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Rural Zambian Oral Health Transition: A Long-Term Retrospective Examination of an Outreach Program’s Progress and Impact Cover

Rural Zambian Oral Health Transition: A Long-Term Retrospective Examination of an Outreach Program’s Progress and Impact

Open Access
|Oct 2023

Figures & Tables

Table 1

Cross-tabulation of sex and age categories with year category.*

2007–082009–102011–122013–142018–19TOTAL n**
n%n%n%n%n%
SexMale23737.733839.644738.671049.998958.22721
Female39262.351560.471161.471450.171041.83042
p<0.001
Age category2–5345.4333.9806.914310.01428.4432
6–1110516.715318.022019.140028.047628.01354
12–15426.712915.214912.924317.042024.7983
16–19223.5596.9756.5866.01448.5386
20–3925540.630736.137932.932823.030518.01574
40–5913721.813015.319617.016811.817110.1802
60+335.3404.7534.6604.2402.4226
p<0.001

[i] * Data are presented as frequencies and column percentages.

** All 5,791 subjects had valid data for the year category. A total of 5,763 subjects (99.5%) had valid data for sex, while 28 subjects (0.5%) had missing data. A total of 5,757 subjects (99.4%) had valid data for the age category, while 34 subjects (0.6%) had missing data.

Table 2

Cross-tabulation of pain, untreated caries, and treatment urgency with year category.*

2007–082009–102011–122013–142018–19TOTAL n**
n%n%n%n%n%
PainYes37960.948559.143940.145031.436322.02116
No24339.133640.965759.998168.6128578.03502
p<0.001
Untreated cariesYes45676.552863.366058.560342.556833.92815
No14023.530636.746841.581657.5110666.12836
p<0.001
Treatment urgencyNo obvious problem13222.129435.551445.173451.589052.42564
Early dental care17929.914617.618115.928019.638722.81173
Urgent care/In need of immediate referral28748.038946.944539.041228.942024.71953
p<0.001

[i] * Data are presented as frequencies and column percentages.

** All 5,791 subjects had valid data for the year category. A total of 5,618 subjects (97.0%) had valid data for pain, while 173 subjects (3.0%) had missing data. In addition, 5,651 subjects (97.6%) had valid data for untreated caries, while 140 subjects (2.4%) had missing data. A total of 5,690 subjects (98.3%) had valid data for treatment urgency, while 101 subjects (1.7%) had missing data.

Table 3

Results of the multivariable model with pain as the outcome variable and year category, sex, and age category as the explanatory variables (n = 5562*).

OR (95% CI)p
Year category2007–08**1<0.001
2009–101.37 (1.05–1.79)
2011–120.41 (0.32–0.52)
2013–140.46 (0.36–0.58)
2018–190.31 (0.24–0.39)
SexMale**10.004
Female1.23 (1.07–1.42)
Age category2–5**1<0.001
6–112.19 (1.33–3.61)
12–152.65 (1.60–4.41)
16–196.32 (3.73–10.70)
20–3938.07 (23.60–61.42)
40–5955.95 (34.16–91.65)
60+45.22 (26.07–78.42)

[i] * For this model, data from 96.0% of subjects were included (i.e., 4.0% of subjects had missing data).

** Reference category.

Table 4

Results of the multivariable model with untreated caries as the outcome variable and year category, sex, and age category as the explanatory variables (n = 5597*).

OR (95% CI)p
Year category2007–08**1<0.001
2009–100.63 (0.47–0.83)
2011–120.50 (0.38–0.65)
2013–140.32 (0.25–0.42)
2018–190.25 (0.19–0.32)
SexMale**10.579
Female1.04 (0.91–1.19)
Age category2–5**1<0.001
6–111.99 (1.47–2.70)
12–151.70 (1.23–2.34)
16–192.75 (1.93–3.93)
20–3916.67 (12.31–22.58)
40–5946.93 (32.58–67.60)
60+41.77 (25.23–69.17)

[i] * For this model, data from 96.6% of subjects were included (i.e., 3.4% of subjects had missing data).

** Reference category.

Table 5

Results of the multivariable model with treatment urgency as the outcome variable and year category, sex, and age category as the explanatory variables (n = 5630*).

OR (95% CI)p
Year category2007–08**1<0.001
2009–101.13 (0.90–1.42)
2011–120.64 (0.51–0.79)
2013–140.72 (0.58–0.89)
2018–190.85 (0.69–1.05)
SexMale**10.089
Female1.11 (0.99–1.24)
Age category2–5**1<0.001
6–111.71 (1.29–2.27)
12–152.03 (1.52–2.71)
16–193.67 (2.65–5.07)
20–3930.16 (22.72–40.03)
40–5972.84 (53.12–99.87)
60+96.55 (62.34–149.54)

[i] * For this model, data from 97.2% of subjects were included (i.e., 2.8% of subjects had missing data).

** Reference category.

DOI: https://doi.org/10.5334/aogh.4179 | Journal eISSN: 2214-9996
Language: English
Submitted on: May 13, 2023
Accepted on: Aug 8, 2023
Published on: Oct 9, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 John P. Morgan, Olivia N. Marino, Matthew Finkelman, Carlos Fernando Mourão, Felicitas S. Flubinda, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.