Structural and Intermediary Social Determinants of Oral Health Among Egyptian Women

Study Overview
=================
Brief Summary
-----------------
Globally, there is substantial evidence indicating that low household income, lack of education, poor living conditions and inadequate psycho-social social support are potential risk factors for morbidity and premature death. Despite that, worldwide, there is scarcity in evidence on potential social determinants of oral health among different population groups.The study aims To identify the potential social determinants with an influence on oral health status of Egyptian women.

Detailed Description
-----------------
Statement of problem Globally, there is substantial evidence indicating that low household income, lack of education, poor living conditions and inadequate psychosocial social support are potential risk factors for morbidity and premature death. Despite that, worldwide, there is scarcity in evidence on potential social determinants of oral health among different population groups. Aim of study To identify the potential social determinants with an influence on oral health status of Egyptian women. Materials and methods A total of 300 Egyptian women in childbearing age (18-49 years) will be recruited from 4 Primary healthcare units in Qalyubia governorate in Egypt. Four trained investigators will conduct a face-to face interview with study participants to gather data on potential structural and intermediary social determinants of health using a questionnaire. The questionnaire is based upon The Commission on Social Determinants of Health (CSDH) conceptual framework which was set up by the World Health Organization in 2005. This tool includes questions on socioeconomic position, material factors and living conditions, psychosocial factors and behavioral factors. Caries experience and gingival health of participants will be determined using DMFT, DMFS and CPITN indices respectively.

Official Title
-----------------
Exploring the Structural and Intermediary Social Determinants of Oral Health Among Egyptian Women: A Cross-Sectional Study

Conditions
-----------------
Oral Health

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Egyptian women in child bearing age (18-49 years) attending one of the governmental primary healthcare units. Exclusion Criteria: Women who recently moved from one place of residence to another. Women attending the dental clinic at one of the primary health units selected for the survey. Pregnant Women. Completely Edentulous Women. Women with mental or psychological issues.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 49 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------
What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Social determinants | Questionnaire Likert scale 1 - 5 | 11 months from enrollment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Caries Experience | Decayed, Missed, Filled caries index: 0 - 32 | 11 months from enrollment | 
| Gingival/periodontal health | Modified Community Periodontal Index: 0 - 4 | 11 months from enrollment | 
| Esthetics | Number of unfilled upper spaces | 11 months from enrollment | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Social determinants, Oral health, Women, Egypt