The impact of dental neglect on oral health: a population based study in Hong Kong

Int Dent J. 2007 Feb;57(1):3-8. doi: 10.1111/j.1875-595x.2007.tb00111.x.

Abstract

Objective: The aim of this study was to assess dental neglect (DN) among Hong Kong citizens, to identify socio-demographic variations in DN and to determine the association between DN and oral health (self-reported).

Design: Cross sectional population based study involving a random sample of 800 Hong Kong Chinese adults.

Method: Telephone interview incorporating the dental neglect scale, assessment of self-reported oral health including an oral health related quality of life measure.

Results: The response rate was 70% (556/800). Mean dental neglect score of the population was 14.81 (S.D. 3.62) [possible range 6 to 30]. Most commonly, people were neglectful of using professional dental health care. Socio-demographic disparities in DN were apparent, in relation to age (P < 0.05), income (P < 0.05) and educational attainment (P < 0.05). DN was associated with self-reported oral health: denture status (P < 0.05), number of teeth possessed (P < 0.05) and oral health related quality of life (P < 0.05).

Conclusion: Dental neglect is widespread in Hong Kong, particularly neglect of professional dental care. Socio-demographic disparities in dental neglect were apparent. Dental neglect is associated with self-reported oral health status including how oral health impacts on life quality. These findings have implications in understanding the impact of dental neglect.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Dental Care / psychology*
  • Dental Care / statistics & numerical data
  • Epidemiologic Methods
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Status*
  • Hong Kong
  • Humans
  • Male
  • Middle Aged
  • Oral Health*
  • Quality of Life / psychology
  • Socioeconomic Factors