Abstract
The situation of insecurity resulting from precariousness raises concerns about the oral health of the victims. The objective of this study was to compare the dental status and the modalities of the use of oral care of people in situations to those of non-precarious. A cross-sectional survey was conducted among 256 users of the dental office of the University Hospital of Treichville, in situation or not. Subjects in situations were identified using a tracking tool to take into account the context of the intervention. The respondents were interviewed using a standardized questionnaire. The data collected made it possible to calculate percentages and comparisons of the modalities of oral health care use between and precarious using the Chi2 test. Subjects in situations had more recourse to self-medication (84.6%) at first intention than subjects who were not (p=0,011). Renunciation of oral health care was more common in the group than in the non- precarious group (p=0,004). The number of missing teeth among people in situations was twice as high as among precarious subjects. On the other hand, the number of filled teeth (O) was 3 times higher in precarious subjects than in subjects. The results of this study show the need for awareness raising and the implementation of a social protection system guaranteeing greater accessibility to care for people in situations and even for the population as a whole.
Highlights
Precariousness refers to the absence of one or more securities enabling individuals and families to assume their basic responsibilities and enjoy their fundamental rights [1]
The comparative study of the dental situation and the modalities of the use of oral care between people in precarious situations and those who were not precarious, made it possible to tackle a major problem of public health, in particular that of access to care for vulnerable people
This study showed that people in precarious situations had difficulty accessing oral health care and poor dental health
Summary
Precariousness refers to the absence of one or more securities enabling individuals and families to assume their basic responsibilities and enjoy their fundamental rights [1]. This is a multifactorial phenomenon, a little known transitional situation because it is often confused with poverty. It is a source of insecurity, uncertainty and social instability leading to the fragility of the people who are victims. Cohen in a study in the United States showed that disadvantaged people have limited access to dental care and even when they
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