Deciduous Teeth Extraction Practice and Associated Factors Among Under Five‐Years‐Old Children in the Gambella Region, South West, Ethiopia: A Mixed Study
ABSTRACT Background and Aims Deciduous teeth extraction (DTE) is a harmful traditional practice often performed by traditional healers. This practice can lead to both acute and chronic complications that significantly impact children's health. Despite national strategies and initiatives, DTE re...
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Wiley
2024-12-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.70266 |
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| author | Takele Shilu Demewoz Gizachew Worku Dagnew Zemenu Shiferaw Yadita |
| author_facet | Takele Shilu Demewoz Gizachew Worku Dagnew Zemenu Shiferaw Yadita |
| author_sort | Takele Shilu Demewoz |
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| description | ABSTRACT Background and Aims Deciduous teeth extraction (DTE) is a harmful traditional practice often performed by traditional healers. This practice can lead to both acute and chronic complications that significantly impact children's health. Despite national strategies and initiatives, DTE remains prevalent in Ethiopia, especially in the Gambella region. However, there is limited information on its prevalence and determinants in this area. Method Both qualitative and quantitative studies were conducted. A community‐based cross‐sectional study involved 803 mothers with children under five in the Gambella region. Multistage simple random sampling was employed, and data were collected using a pretested structured questionnaire and in‐depth interviews. Data entry was performed using Epi Data version 4.6, and the analysis was conducted in SPSS version 25. Both bivariable and multivariable binary logistic regression analyses were used to identify factors associated with deciduous tooth extraction (DTE). Odds ratios were calculated with a 95% confidence interval, and a p‐value of less than 0.05 was used to determine statistical significance. Result The prevalence of Deciduous teeth extraction practice among < 5 years was 48.3% (95% CI: 0.44–0.51). Mothers lack of awareness (AOR = 2.08; 95 CI:1.21–3.58), mothers lack of information on scientific solutions of teething symptoms (AOR = 2.08; 95% CI: 1.21–3.60), mother's positive attitude towards milk tooth extraction (AOR = 10.06; 95%CI: 6.36–15.91), being ill during teething eruption (AOR = 8.70; 95% CI: 5.56–13.62) and Community DTE tradition (AOR = 2.06; 95% CI: 1.34–3.15) were significantly associated. The qualitative findings also found that culture, misconception about DTE, peer and social pressure as factors. Conclusions Deciduous teeth extraction practice in the Gambella region poses a significant public health concern. Lack of awareness regarding the consequences and scientific solutions for teething symptoms, mothers' attitudes, illness perceptions during teething, and community traditions were identified factors. Hence, comprehensive awareness campaigns involving all stakeholders should be emphasized. Health care providers should play a crucial role to educate both mothers and traditional healers. |
| format | Article |
| id | doaj-art-c18fb63a89764324b393444652f1833b |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-c18fb63a89764324b393444652f1833b2024-12-30T08:46:34ZengWileyHealth Science Reports2398-88352024-12-01712n/an/a10.1002/hsr2.70266Deciduous Teeth Extraction Practice and Associated Factors Among Under Five‐Years‐Old Children in the Gambella Region, South West, Ethiopia: A Mixed StudyTakele Shilu Demewoz0Gizachew Worku Dagnew1Zemenu Shiferaw Yadita2Abobo District Health Office, Gambella Regional State Health Bureau South West EthiopiaDepartment of Reproductive Health and Population studies, School of Public Health, College of Medicine and Health Science Bahir Dar University Bahir Dar EthiopiaDepartment of Reproductive Health and Population studies, School of Public Health, College of Medicine and Health Science Bahir Dar University Bahir Dar EthiopiaABSTRACT Background and Aims Deciduous teeth extraction (DTE) is a harmful traditional practice often performed by traditional healers. This practice can lead to both acute and chronic complications that significantly impact children's health. Despite national strategies and initiatives, DTE remains prevalent in Ethiopia, especially in the Gambella region. However, there is limited information on its prevalence and determinants in this area. Method Both qualitative and quantitative studies were conducted. A community‐based cross‐sectional study involved 803 mothers with children under five in the Gambella region. Multistage simple random sampling was employed, and data were collected using a pretested structured questionnaire and in‐depth interviews. Data entry was performed using Epi Data version 4.6, and the analysis was conducted in SPSS version 25. Both bivariable and multivariable binary logistic regression analyses were used to identify factors associated with deciduous tooth extraction (DTE). Odds ratios were calculated with a 95% confidence interval, and a p‐value of less than 0.05 was used to determine statistical significance. Result The prevalence of Deciduous teeth extraction practice among < 5 years was 48.3% (95% CI: 0.44–0.51). Mothers lack of awareness (AOR = 2.08; 95 CI:1.21–3.58), mothers lack of information on scientific solutions of teething symptoms (AOR = 2.08; 95% CI: 1.21–3.60), mother's positive attitude towards milk tooth extraction (AOR = 10.06; 95%CI: 6.36–15.91), being ill during teething eruption (AOR = 8.70; 95% CI: 5.56–13.62) and Community DTE tradition (AOR = 2.06; 95% CI: 1.34–3.15) were significantly associated. The qualitative findings also found that culture, misconception about DTE, peer and social pressure as factors. Conclusions Deciduous teeth extraction practice in the Gambella region poses a significant public health concern. Lack of awareness regarding the consequences and scientific solutions for teething symptoms, mothers' attitudes, illness perceptions during teething, and community traditions were identified factors. Hence, comprehensive awareness campaigns involving all stakeholders should be emphasized. Health care providers should play a crucial role to educate both mothers and traditional healers.https://doi.org/10.1002/hsr2.70266deciduous teeth extractionEthiopiagambellaunder five children |
| spellingShingle | Takele Shilu Demewoz Gizachew Worku Dagnew Zemenu Shiferaw Yadita Deciduous Teeth Extraction Practice and Associated Factors Among Under Five‐Years‐Old Children in the Gambella Region, South West, Ethiopia: A Mixed Study Health Science Reports deciduous teeth extraction Ethiopia gambella under five children |
| title | Deciduous Teeth Extraction Practice and Associated Factors Among Under Five‐Years‐Old Children in the Gambella Region, South West, Ethiopia: A Mixed Study |
| title_full | Deciduous Teeth Extraction Practice and Associated Factors Among Under Five‐Years‐Old Children in the Gambella Region, South West, Ethiopia: A Mixed Study |
| title_fullStr | Deciduous Teeth Extraction Practice and Associated Factors Among Under Five‐Years‐Old Children in the Gambella Region, South West, Ethiopia: A Mixed Study |
| title_full_unstemmed | Deciduous Teeth Extraction Practice and Associated Factors Among Under Five‐Years‐Old Children in the Gambella Region, South West, Ethiopia: A Mixed Study |
| title_short | Deciduous Teeth Extraction Practice and Associated Factors Among Under Five‐Years‐Old Children in the Gambella Region, South West, Ethiopia: A Mixed Study |
| title_sort | deciduous teeth extraction practice and associated factors among under five years old children in the gambella region south west ethiopia a mixed study |
| topic | deciduous teeth extraction Ethiopia gambella under five children |
| url | https://doi.org/10.1002/hsr2.70266 |
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