The Perspective of Village Health Volunteers towards Diabetes Mellitus and Periodontitis: An Explanatory Model
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Abstract
Objective: Previous studies have described the characteristics and progression of Diabetes Mellitus (DM) and periodontitis. However, these explanations were mainly from the perspective of health personnel, and the perspectives on these diseases among laypeople have not been extensively studied in Thailand. This qualitative study aimed to explore the experiences and meanings of Diabetes and periodontitis through an Explanatory model of Village Health Volunteers (VHVs) in Wangyang Subdistrict, Wangyang, District, Nakhon Phanom.
Materials and Methods: Data were collected through in-depth interviews using the Explanatory model with 5 elements consisting of etiology, time and mode of onset of symptoms, pathophysiology, course of sickness, and treatment. The samples were purposively selected, including 25 VHVs divided into 3 groups: 10 VHVs with DM, 10 VHVs with Periodontitis, and 5 VHVs without either disease. The data collection period was from February 2023 to September 2023.
Results: The results showed that all 3 groups explained DM and periodontitis according to the Explanatory model, summarized into 3 themes: 1) Understanding of DM according to modern medical principles -VHVs explained that DM is a chronic disease caused by genetics and excessive consumption of sweets. Symptoms indicating DM are frequent urination, frequent hunger, and drastic weight loss. 2) Periodontitis is a disease that VHVs are not familiar with -they explained the disease based on their predictions and what they heard people talk about. It is mostly known as “Rummanad”. Most of them do not think they have an oral disease because there is no pain, and they live their lives as usual, without feeling the need for treatment or visiting the dentist regularly. 3) Only some VHVs mentioned the link between DM and periodontitis-for example, VHVs said that DM can cause teeth to loosen and fall out. However, most participants said that both diseases were not related.
Conclusion: In conclusion, most VHVs did not know about periodontitis, and they did not know that periodontitis could affect DM. Therefore, this study suggests further patient-centered interventions to develop knowledge about periodontitis relating to health among VHVs.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
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