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Sharma RK, Patel S, Ye W, Rohde SL. Association of social vulnerability on survival, treatment, and presentation in oral cavity cancer. Head Neck 2023; 45:2185-2197. [PMID: 37415555 DOI: 10.1002/hed.27447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/14/2023] [Accepted: 06/22/2023] [Indexed: 07/08/2023] Open
Abstract
OBJECTIVE This study utilized a population database to investigate how social environments are associated with outcomes including stage at diagnosis, multimodal treatment, and disease-specific survival for oral cavity squamous cell carcinomas. METHODS Retrospective analysis of adults with oral cavity squamous cell carcinoma between 2007 and 2016 from the Surveillance, Epidemiology, End Results (SEER) registry was performed. The CDC's social vulnerability index (SVI) was used to characterize social vulnerability at the county level. Predictors of disease-specific survival, stage at diagnosis, and use of multimodal therapy were identified using Cox regression and logistic regression. RESULTS Our analysis included 17 043 patients. On adjusted models, patients in the highest SVI quartile (most social vulnerability) exhibited worse disease-specific survival compared to the lowest quartile (HR 1.24, 95% CI 1.12-1.37, p < 0.001), and were more likely to be diagnosed at later stages (OR 1.24, 95% CI 1.11-1.38, p < 0.001) and less likely to receive multimodal therapy (OR 0.84, 95% CI 0.77-0.99, p = 0.037). CONCLUSION High social vulnerability was associated with worse disease-specific survival and disease presentation in oral cavity cancer patients.
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Affiliation(s)
- Rahul K Sharma
- Department of Otolaryngology - Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Siddharth Patel
- Department of Otolaryngology - Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
- Meharry Medical College, Nashville, Tennessee, USA
| | - Wenda Ye
- Department of Otolaryngology - Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Sarah L Rohde
- Department of Otolaryngology - Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
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Liu Y, Adeniran E, Wang K. Changes in Prevalence Over Time and Determinants of Dental Care Visits Amongst Tennessee Seniors. Int Dent J 2023:S0020-6539(23)00035-7. [PMID: 36813622 DOI: 10.1016/j.identj.2023.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 01/09/2023] [Accepted: 01/13/2023] [Indexed: 02/22/2023] Open
Abstract
INTRODUCTION Rates of dental visits of older adults in the United States, particularly in Tennessee, are rapidly increasing, coupled with the growing complexity of older adults' dental treatment. Notably, increased dental visits help detect and treat dental disease and offer opportunities for preventive care. This longitudinal study aimed to examine the prevalence and determinants of dental care visits amongst Tennessee seniors. METHODS This observational study combined multiple cross-sectional studies. Five even years of Behavioral Risk Factor Surveillance system data were used, including 2010, 2012, 2014, 2016, and 2018. Our data were limited to Tennessee seniors (60 years or older). Weighting was conducted to account for the complex sampling design. Logistic regression analysis was performed to determine the factors associated with dental clinic visits. A P value < .05 was considered statistically significant. RESULTS The current study comprised 5362 Tennessee seniors. Older individuals visiting dental clinics within 1 year gradually decreased from 76.5% in 2010 to 71.2% in 2018. The majority of participants were female (51.7%), White (81.3%), and located in Middle Tennessee (43.5%). Logistic regression showed that those more likely to visit dentists or dental clinics included females (odds ratio [OR], 1.4; 95% confidence interval [CI], 1.1-1.8), never-smokers and former smokers (OR, 2.2; 95% CI, 1.5-3.4), individuals with some college education (OR, 1.6; 95% CI, 1.1-2.4), college graduates (OR, 2.7; 95% CI, 1.8-4.1), and those with high incomes (eg, >$50,000; OR, 5.7; 95% CI, 3.7-8.7). Conversely, Black participants (OR, 0.6; 95% CI, 0.4-0.8), participants with fair/poor health (OR, 0.7; 95% CI, 0.5-0.8), and those who have never married (OR, 0.5; 95% CI, 0.3-0.8) were less likely to report dental visits. CONCLUSIONS Rates of Tennessee seniors visiting dental clinics within 1 year have gradually decreased from 76.5% in 2010 to 71.2% in 2018. Several factors were associated with seniors seeking dental treatment. Effective interventions to improve dental visits should take the identified factors into account.
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Affiliation(s)
- Ying Liu
- Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, Tennessee, USA.
| | - Esther Adeniran
- Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, Tennessee, USA
| | - Kesheng Wang
- Department of Family and Community Health, School of Nursing, Health Sciences Center, West Virginia University, Morgantown, West Virginia, USA
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Patni T, Lee CT, Li Y, Kaste S, Zhu L, Sun R, Hudson MM, Ness KK, Neumann A, Robison LL. Factors for poor oral health in long-term childhood cancer survivors. BMC Oral Health 2023; 23:73. [PMID: 36739372 PMCID: PMC9899385 DOI: 10.1186/s12903-023-02762-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 01/23/2023] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Survivors of childhood cancer are at risk for therapy-related dental diseases. The purpose of the study was to investigate the associations between clinical, socioeconomic, and demographic factors and oral diseases in the St. Jude Lifetime Cohort (SJLIFE) participants. METHODS We performed a retrospective medical chart review and evaluated longitudinal self-reported dental outcomes in 4856 childhood cancer survivors and 591 community controls participating in the St. Jude Lifetime Cohort (SJLIFE) study. Univariate and multivariable logistic regression models were used to assess the impact of socioeconomic factors, treatment exposures and patient demographics on dental outcomes. RESULTS Cancer survivors were more likely to report microdontia (odds ratio (OR) = 7.89, 95% confidence interval (CI) [4.64, 14.90]), abnormal root development (OR = 6.19, CI [3.38, 13.00]), hypodontia (OR = 2.75, CI [1.83, 4.33]), enamel hypoplasia (OR = 4.24, CI [2.9, 6.49]), xerostomia (OR = 7.72, CI [3.27, 25.10]), severe gingivitis (OR = 2.04, CI [1.43, 3.03]), and ≥ 6 missing teeth (OR = 3.73, CI [2.46, 6.00]) compared to controls without cancer history. Survivors who received classic alkylating agents (OR = 1.6, CI [1.36, 1.88]), anthracycline antibiotics (OR = 1.22, CI [1.04, 1.42] or radiation therapy potentially exposing the oral cavity (OR = 1.48, CI [1.26, 1.72]) were more likely to report at least one dental health problem after controlling for socioeconomic factors, age at last follow-up and diagnosis, other treatment exposures, and access to dental services. Survivors who had radiation therapy potentially exposing the oral cavity (OR = 1.52, CI [1.25, 1.84]) were also more likely to report at least one soft tissue abnormality after controlling for socioeconomic factors, age at last follow-up and diagnosis, other treatment exposures, and access and utilization of dental services. CONCLUSIONS Childhood cancer survivors have a higher prevalence of oral-dental abnormalities than the controls without a cancer history. Cancer treatment, socioeconomic factors, and access to oral health care contribute to the prevalence of dental abnormalities.
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Affiliation(s)
- Tushar Patni
- grid.240871.80000 0001 0224 711XDepartment of Biostatistics, St. Jude Children’s Research Hospital, Memphis, TN USA
| | - Chun-Teh Lee
- Department of Periodontics and Dental Hygiene, The University of Texas Health Science Center at Houston School of Dentistry, Houston, TX, USA.
| | - Yimei Li
- grid.240871.80000 0001 0224 711XDepartment of Biostatistics, St. Jude Children’s Research Hospital, Memphis, TN USA
| | - Sue Kaste
- grid.240871.80000 0001 0224 711XDepartment of Diagnostic Imaging, St. Jude Children’s Research Hospital, Memphis, TN USA
| | - Liang Zhu
- grid.267308.80000 0000 9206 2401Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX USA
| | - Ryan Sun
- grid.240145.60000 0001 2291 4776Department of Biostatistics, MD Anderson Cancer Center, Houston, TX USA
| | - Melissa M. Hudson
- grid.240871.80000 0001 0224 711XDepartment of Oncology, St. Jude Children’s Research Hospital, Memphis, TN USA
| | - Kirsten K. Ness
- grid.240871.80000 0001 0224 711XDepartment of Epidemiology, St. Jude Children’s Research Hospital, Memphis, TN USA
| | - Ana Neumann
- grid.267308.80000 0000 9206 2401Department of General Practice and Dental Public Health, The University of Texas Health Science Center at Houston School of Dentistry, Houston, TX USA
| | - Leslie L. Robison
- grid.240871.80000 0001 0224 711XDepartment of Epidemiology, St. Jude Children’s Research Hospital, Memphis, TN USA
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Randall CL. Dissemination and implementation research for oral and craniofacial health: Background, a review of literature and future directions. Community Dent Oral Epidemiol 2023; 51:119-132. [PMID: 36744988 PMCID: PMC10364974 DOI: 10.1111/cdoe.12841] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 12/15/2022] [Accepted: 12/22/2022] [Indexed: 02/07/2023]
Abstract
Oral conditions are highly prevalent globally and have profound consequence on individuals and communities. Clinical (e.g. dental treatments, behavioural counselling) and non-clinical (e.g. community-based programming, water fluoridation, oral health policy) evidence-based interventions have been identified, recommended and applied at the clinic, community and policy levels. Still, the burden of oral conditions persists, with inequitable distribution across populations. A major driver of this lack of progress is poor translation of research findings, which results in an evidence-to-practice gap. Dissemination and implementation science (DIS) has emerged to address this gap. A relatively new field, application of DIS represents an important avenue for achieving good dental, oral and craniofacial health for all. The goal of this introductory article is to provide a brief background on DIS relevant to researchers in dentistry and oral health. The problem of knowledge translation, basic concepts and terminology in DIS, and approaches to doing dissemination and implementation research-including implementation strategies, key outcomes, and implementation theories, models and frameworks-are discussed. Additionally, the article reviews literature applying DIS to dentistry and oral health. Results of published studies and their implications for the field are presented. Drawing on the literature review and contemporary thinking in DIS, current gaps, opportunities and future directions are discussed. Resources for understanding and applying DIS are provided throughout. This article serves as a primer on DIS for dental and oral health researchers of all types working across a range of contexts; it also serves as a call to action for increased application of DIS to address the burden of oral conditions globally.
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Affiliation(s)
- Cameron L Randall
- Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Washington, USA
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Reinhardt JW, Moncrief KQ, Koch JEJ, Samson KK, Yu F. Maintaining a strong rural dental workforce. J Dent Educ 2023; 87:86-92. [PMID: 36050836 DOI: 10.1002/jdd.13093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 06/23/2022] [Accepted: 08/06/2022] [Indexed: 01/11/2023]
Abstract
AIMS This study was designed to examine demographics of University of Nebraska Medical Center College of Dentistry graduates over a recent 10-year period and factors related to their choice of rural or urban practice. Findings were compared to similar previous studies to analyze trends. METHODS Using data from the annual Health Professions Tracking Service 2019 Dentistry Profile survey, we examined the demographic information of 169 graduates from 2009 to 2018 practicing in Nebraska at the end of 2018. We analyzed factors such as rural or urban high school graduation, gender, and other background information to explore associations with their 2018 practice location (urban vs. rural) using chi-square tests and logistic regression. RESULTS This study found that some demographic variables were associated with future practice location. Specifically, a higher proportion of graduates of rural high schools chose to work in a rural location (60%) relative to those who graduated from an urban high school (18%) (p < 0.0001). A higher proportion of men (50%) selected rural practice compared to women (33%) (p = 0.02). Only 17 graduates who attended high school outside of Nebraska stayed to practice in Nebraska, and there was a lower proportion of these graduates working in rural locations (18%) relative to in-state high school graduates (45%) (p = 0.03). CONCLUSION We found significant positive associations between dentists who chose rural practice and demographic factors such as being rural high school graduates, male, and in-state predental residents. Our findings differ from descriptive results of similar previous studies.
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Affiliation(s)
- John W Reinhardt
- Department of Adult Restorative Dentistry, UNMC College of Dentistry, Lincoln, Nebraska, USA
| | - Kathryn Q Moncrief
- Division of Orthodontics, University of Kentucky College of Dentistry, Lexington, Kentucky, USA
| | - Jade E J Koch
- Private Dental Practice, Redfield, South Dakota, USA
| | - Kaeli K Samson
- Department of Biostatistics, UNMC College of Public Health, Omaha, Nebraska, USA
| | - Fang Yu
- Department of Biostatistics, UNMC College of Public Health, Omaha, Nebraska, USA.,Center for Collaboration on Research Design and Analysis, UNMC College of Public Health, Omaha, Nebraska, USA
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Yelenskyi V, Dyachuk D. CONCEPTUAL DIRECTIONS OF THE ORGANIZATION OF DENTAL CARE FOR THE POPULATION OF UKRAINE AND EUROPEAN COUNTRIES. WIADOMOSCI LEKARSKIE (WARSAW, POLAND : 1960) 2023; 76:2700-2705. [PMID: 38290036 DOI: 10.36740/wlek202312121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2024]
Abstract
OBJECTIVE The aim: Conducting a scientific analysis of domestic and foreign sources of information regarding modern conceptual views on the organization of dental care for the population of Ukraine and European countries. PATIENTS AND METHODS Materials and methods: Used methods of historical-bibliographic and systematic approach. The search for literary sources was carried out in four main scientific databases: Scopus, PubMed, BVS, and Scielo. The review included original articles, research, and official recommendations from medical associations. CONCLUSION Conclusions: Scientific analysis confirmed the expediency of reforming the dental service and substantiated the need to improve dental care as well as the dental care management system to increase medical, social, and economic efficiency.
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Affiliation(s)
- Viktor Yelenskyi
- «RESEARCH AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE», KYIV, UKRAINE
| | - Dmytro Dyachuk
- «RESEARCH AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE», KYIV, UKRAINE
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Merchant AT. Grand challenges in oral health and nutrition: We are what we eat. FRONTIERS IN ORAL HEALTH 2022; 3:999817. [PMID: 36092139 PMCID: PMC9448949 DOI: 10.3389/froh.2022.999817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 08/08/2022] [Indexed: 11/17/2022] Open
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Liu M, Kao D, Gu X, Holland W, Cherry-Peppers G. Oral Health Service Access in Racial/Ethnic Minority Neighborhoods: A Geospatial Analysis in Washington, DC, USA. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4988. [PMID: 35564382 PMCID: PMC9105494 DOI: 10.3390/ijerph19094988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Revised: 04/17/2022] [Accepted: 04/18/2022] [Indexed: 11/17/2022]
Abstract
Previous studies on individual-level variables have improved our knowledge base of oral health service use. However, environmental or contextual variables are also important in understanding oral health disparities in racial and ethnic neighborhoods. Based on Bronfenbrenner’s ecological framework, this study examines the geographic availability of oral health providers in Washing-ton DC, U.S.A. Census tract-level data were drawn from the American Community Survey, joined with tract-level shapefiles, and overlaid with the geographic location of dental services throughout the city. Visual maps, descriptive statistics, and spatial lag regression models showed that census tracts with higher concentrations of African Americans were significantly farther from their nearest oral health providers (r = 0.19, p < 0.001), after controlling for neighborhood poverty rate, median age, and gender. Such findings confirm that in urban areas with highly di-verse populations such as Washington DC, racial disparities in oral health care access are signifi-cant. The study highlights that identifying neighborhoods with limited oral health care providers should be a priority in diminishing racial disparities in oral health service access. Improving access to racial/ethnic minority communities, especially African American neighborhoods, will require changes in health policies and programs, workforce development, resource allocation, community outreach, and educational programs.
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Affiliation(s)
- Meirong Liu
- School of Social Work, Howard University, Washington, DC 20059, USA;
| | - Dennis Kao
- School of Social Work, Carleton University, Ottawa, ON K1S 5B6, Canada;
| | - Xinbin Gu
- College of Dentistry, Howard University, Washington, DC 20059, USA; (X.G.); (G.C.-P.)
| | - Whittni Holland
- School of Social Work, Howard University, Washington, DC 20059, USA;
| | - Gail Cherry-Peppers
- College of Dentistry, Howard University, Washington, DC 20059, USA; (X.G.); (G.C.-P.)
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9
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Tiwari T, Baker S, Albino J. Editorial: Reducing Oral Health Disparities: Social, Environmental and Cultural Factors. Front Public Health 2017; 5:298. [PMID: 29181375 PMCID: PMC5693850 DOI: 10.3389/fpubh.2017.00298] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Accepted: 10/27/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- Tamanna Tiwari
- Department of Community Dentistry and Population Health, University of Colorado Hospital, Aurora, CO, United States
| | - Sarah Baker
- School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom
| | - Judith Albino
- Colorado School of Public Health, University of Colorado, Aurora, CO, United States
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Nguyen VH, Lin SC, Cappelli DP, Nair S. The association between dental, general, and mental health status among underserved and vulnerable populations served at health centers in the US. J Public Health Dent 2017; 78:41-48. [PMID: 28719064 DOI: 10.1111/jphd.12234] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Accepted: 06/14/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Vulnerable populations in underserved communities are disproportionately at high risk for multiple medical, dental, and behavioral health conditions. This study aims to: a) examine the occurrence of acute dental needs and b) investigate the association of acute dental needs and self-rated general and mental health status among the adult dentate health center population. METHODS This cross-sectional study analyzed data on adult patients (n = 5,035) from the 2014 Health Center Patient Survey, a nationally representative survey of health center patients. Multivariate logistic regression was used to assess the association of acute dental needs and a) self-rated general health status and b) mental health status. RESULTS Approximately, two thirds of adult dentate heath center patients reported having an acute dental need. After adjusting for confounding factors, not having or having had health insurance that pays for dental care, general health status of fair or poor, and ever having a mental illness were associated with higher odds of having an acute dental need. CONCLUSIONS The results highlight the role of health centers in addressing oral health disparities among vulnerable populations and the importance of a team-based multidisciplinary approach to ensuring the integration and coordination of oral health services within a comprehensive primary care delivery system.
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Affiliation(s)
- Vy H Nguyen
- Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD, USA
| | - Sue C Lin
- Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD, USA
| | - David P Cappelli
- Department of Comprehensive Dentistry, School of Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Suma Nair
- Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD, USA
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Menéndez LP. Spatial variation of dental caries in late holocene samples of Southern South America: A geostatistical study. Am J Hum Biol 2016; 28:825-836. [PMID: 27238592 DOI: 10.1002/ajhb.22874] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2015] [Revised: 02/17/2016] [Accepted: 05/07/2016] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVE The spatial variation of dental caries in late Holocene southern South American populations will be analyzed using geostatistical methods. The existence of a continuous geographical pattern of dental caries variation will be tested. METHODS The author recorded dental caries in 400 individuals, collated this information with published caries data from 666 additional individuals, and calculated a Caries Index. The caries spatial distribution was evaluated by means of 2D maps and scatterplots. Geostatistical analyses were performed by calculating Moran's I, correlograms and a Procrustes analysis. RESULTS There is a relatively strong latitudinal continuous gradient of dental caries variation, especially in the extremes of the distribution. Moreover, the association between dental caries and geography was relatively high (m12 = 0.6). Although northern and southern samples had the highest and lowest frequencies of dental caries, respectively, the central ones had the largest variation and had lower rates of caries than expected. CONCLUSION The large variation in frequencies of dental caries in populations located in the center of the distribution could be explained by their subsistence strategies, characterized either by the consumption of wild cariogenic plants or cultigens (obtained locally or by exchange), a reliance on fishing, or the incorporation of plants rich in starch rather than carbohydrates. It is suggested that dental caries must be considered a multifactorial disease which results from the interaction of cultural practices and environmental factors. This can change how we understand subsistence strategies as well as how we interpret dental caries rates. Am. J. Hum. Biol., 2016. © 2016 Wiley Periodicals, Inc. Am. J. Hum. Biol. 28:825-836, 2016. © 2016Wiley Periodicals, Inc.
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Affiliation(s)
- Lumila Paula Menéndez
- CONICET-División Arqueología, Edificio Anexo del Museo de La Plata. Facultad de Ciencias Naturales y Museo, Universidad Nacional de La Plata, Calle 122 y 160, La Plata, 1900, Buenos Aires, Argentina
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Ismail AI, Pitts NB, Tellez M, Banerjee A, Deery C, Douglas G, Eggertsson H, Ekstrand K, Ellwood R, Gomez J, Jablonski-Momeni A, Kolker J, Longbottom C, Manton D, Martignon S, McGrady M, Rechmann P, Ricketts D, Sohn W, Thompson V, Twetman S, Weyant R, Wolff M, Zandona A. The International Caries Classification and Management System (ICCMS™) An Example of a Caries Management Pathway. BMC Oral Health 2015; 15 Suppl 1:S9. [PMID: 26391116 PMCID: PMC4580843 DOI: 10.1186/1472-6831-15-s1-s9] [Citation(s) in RCA: 113] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Sohn W. Caregiver's Education Level is Associated With a Child's Dental Caries, in Part, Mediated by Dental Care Use Behaviors in Low-income African American Populations. J Evid Based Dent Pract 2015; 15:128-30. [PMID: 26337586 DOI: 10.1016/j.jebdp.2015.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Woosung Sohn
- Associate Professor, Department of Health Policy and Health Services Research, Boston University, Henry M. Goldman School of Dental Medicine, 560 Harrison Ave., 3rd Floor (Rm. 327), Boston, MA 02118, USA, Tel.: +1 617 414 1156; fax: +1 617 638 6381.
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Guo Y, Logan HL, Dodd VJ, Muller KE, Marks JG, Riley JL. Health literacy: a pathway to better oral health. Am J Public Health 2014; 104:e85-91. [PMID: 24832423 DOI: 10.2105/ajph.2014.301930] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVES We examined whether health literacy was associated with self-rated oral health status and whether the relationship was mediated by patient-dentist communication and dental care patterns. METHODS We tested a path model with data collected from 2 waves of telephone surveys (baseline, 2009-2010; follow-up, 2011) of individuals residing in 36 rural census tracts in northern Florida (final sample size n = 1799). RESULTS Higher levels of health literacy were associated with better self-rated oral health status (B = 0.091; P < .001). In addition, higher levels of health literacy were associated with better patient-dentist communication, which in turn corresponded with patterns of regular dental care and better self-rated oral health (B = 0.003; P = .01). CONCLUSIONS Our study showed that, beyond the often-reported effects of gender, race, education, financial status, and access to dental care, it is also important to consider the influence of health literacy and quality of patient-dentist communication on oral health status. Improved patient-dentist communication is needed as an initial step in improving the population's oral health.
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Affiliation(s)
- Yi Guo
- Yi Guo and Keith E. Muller are with the Department of Health Outcomes and Policy, College of Medicine, and Henrietta L. Logan, Virginia J. Dodd, John G. Marks, and Joseph L. Riley III are with the Department of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida, Gainesville
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Ajayi DM, Arigbede AO. Barriers to oral health care utilization in Ibadan, South West Nigeria. Afr Health Sci 2012; 12:507-13. [PMID: 23515140 DOI: 10.4314/ahs.v12i4.17] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
BACKGROUND Barriers to oral health utilization are many, but those that are significant for our environment are not yet clear. The current study was designed to identify and graduate the barriers to receipt of oral health care among a cross-section of patients attending our centre. We also investigated the influence of socio demographic factors on the highly rated barriers. METHODS This cross-sectional study was conducted among patients visiting UCH, Ibadan using a self-administered questionnaire. Socio-demographic variables and oral health care seeking behaviour were requested and in addition, the respondents were asked to rank 11 listed barriers to receipt of oral health care and any other barriers they may think of in order of strength. Factor analysis was employed in order to identify four factors with the highest loading. The mean scores were compared using t-test and one-way ANOVA and the level of significance was set at 0.05. RESULTS Only 400 questionnaires were properly filled (84.9%) out of the 471 that were administered. The mean age of these participants was 37.85±15.38 years. Most of the respondents (55.8%) consulted the dentists only when there was pain while 109(27.3%) had never visited the dentist. Fear of dental injection, cost of treatment, feeling of insecurity when the dentist is operating and disturbing noise from dental drill were the major barriers. There was a statistically significant association between age groups and feeling of insecurity (p=006). CONCLUSION The major barriers to oral health care utilization among our patients were fear related.
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Ebersole JL, D'Souza R, Gordon S, Fox CH. Oral Health Disparities and the Future Face of America. J Dent Res 2012; 91:997-1002. [PMID: 23033549 DOI: 10.1177/0022034512462034] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The 4th Annual AADR Fall Focused Symposium (FFS), "Oral Health Disparities Research and the Future Face of America", took place on November 3-4, 2011 in Washington, DC. The FFS strategy was developed by the AADR to help provide additional opportunities for members to engage in research discussions during the year by identifying specific research topics of interest among the 21 Scientific Groups and 4 Networks of the IADR and targeting a focused topic area for the FFS. The conference attracted an international group of approximately 120 registrants, including participants from Canada, India, Mexico, and China; 4 oral sessions and 32 poster presentations were offered.
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Affiliation(s)
- J L Ebersole
- College of Dentistry, University of Kentucky, Lexington, KY 40536-0297, USA.
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Brumback BA, Zheng HW, Dailey AB. Adjusting for confounding by neighborhood using generalized linear mixed models and complex survey data. Stat Med 2012; 32:1313-24. [DOI: 10.1002/sim.5624] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2012] [Accepted: 08/27/2012] [Indexed: 11/06/2022]
Affiliation(s)
- Babette A. Brumback
- Department of Biostatistics; University of Florida; Gainesville FL 32611 U.S.A
| | - Hao W. Zheng
- Department of Biostatistics; University of Florida; Gainesville FL 32611 U.S.A
| | - Amy B. Dailey
- Department of Health Sciences; Gettysburg College; Gettysburg PA 17325 U.S.A
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Brumback BA, Dailey AB, Zheng HW. Adjusting for confounding by neighborhood using a proportional odds model and complex survey data. Am J Epidemiol 2012; 175:1133-41. [PMID: 22510274 DOI: 10.1093/aje/kwr452] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
In social epidemiology, an individual's neighborhood is considered to be an important determinant of health behaviors, mediators, and outcomes. Consequently, when investigating health disparities, researchers may wish to adjust for confounding by unmeasured neighborhood factors, such as local availability of health facilities or cultural predispositions. With a simple random sample and a binary outcome, a conditional logistic regression analysis that treats individuals within a neighborhood as a matched set is a natural method to use. The authors present a generalization of this method for ordinal outcomes and complex sampling designs. The method is based on a proportional odds model and is very simple to program using standard software such as SAS PROC SURVEYLOGISTIC (SAS Institute Inc., Cary, North Carolina). The authors applied the method to analyze racial/ethnic differences in dental preventative care, using 2008 Florida Behavioral Risk Factor Surveillance System survey data. The ordinal outcome represented time since last dental cleaning, and the authors adjusted for individual-level confounding by gender, age, education, and health insurance coverage. The authors compared results with and without additional adjustment for confounding by neighborhood, operationalized as zip code. The authors found that adjustment for confounding by neighborhood greatly affected the results in this example.
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Affiliation(s)
- Babette A Brumback
- Department of Biostatistics, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, 32610, USA.
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Alexandraki I. Utilization of Preventive Care Services: Does Gender Matter? J Womens Health (Larchmt) 2012; 21:118-20. [DOI: 10.1089/jwh.2011.3311] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Patel R, Miner JR, Miner SL. The need for dental care among adults presenting to an urban ED. Am J Emerg Med 2010; 30:18-25. [PMID: 21030190 DOI: 10.1016/j.ajem.2010.09.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2010] [Revised: 09/08/2010] [Accepted: 09/09/2010] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE The study aimed to estimate the prevalence of need for dental care among patients in the ED and assess associated characteristics. METHODS This was a cross-sectional study conducted in the emergency department (ED) of a level I trauma center between June 1 and August 31, 2009. All ED patients were prospectively screened during randomly selected 8-hour blocks of time; consenting patients completed a survey on sociodemographics and health. The treating clinician completed an oral health examination to determine the patient's need for dental care as none (continue usual care), early (need to be seen soon), or urgent (need to be seen immediately). Data were analyzed using logistic regression. RESULTS There were 4670 patients who presented to the ED, 2787 (59.7%) were eligible, 1190 (63.2%) consented and enrolled, and 653 (54.9%) had a dental examination. Of these, 388 (59.4%; 95% confidence interval [CI], 56%-63%) had no need for dental care, 199 (30.5%; 95% CI, 27%-34%) had an "early need," and 66 (10.1%; 95% CI, 8%-12%) had an "urgent need." Logistic regression showed the need for dental care was associated with age, ethnicity, and having not had a routine checkup/cleaning in the last 3 years. CONCLUSIONS Of the patients presenting to the ED, 40.6% were in some need of dental care. This need was not associated with insurance or socioeconomic status as shown in previous studies. Age, ethnicity, and no routine oral care in the last 3 years were all associated with early/urgent need for oral health care.
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Affiliation(s)
- Roma Patel
- Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN 55415, USA
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Carrard VC, Haas AN, Rados PV, Filho MS, Oppermann RV, Albandar JM, Susin C. Prevalence and risk indicators of oral mucosal lesions in an urban population from South Brazil. Oral Dis 2010; 17:171-9. [DOI: 10.1111/j.1601-0825.2010.01712.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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