Oral health knowledge, attitude, and practice (KAP) of Miswak use among a South African-based Somali population

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Date

2024

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University of the Western Cape

Abstract

Background: Miswak is a traditional chewing stick made from the Salvadora Persica tree, known for its natural antibacterial and anti-inflammatory properties. It has been used for centuries in various cultures as a natural toothbrush. The study aimed to assess the knowledge, attitude, and practice (KAP) of oral health among Somali miswak users and non-users in Cape Town, South Africa, to gain insights into the potential benefits and limitations of this traditional oral hygiene practice. Understanding the KAP of miswak users can provide valuable information for oral health promotion and education initiatives. Material and Method: A cross-sectional study of 202 members of the Somali community in Cape Town was conducted. A self-administered questionnaire to assess oral hygiene practices, dental health, and habits was used to collect data. Data analysis was conducted using descriptive statistics in Microsoft Excel 10 and captured on RedCap. The study was approved by the Biomedical Research Ethics Committee of the University of the Western Cape (BMREC number BM 22/4/12), and participants provided voluntary, anonymous, and signed informed consent. Results: A total of 202 RedCap surveys were initiated, out of which 195 (n = 195) were completed with responses provided for all sections. This corresponds to a response rate of 97.5%. More than half (57%) of participants identified as miswak users, with males using it more than females. Religious reasons were cited by 40% of the sample. Miswak users reported better oral health (65%) and visited dental clinics more frequently than non-users (p = 0.009). However, financial constraints (61.0%) and fear (29.7%) were common reasons for not visiting the dentist among both miswak users and non-users. The study highlighted the potential of traditional oral health practices in promoting oral health, especially in resource-limited settings, but also highlighted the need to address financial barriers to accessing professional dental care. Conclusion: The traditional practice of using miswak can potentially lead to comparable or even superior oral health outcomes when compared to modern toothbrushes and toothpaste. This is particularly relevant for the Somali community in Cape Town. By acknowledging and respecting cultural beliefs and practices, and addressing the obstacles to accessing professional dental care, it is feasible to enhance awareness about oral health, promote effective oral health practices, and ultimately enhance the overall oral health status of underserved populations.

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Keywords

Miswak Chewing sticks Salvadora Persica Oral health knowledge, attitude, and practice (KAP). Oral hygiene

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