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Yang YP, Hsin HT, Wang BL, Wang YC, Yu PC, Huang SH, Chung RJ, Huang YC, Tung TH. Gender differences in oral health among prisoners: a cross-sectional study from Taiwan. BMC Oral Health 2023; 23:900. [PMID: 37990212 PMCID: PMC10662814 DOI: 10.1186/s12903-023-03598-4] [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: 05/31/2023] [Accepted: 10/30/2023] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND The prevalence of oral diseases among Taiwanese prisoners has rarely been investigated. This study aimed to estimate the gender-specific prevalence of oral disease in a sample of Taiwanese prisoners. METHODS We included 83,048 participants from the National Health Insurance (NHI) Program. Outcomes were measured using the clinical version of the International Classification of Diseases, Ninth Revision (ICD-9-CM). For prevalence, we provide absolute values and percentages. We also performed a χ2 test to assess sex and age group differences in the percentage of disease in the oral cavity, salivary glands, and jaw. RESULTS The prevalence rate of oral diseases was 25.90%, which was higher than that of the general population. The prevalence of oral diseases in female prisoners was higher than that in male prisoners (p < 0.001), and the prevalence of oral diseases in prisoners aged ≤ 40 was higher than that of prisoners aged > 40. Among all cases of diagnosed oral diseases, the top three diseases were dental hard tissue diseases (13.28%), other cellulitis and abscesses (9.79%), and pruritus and related conditions (2.88%), respectively. The prevalence of various oral diseases in female prisoners was significantly higher than that in male prisoners. CONCLUSION Oral disease is common among Taiwanese prisoners. Female prisoners had a higher prevalence of oral, salivary gland, and jaw diseases than male prisoners. Therefore, early prevention and appropriate treatment are required and also a need for gender-specific oral disease products given the differences in the prevalence of oral disease among male and female prisoners.
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Affiliation(s)
- Yu-Pei Yang
- Department of Hematology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, 317000, China
- Evidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, 317000, China
| | - Ho-Tsung Hsin
- Department of Critical Care Medicine, Cardiovascular Intensive Care Unit, Far-Eastern Memorial Hospital, New Taipei City, 10602, Taiwan
- Department of Mechanical Engineering, Yuan Ze University, Taoyoung, 32003, Taiwan
| | - Bing-Long Wang
- School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China
| | - Yen-Chun Wang
- Department of Public Health, College of Health Science, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan
| | - Pi-Ching Yu
- Department of Critical Care Medicine, Cardiovascular Intensive Care Unit, Far-Eastern Memorial Hospital, New Taipei City, 10602, Taiwan
| | - Shi-Hao Huang
- School of Public Health, National Defense Medical Center, Taipei, 11490, Taiwan
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei, 10608, Taiwan
| | - Ren-Jei Chung
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei, 10608, Taiwan
| | - Yao-Ching Huang
- School of Public Health, National Defense Medical Center, Taipei, 11490, Taiwan.
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei, 10608, Taiwan.
- School of Management, Putian University, Putian, 351200, China.
| | - Tao-Hsin Tung
- Evidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, 317000, China.
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Hwang I, Song Y, Park HK. Adjusting the british triage system for dental care in South Korean correctional institutions: a cross-sectional study. BMC Oral Health 2023; 23:516. [PMID: 37488577 PMCID: PMC10367361 DOI: 10.1186/s12903-023-03207-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 07/06/2023] [Indexed: 07/26/2023] Open
Abstract
BACKGROUND The oral health status of inmates in South Korean correctional institutions is poor, mainly due to limited resources and an unestablished triage system. Hence, this study aimed to develop a newly structured dental triage system for South Korean correctional institutions, using the British triage system as a reference. METHODS This study included 32 public health dentists working at correctional institutions in South Korea in 2020, accounting for the entire population of public health dentists that year. Data on the dentists' evaluation of resources and perceptions of dental service items were collected using a self-administered online survey including 19 dental service items from the British triage system to assess the level of agreement on dental triage items. All responses were recorded within 1 week of request, and a hierarchical cluster analysis was performed to develop a new dental triage system. RESULTS The survey included 31 respondents working at 47 correctional institutions; 16, 14, and one respondent provided dental services at one, two, and three institutions, respectively. Among the correctional institutions, 2%, 74%, and 23% were the National Forensic Hospital, prisons, and detention centres, respectively. The hierarchical cluster analysis identified four adjusted dental triage categories: emergency, urgent, routine, and checkups, mainly in accordance with those in the British system, but a few items were reallocated. The new dental triage system was compared to the existing system and found to have higher specificity and sensitivity, indicating that it may be more effective at meeting the oral health needs of inmates in South Korean correctional institutions. CONCLUSIONS This study developed a newly structured dental triage system by adjusting the British system and evaluated its efficacy compared to the existing system. The new system may help improve the oral health status of inmates in South Korean correctional institutions by providing a more organized approach to dental care provision.
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Affiliation(s)
- Ilkwang Hwang
- Department of Oral Medicine and Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University, #101, Daehak-ro, Jongro-Gu, Seoul, 03080, Korea
| | - YoungHa Song
- Department of Preventive and Social Dentistry, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Korea.
| | - Hee-Kyung Park
- Department of Oral Medicine and Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University, #101, Daehak-ro, Jongro-Gu, Seoul, 03080, Korea.
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Evensen KB, Bull VH. Oral health in prison: an integrative review. Int J Prison Health 2023; 19:251-269. [PMID: 38899622 DOI: 10.1108/ijph-08-2021-0081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Prisoners' oral health is an often overseen, yet important aspect of the general health of prisoners. To develop effective measures to improve the situation, it is important to get an overview of existing research. The purpose of this study is to examine and analyse existing research on oral health of prisoners and provide a thorough understanding of prisoners' oral health and related factors. DESIGN/METHODOLOGY/APPROACH Due to relatively few scientific papers on prisoners' oral health, an integrative review was chosen. Integrative reviews allow for the inclusion of diverse methodologies. A literature search was conducted, followed by an assessment of the quality of the studies by using the Mixed Methods Appraisal Tool. Thematic analysis was used to analyse the studies. FINDINGS The few studies addressing European prisoners' oral health in the last 21 years differ in design and methodology. The results from this review indicate that prisoners' oral health is a complex phenomenon and should be understood from both individual and organisational perspectives. More research is needed to bridge the gap in the literature on prisoners' oral health. ORIGINALITY/VALUE To the best of the authors' knowledge, this is the first literature review on European prisoners' oral health.
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Coz P, Couatarmanach A. [Perceptions of the organization and the practice of dental healthcare by the professionals working in prisons]. SANTE PUBLIQUE (VANDOEUVRE-LES-NANCY, FRANCE) 2022; Vol. 33:713-723. [PMID: 35485128 DOI: 10.3917/spub.215.0713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Few studies have been conducted on the role and position of dental surgeons in prisons. Interestingly though, dental surgeons perform in a peculiar working environment, since the organizations are divided into two administrative structures: penitentiary and hospital administrations. Stakeholders’ perceptions of both the current oral healthcare organization in prisons and the interactions between prison and hospital administrations’ professionals will be at the core of this study. PURPOSE OF RESEARCH This article aims at assessing hospital and penitentiary administration agents’ perceptions of oral healthcare practice in prison. This assessment is based on the analysis of 18 semi-structured interviews with prison directors, integration and probation officers, coordinating physicians and dentists. To do this, three analytical categories were established containing first contextual elements, second each professional culture and last actual and potential interactions. RESULTS Dentists were identified as specific agents within prison’ sanitary units because of the separation between dentistry and other medical specialties. Indeed, the relation to the body, to self-image and self-esteem along with the specific positioning regarding medical secrecy and expertise required by prison staff make dentistry practice a separate field in prison. CONCLUSION The results of this study highlight dentists’ specific positioning in prison sanitary units. They could be identified as helpful intermediaries in the building of interactions between penitentiary and hospital administrations thanks to the specificity of the dentistry practice which simultaneously provides health care and promotes the reconstruction of self-image and self-esteem, which are key factors of reintegration.
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Oner Ozdas D, Zorlu S, Karataban PK. Traumatic dental injury incidence of unseen children. Dent Traumatol 2018; 35:15-19. [DOI: 10.1111/edt.12443] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 09/16/2018] [Accepted: 09/17/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Didem Oner Ozdas
- Department of Pediatric Dentistry; Dentistry Faculty; Istanbul Aydin University; Istanbul Turkey
| | - Sevgi Zorlu
- Department of Pediatric Dentistry; Dentistry Faculty; Istanbul Aydin University; Istanbul Turkey
| | - Pinar K. Karataban
- Department of Pediatric Dentistry; Dentistry Faculty; Istanbul Aydin University; Istanbul Turkey
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Voller F, Silvestri C, Martino G, Fanti E, Bazzerla G, Ferrari F, Grignani M, Libianchi S, Pagano AM, Scarpa F, Stasi C, Di Fiandra T. Health conditions of inmates in Italy. BMC Public Health 2016; 16:1162. [PMID: 27852256 PMCID: PMC5112742 DOI: 10.1186/s12889-016-3830-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 11/10/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Several studies have shown that prison is characterized by a higher prevalence of chronic diseases than unconfined settings. The aim of this study was to describe the characteristics and health of inmates, focusing on internal diseases. METHODS We designed a specific clinical record using the Python programming language. We considered all of the diagnoses according to the ICD-9-CM. RESULTS Of a total of 17,086 inmates, 15,751 were enrolled in our study (M = 14,835; F = 869), corresponding to 92.2% of the entire inmate population (mean age of 39.6 years). The project involved a total of 57 detention facilities in six Italian regions (for a total of 28% of all detainees in Italy), as counted in a census taken on February 3, 2014. From the entire study sample, 32.5% of prisoners did not present any disorders, while 67.5% suffered from at least one disease. The most frequent pathologies were psychiatric (41.3%), digestive (14.5%), infectious (11.5%), cardiovascular (11.4%), endocrine, metabolic, and immune (8.6%), and respiratory (5.4%). CONCLUSION The findings showed that a large number of detainees were affected by several chronic conditions such as hypertension, dyslipidemia and type 2 diabetes mellitus, with an unusually high prevalence for such a young population. Therefore, a series of preventive measures is recommended to strengthen the entire care process and improve the health and living conditions of prisoners.
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Affiliation(s)
- Fabio Voller
- Observatory of Epidemiology, Regional Health Agency of Tuscany, Florence, Italy
| | - Caterina Silvestri
- Observatory of Epidemiology, Regional Health Agency of Tuscany, Florence, Italy
| | - Gianrocco Martino
- Observatory of Epidemiology, Regional Health Agency of Tuscany, Florence, Italy
| | - Eleonora Fanti
- Observatory of Epidemiology, Regional Health Agency of Tuscany, Florence, Italy
| | - Giorgio Bazzerla
- Primary Care Unit, District North, Local Social and Health Care Units, Treviso, Italy
| | - Fabio Ferrari
- Disabled Health Service "Spezzino", National Healthcare Company, La Spezia, Italy
| | - Marco Grignani
- Department of Mental Health, Healthcare Company of Umbria, Perugia, Italy
| | - Sandro Libianchi
- Medical House Unit in prison and the third House of Rebibbia, Rome, Italy
| | - Antonio Maria Pagano
- Unit for the Overcoming of the Judicial Psychiatric Hospitals and for Mental Health in Prisons, Local Health Salerno, Salerno, Italy
| | | | - Cristina Stasi
- Observatory of Epidemiology, Regional Health Agency of Tuscany, Florence, Italy. .,Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
| | - Teresa Di Fiandra
- General Directorate for Health Prevention, Ministry of Health, Rome, Italy
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