title: Dental care access among individuals with Down syndrome: a Malaysian scenario.
abstract: OBJECTIVE
  The purpose of this cross-sectional study was to assess the legal representatives' perceptions on dental care access of individuals with Down syndrome (DS) compared to their non-DS siblings in Peninsular Malaysia.
  
  
  METHODS
  This cross-sectional study was conducted throughout community-based rehabilitation centers (CBRC) and the Down Syndrome Organization. Legal representatives of individuals with DS within the criteria were given a structured and validated questionaire.
  
  
  RESULTS
  This study demonstrated that individuals with DS (76.9%) significantly utilized more health services than non-DS siblings (23.1%). The service most regularly used was speech therapy followed by opthalmology and dental services. Twenty-five per cent of respondents reported difficulty in finding dental care services for their DS child and 46.9% admitted that healthcare for their DS child took more time. The majority of DS individuals received less complex dental treatment and none received any orthodontic treatment, despite their severe occlusal problems.
  
  
  CONCLUSIONS
  A high proportion of parents appear to be able to access dental and medical care for their DS child. However, some parents perceived difficulty in finding oral healthcare.
authors.affiliation: Ministry of Health , Kuala Terengganu , Malaysia.
authors.forename: Farah Salwa
authors.initials: FS
authors.lastname: Abdul Rahim
authors.forename: Alizae Marny
authors.initials: AM
authors.lastname: Mohamed
authors.forename: Murshida
authors.initials: M
authors.lastname: Marizan Nor
authors.forename: Roslan
authors.initials: R
authors.lastname: Saub
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003729:Dental Care / Q000706:statistics & numerical data; D004314:Down Syndrome / Q000150:complications*; D004522:Educational Status; D005128:Eye Diseases / Q000628:therapy; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007182:Income; D008296:Malaysia; D008297:Male; D008875:Middle Aged; D009971:Orthodontics, Corrective / Q000706:statistics & numerical data; D010290:Parents; D013070:Speech Therapy / Q000706:statistics & numerical data; D013997:Time Factors
keywords: Down syndrome; Malaysia; dental care access; health services