;29:1-9. doi:10.1590/1807-3107BOR-2015.vol29.0098. pub 2015 Aug 21. PMID:26313351.
  16. Republic Act No. 11223 (2018, July23) An Act Instituting Universal Health Care For All Filipinos, Prescribing Reforms in the Health Care System, And Appropriating Funds Therefor
  17. Sheiham, S.; Watt, R.G. Inequalities in oral health. In: Gordon D, Shaw M, Dorling D, Smith GD, editors. Inequalities in Health. Bristol: The Policy Press, University of Bristol; 1999. pp. 240–9.
  18. Singh, A.; Rouxel, P.; Watt, R.G.; Tsakos, G. So-cial inequalities in clustering of oral health related behaviors in a national sample of British adults. Prev Med. 2013 Aug;57(2):102-6. doi: 10.1016/jypmed.2013.04.018. Epub 2013 May 3. PMID: 23648523.
  19. Steele, J. et al (2014, October). The Interplay between Socioeconomic Inequalities and Clinical Oral Health. Journal of Dental Re-search
  20. Talle, S. M. G. (2020, February 4). Oral Health Promotion: A Yes to a Healthier Nation. National Nutrition Council. Retrieved September 22, 2023