psychosocial effects of halitosis among medical and … · awareness, that he/she has bad breath....
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PSYCHOSOCIAL EFFECTS OF HALITOSIS AMONGMEDICAL AND DENTAL STUDENTS IN
THE UNIVERSITY OF NAIROBI
SILASM. TOKA
V28/2055/07
BOS III, 2010
NOVEMBER 2010
A Community Dentistry Research Project ReportSubmitted in partial fulfillment of the requirements for a
Bachelors Degree in Dental Surgery ofThe University of Nairobi
DEDICATION
To Atieno,
For always seeing the good in me ...
And to my good friend Dan Obara,
For not abandoning me during my darkest hour. ..
IV
s
ACKNOWLEDGEMENT
I wish to acknowledge my supervisors for their guidance, tutoring and mentorship
throughout the course of this busy year. The passion with which you do your work is
admirable.
My deepest regards to my classmates, Andrew Okiriamu, Alex Muoki Muidi and
Jemimah Malinda, for their suggestions and technical support that helped see this
research project to its successful completion.
Lastly, I wish to fondly acknowledge my family members for their love and support. I am
nothing without you.
May the Almighty bestow His blessings on all of you.
v
SUMMARY
Background
Bad breath affects just about everyone at one time or the other and raises no particular
need for attention. However, halitosis, a condition presenting with persistent bad breath,
brings about damaging feelings of lowered self-esteem and a heightened state of self-
COnSCIOUSness.
Main Objective
This study was aimed at establishing the psychosocial effects of halitosis and
pseudohalitosis among medical and dental students in the University of Nairobi.
Study Design
This was a descriptive cross-sectional study.
Study Area
The study was carried out in the University of Nairobi, School of Medicine and School of
Dental Sciences.
Study Participants
A total of 309 students were recruited into the study using the stratified random sampling
method.
Data Collection and Analysis
Data was collected using self-administered questionnaires. Data analysis was done using
the SPSS (Statistical Package for Social Sciences) program, Version 17, and Microsoft
Excel.
Results
A total of 294 respondents (95.2%) felt that halitosis has an effect on one's self
confidence, 92 respondents (29.8%) reported of having avoided conversation at one point
x
or the other because of halitosis, and 97.1% of respondents (300 individuals) felt that
halitosis has an effect on one's social life. 232 of the respondents (75.1%) indicated that
they believed halitosis has an effect on academic endeavors requiring interaction with the
public, while 162 respondents (52.5%) indicated that they believed that halitosis can
make one miss out on an employment opportunity.
A total of 57.6% of the respondents (178 individuals) disagreed with the statement that
halitosis can be the sole cause of ruin to one's life, and 277 individuals (89.7%) indicated
that they felt that cure to halitosis can result in a marked change in the quality of one's
life.
Study Benefits
The findings of this study could be used to formulate health education strategies aimed at
reducing the psychosocial effects of halitosis and pseudohalitosis among medical and
dental students in both the University of Nairobi, and in the general Kenyan population.
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CHAPTER!
1.0 INTRODUCTION AND LITERATURE REVIEW
1.1 INTRODUCTION
Halitosis or fetor ex ore are terms used to describe noticeably unpleasant odors exhaled in
breathing. [I] The smell may either be from an oral source due to bacteria, or from
systemic conditions elsewhere in the body. Such conditions include: fetor hepaticus,
lower respiratory tract infections (bronchial and lung infections), renal infections, renal
failure, carcinoma, trimethylaminuria, diabetes mellitus, and metabolic dysfunction. [2]
Sound epidemiologic data on halitosis is rare. Studies from Britain and Switzerland show
the prevalence of halitosis among the respective populations of those countries as ranging
between 17% and 50%.£3][4] There is little available data on the prevalence of halitosis in
Kenya.
Pseudohalitosis refers to a condition in which one has extreme fear, belief or conscious
awareness, that he/she has bad breath. [5} Studies have shown that about 5% of people,
who are reported as having halitosis, actually have pseudohalitosis. [6]
Halitosis has a significant impact - personally and socially - on those who suffer from it
or believe they do, and is estimated to be the third most frequent reason for seeking
dental aid, following dental caries and periodontal disease. [7]
Halitosis can lead to social embarrassment and even break relationships. It can be a
devastating social disability. People have been denied employment, failed in business
and relegated to low social status because of it. [8] Pseudohalitosis drives many people into
quiet lives of low self-esteem, lost smiles and nearly non-existent expression of oneself. [9][10]
This research sought to establish how much halitosis affects medical and dental students
in the University of Nairobi, and the psychosocial effects experienced by sufferers.
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