“Owoero”: a health education tool to dispel teething myths and misconceptions – a report

Research findings in Nigeria have revealed that misconceptions about teething is common in the society, particularly among individuals from the lower social class. This prompted the development of a twenty four minute video in a local Nigerian language (Yoruba) titled “Owoero” (meaning “ease”) . The video conveys a general message on ease of eruption of teeth in children; void of the long list of perceived symptoms. Videos are powerful communication vehicles and important health education tools. They have been used in many countries and previous researches have shown that videotapes are useful aids in health education This present video is to serve as a culturally appropriate community dental health education tool, with special focus on nursing mothers and pregnant women particularly in south western Nigeria because of their essential role in oral health care of children. The video also targets people from the lower socioeconomic class due to their poor knowledge and practice of oral health .This article describes the rationale behind the choice of a culturally appropriate heath educational video and the process and steps that went into the finished work.Keywords: teething , child , video oral health education.Running Title: A health education video on teethin

Factors associated with financial security, food security and quality of daily lives of residents in Nigeria during the first wave of the COVID-19 pandemic

An online survey was conducted to identify factors associated with financial insecurity, food insecurity and poor quality of daily lives of adults in Nigeria during the first wave of the COVID-19 pandemic. The associations between the outcome (experience of financial loss, changes in food intake and impact of the pandemic on daily lives) and the explanatory (age, sex, education level, anxiety, depression, HIV status) variables were determined using logistic regression analysis. Of the 4439 respondents, 2487 (56.0%) were financially insecure, 907 (20.4%) decreased food intake and 4029 (90.8%) had their daily life negatively impacted. Males (AOR:0.84), people who felt depressed (AOR:0.62) and people living with HIV -PLHIV- (AOR:0.70) had significantly lower odds of financial insecurity. Older respondents (AOR:1.01) had significantly higher odds of financial insecurity. Those depressed (AOR:0.62) and PLHIV (AOR:0.55) had significantly lower odds of reporting decreased food intake. Respondents who felt anxious (AOR:0.07), depressed (AOR: 0.48) and who were PLHIV (AOR:0.68) had significantly lower odds of reporting a negative impact of the pandemic on their daily lives. We concluded the study findings may reflect a complex relationship between financial insecurity, food insecurity, poor quality of life, mental health, and socioeconomic status of adults living in Nigeria during the COVID-19 pandemic

Factors associated with COVID-19 pandemic induced post-traumatic stress symptoms among adults living with and without HIV in Nigeria: a cross-sectional study

Background: Nigeria is a country with high risk for traumatic incidences, now aggravated by the COVID-19 pandemic. This study aimed to identify differences in COVID-19 related post-traumatic stress symptoms (PTSS) among people living and not living with HIV; to assess whether PTSS were associated with COVID-19 pandemic-related anger, loneliness, social isolation, and social support; and to determine the association between PTSS and use of COVID-19 prevention strategies.Methods: The data of the 3761 respondents for this analysis was extracted from a cross-sectional online survey that collected information about mental health and wellness from a convenience sample of adults, 18 years and above, in Nigeria from July to December 2020. Information was collected on the study's dependent variable (PTSS), independent variables (self-reported COVID-19, HIV status, use of COVID-19 prevention strategies, perception of social isolation, access to emotional support, feelings of anger and loneliness), and potential confounder (age, sex at birth, employment status). A binary logistic regression model tested the associations between independent and dependent variables.Results: Nearly half (47.5%) of the respondents had PTSS. People who had symptoms but were not tested (AOR = 2.20), felt socially isolated (AOR = 1.16), angry (AOR = 2.64), or lonely (AOR = 2.19) had significantly greater odds of reporting PTSS (p p Conclusion: The present study identified some multifaceted relationships between post-traumatic stress, HIV status, facemask use, anger, loneliness, social isolation, and access to emotional support during this protracted COVID-19 pandemic. These findings have implications for the future health of those affected, particularly for individuals living in Nigeria. Public health education should be incorporated in programs targeting prevention and prompt diagnosis and treatment for post-traumatic stress disorder at the community level.</p

Satisfaction with dental condition and oral health–related quality of life of school-age children with dental pain in Ibadan, Nigeria

Objectives: The aim of the study was to determine the association between oral health–related quality-of-life domains and satisfaction with dental condition of school-age children with dental pain in Ibadan, Nigeria. Methods: This cross-sectional study was conducted among 1006 pupils aged 9–12 years who attended 18 randomly selected primary schools in Ibadan, Nigeria. An interviewer-administered questionnaire, Child Oral Impact on Daily Performances inventory in addition to oral examination was used to obtain data. Analysis was done with SPSS 23 and STATA 14 and p -value set at <0.05. Results: The prevalence of self-reported dental pain was 10.2%. The mean Child Oral Impact on Daily Performances inventory score was 2.6(±7.2) overall and 9.8(±12.4) for pupils with pain. There was a greater impact on oral health–related quality of life of respondents who reported dental pain than in others (mean rank = 749.54 vs 475.4, U = 21,162, p  < 0.001) compared to those with clinically assessed pain (mean rank = 541.21 vs 502.97, U = 6416, p  = 0.489). Those who reported dental pain were more dissatisfied with their dental condition (odds ratio = 7.7, 95% confidence interval = 5.0–12.0, p  < 0.001) compared to those with clinically assessed dental pain (odds ratio = 1.3, 95% confidence interval = 0.4–4.9, p  = 0.687). The direct effect of pain on satisfaction with dental condition and Child Oral Impact on Daily Performances inventory was β = 0.74 (standard error = 0.12, 95% confidence interval = 0.50–0.97, p  < 0.001) and β = 0.53 (standard error = 0.05, 95% confidence interval = 0.44–0.63, p  < 0.001), respectively. The indirect effect was β = 0.12 (standard error = 0.039, 95% confidence interval = 0.05–0.20, p  = 0.001) and the total effect was β = 0.86 (standard error = 0.11, 95% confidence interval = 0.64–1.08, p  < 0.001); R 2  = 0.21. Conclusion: Self-reported dental pain significantly impacted the quality of life of the pupils to cause dissatisfaction with dental condition when compared to clinically assessed pain

Oral Health Impact Profile (OHIP-14) and its association with dental treatment needs of adolescents in a rural Nigerian community

validate and determine the applicability of OHIP-14 in assessing the impact of unmet dental treatment needs on the quality of life of adolescents in a rural community. Methods: The OHIP-14 questionnaire and the Aesthetic component (AC) of Index of Orthodontic Treatment Need (IOTN) were data collection instruments in a cross sectional survey among students in a rural community. The reliability and validity of the OHIP-14 as well as the association between it and dental treatment needs including malocclusion was assessed. Data obtained was analyzed using Mann Whitney U Test. Results: The mean age of participants was 14.9 (±1.6) years. The OHIP-14 had acceptable Cronbach alpha value of 0.8. It could discriminate between respondents with or without dental treatment needs due to caries and dental trauma (p <0.001). The OHIP-14 did not differentiate between respondents with or without orthodontic treatment need (p= 0.808). However, significant association existed between being irritable with people and unmet orthodontic treatment needs (p= 0.032). Conclusion: The OHIP-14 is a valid and reliable quality of life assessment tool in young adolescents in this rural community. However, only the social disability domain componente discriminated significantly between those with or without orthodontic treatment needs

Dental implant as an option for tooth replacement: The awareness of patients at a tertiary hospital in a developing country

Aim: A survey was set out to evaluate the knowledge of patients about tooth replacement as a whole, and assess their awareness of implant-retained prosthesis as an option of tooth replacement. Materials and Methods: Information on sociodemographic characteristics, knowledge about implant-retained tooth as an option for missing tooth replacement, cost implication, source of information and knowledge about other options of tooth replacement were obtained from patients attending the dental clinics of the University College Hospital, Ibadan, using structured self-administered questionnaires. Data were analyzed using SPSS version 20. Result: A total of 220 patients aged 18-84 years with a mean age of 37.6 (±16.5) years participated in the study, with a male to female ratio of 1:1.1. The majority (92.5%) knew that missing teeth can be replaced, while a significantly lower proportion (28.9%) knew about dental implants as an option (P < 0.01). Dentists were the major source of information on dental implants (68%). Only 21 (36.8%) of those who had heard about dental implant had knowledge about the cost (P < 0.000). Conclusion: A low level of awareness about dental implant as tooth replacement option exist in this environment, although most of the study participants were aware that missing teeth can be replaced

Developmental defects of the enamel and its impact on the oral health quality of life of children resident in Southwest Nigeria

Abstract Background Developmental defects of the enamel (DDE) increase the risk for diseases that impact negatively on the quality of life. The objective of this study was to compare the oral health quality of life of children with molar-incisor-hypomineralisation (MIH) and enamel hypoplasia; and assess if caries worsened the impact of these lesions on the quality of life. Methods This study recruited 853 6 to 16-years-old school children. They filled the Child-OIDP questionnaire. The MIH, enamel hypoplasia, caries and oral hygiene status was assessed. Poisson regression was used to determine the impact of MIH and enamel hypoplasia on the oral health quality of life, after adjusting for the effect of sex, age, socioeconomic class, oral hygiene and caries status. Results The prevalence of MIH and enamel hypoplasia was 2.9% and 7.6% respectively. There was no significant difference in the mean child-OIDP scores of children with or without MIH (p = 0.57), children with or without enamel hypoplasia (p = 0.48), and children with enamel hypoplasia with and without caries (p = 0.30). Children with enamel hypoplasia and caries had worse outcomes for speaking (p = 0.01). Children with middle (AOR: 2.74; 95% CI: 1.60–4.67; P < 0.01) and low (AOR: 1.75; 95% CI: 1.04–2.95; p = 0.03) socioeconomic status, and those with caries (AOR: 2.02; 95% CI: 1.26–3.22; p = 0.03) had their oral health quality of life negatively impacted. Conclusion MIH and enamel hypoplasia had no significant impact on the overall oral health quality of life of children resident in southwestern Nigeria. However, children with caries and those from middle and low socioeconomic classes had poorer oral health quality of life

Socio-economic factors associated with post-traumatic stress symptoms among adolescents and young people during the first wave of the COVID-19 pandemic

Abstract This study assessed the association between sociodemographic factors and post-traumatic stress symptoms (PTSS) among 18–24-year-olds during the first wave of the COVID-19 pandemic. This was a secondary analysis of data from 4508 individuals collected through an online survey conducted between June and January 2021. PTSS was measured as a dependent variable using the checklist for post-traumatic stress disorder in civilians. Age, birth sex, sexual, level of education, access to emotional and social support, and emotional distress were the independent variables. A multivariate logistic regression analysis was conducted to determine the associations between the dependent and independent variables while controlling for the country related confounding variables. Females (AOR:2.023), sexual minority individuals (AOR:1.868), those who did not disclose their sexual identify (AOR:1.476), those with poor access to emotional and social support (AOR:4.699) and individuals with no formal education (AOR:13.908), and only primary level education (AOR:4.521) had higher odds of PTSS. The study highlights the multifaceted nature of PTSS during the pandemic and suggests the importance of promoting access of young people, especially females, sexual minority individuals and those with low educational status, to emotional/social support to mitigate the probability of PTSS, especially among sexual minority individuals