Oral health status of children and adults in urban and rural areas of Burkina Faso, Africa

TY - JOUR

T1 - Oral health status of children and adults in urban and rural areas of Burkina Faso, Africa

AU - Varenne, Benoît

AU - Petersen, Poul Erik

AU - Ouattara, Seydou

PY - 2004/4

Y1 - 2004/4

N2 - OBJECTIVES: To analyse the oral health status of children and adults in rural and urban areas of Burkina Faso; to provide epidemiological data for planning and evaluation of oral health care programmes.DESIGN: Cross-sectional survey including different ethnic and socio-economic groups.SAMPLE AND METHODS: Multistage cluster sampling of households in urban areas and random samples of participants selected based on the recent population census in rural areas. The final study population covered four age groups: 6 years (n = 424), 12 years (n = 505), 18 years (n = 492) and 35-44 years (n = 493). Clinical oral health data collected according to WHO methodology and criteria.RESULTS: At age 6, 38% of children had caries, with prevalence higher in urban than rural areas. At age 12, the mean DMFT was 0.7 with prevalence significantly higher among urban than rural children. Mean DMFT was 1.9 in 18-year-olds and 6.3 in 35-44-year-olds and figures were higher for women than men. In adults, no differences in caries experience were found by location whereas the caries index was significantly affected by ethnic group and occupation. CPI score 2 (gingivitis and calculus) was dominant for all ages: 6 years (58%), 12 years (57%), 18 years (58%), 35-44 years (49%). In addition, 10% of 35-44-year-olds had CPI score 4. Rural participants had more severe periodontal scores than did urban individuals.CONCLUSIONS: Health authorities should strengthen the implementation of community-based oral disease prevention and health promotion programmes rather than traditional curative care.

AB - OBJECTIVES: To analyse the oral health status of children and adults in rural and urban areas of Burkina Faso; to provide epidemiological data for planning and evaluation of oral health care programmes.DESIGN: Cross-sectional survey including different ethnic and socio-economic groups.SAMPLE AND METHODS: Multistage cluster sampling of households in urban areas and random samples of participants selected based on the recent population census in rural areas. The final study population covered four age groups: 6 years (n = 424), 12 years (n = 505), 18 years (n = 492) and 35-44 years (n = 493). Clinical oral health data collected according to WHO methodology and criteria.RESULTS: At age 6, 38% of children had caries, with prevalence higher in urban than rural areas. At age 12, the mean DMFT was 0.7 with prevalence significantly higher among urban than rural children. Mean DMFT was 1.9 in 18-year-olds and 6.3 in 35-44-year-olds and figures were higher for women than men. In adults, no differences in caries experience were found by location whereas the caries index was significantly affected by ethnic group and occupation. CPI score 2 (gingivitis and calculus) was dominant for all ages: 6 years (58%), 12 years (57%), 18 years (58%), 35-44 years (49%). In addition, 10% of 35-44-year-olds had CPI score 4. Rural participants had more severe periodontal scores than did urban individuals.CONCLUSIONS: Health authorities should strengthen the implementation of community-based oral disease prevention and health promotion programmes rather than traditional curative care.

KW - Adolescent

KW - Adult

KW - Age Factors

KW - Burkina Faso

KW - Child

KW - Cross-Sectional Studies

KW - DMF Index

KW - Dental Calculus

KW - Dental Caries

KW - Ethnic Groups

KW - Female

KW - Gingivitis

KW - Humans

KW - Male

KW - Occupations

KW - Periodontal Diseases

KW - Periodontal Index

KW - Rural Health

KW - Sex Factors

KW - Social Class

KW - Urban Health

M3 - Journal article

C2 - 15119798

SN - 0020-6539

VL - 54

SP - 83

EP - 89

JO - International Dental Journal

JF - International Dental Journal

IS - 2

ER -