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Choonhawarakorn K, Kasemkhun P, Leelataweewud P. Effectiveness of a message service on child oral health practice via a social media application: A randomized controlled trial. Int J Paediatr Dent 2024. [PMID: 39104027 DOI: 10.1111/ipd.13256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 07/09/2024] [Accepted: 07/22/2024] [Indexed: 08/07/2024]
Abstract
BACKGROUND Early establishment of healthy oral health behaviours is important to reduce early childhood caries risk. Two-way social media applications can economically assist caregivers. AIM To evaluate the effectiveness of a LINE™ messaging service (MS) on promoting good oral health behaviors in Thai children. DESIGN One hundred and ninety caregiver-child dyads (children aged 6-36 months) who attended a university dental hospital and two other hospitals were randomly assigned to receive age-appropriate dental health education via MS or through traditional on-site visits. Infographic posters, video clips, and supportive messages were delivered weekly to the MS group. Parental oral health knowledge and children's oral health status and practice were assessed at baseline and 6-month follow-up. RESULTS The MS group showed significantly better scores in feeding habits (p = .034) and toothbrushing practice (p = .007). Parental knowledge increased in both groups; however, knowledge increased significantly in the control group (p = .001). Both groups exhibited improvements in the debris score but not in caries progression. The caregivers rated both methods as high to the highest satisfaction. CONCLUSIONS The MS yielded comparable outcomes to traditional dental visits in promoting oral health behaviours.
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Affiliation(s)
- K Choonhawarakorn
- Department of Pediatric Dentistry, Mahidol University, Bangkok, Thailand
| | - P Kasemkhun
- Department of Pediatric Dentistry, Mahidol University, Bangkok, Thailand
| | - P Leelataweewud
- Department of Pediatric Dentistry, Mahidol University, Bangkok, Thailand
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Alzahrani AY, El Meligy O, Bahdila D, Aljawi R, Bamashmous NO, Almushayt A. Health and oral health literacy: A comprehensive literature review from theory to practice. Int J Paediatr Dent 2024. [PMID: 39096054 DOI: 10.1111/ipd.13255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 06/21/2024] [Accepted: 07/19/2024] [Indexed: 08/04/2024]
Abstract
BACKGROUND Health literacy (HL) refers to an individual's ability to access, understand, and apply health information to make informed decisions about their health. On the contrary, oral health literacy (OHL) focuses on an individual's ability to understand and utilize oral health information to maintain good oral health. AIM This study presents a comprehensive literature review that explores the theoretical foundations and practical applications of HL and OHL. DESIGN A comprehensive search was conducted using keywords on the following databases: PubMed, Google Scholar, and Cochrane Database of Systematic Reviews. RESULTS The existing literature on various aspects of HL, including the most common used definitions of HL, conceptual frameworks, and consequences of limited health and OHL, was summarized. Additionally, the review discussed the significance of HL and OHL. Also, the relation between parent level of OHL and children's oral health was described. It further highlights modern approaches that have been shown in previous studies to improve the OHL of primary caregivers. CONCLUSIONS Understanding the significance of HL and OHL is crucial in developing effective interventions that can address disparities and improve oral health outcomes for individuals of all backgrounds.
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Affiliation(s)
- Ahmed Y Alzahrani
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Omar El Meligy
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Dania Bahdila
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Rabab Aljawi
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Nada O Bamashmous
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Abdullah Almushayt
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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Gudipaneni RK, Alzabni KMD, Alrashedi FFA, Alruwaili DHJ, Albalawi FA, Alanazi AH, Alshamri BS, Almaeen SH, Manchery N, Bawazir OA. The impact of parental dental anxiety and oral health literacy on child oral health and dental-visit patterns: a cross-sectional study. BMC Oral Health 2024; 24:853. [PMID: 39068408 PMCID: PMC11283704 DOI: 10.1186/s12903-024-04536-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 06/26/2024] [Indexed: 07/30/2024] Open
Abstract
BACKGROUND Identifying the risk indicators of parental dental anxiety (PDA) and oral health literacy (OHL) can help oral healthcare professionals recognise challenges in this field. Armed with the appropriate information, they can effectively engage with parents to build trust and promote early and regular child dental visits. OBJECTIVES This study aimed to investigate the association between PDA and OHL with the sociobehavioural characteristics of families, self-reported child oral health (presence of ≥ 1 untreated decayed teeth) and the dental visit patterns amongst children living in Al Jouf Province, Kingdom of Saudi Arabia. SUBJECTS AND METHODS A total of 430 parents with children aged ≥ 14 years were invited using a systematic random sampling method. PDA was assessed using the Dental Anxiety Scale-Revised (DAS-R) scale, and parents' OHL was measured using the Rapid Estimate of Adult Literacy in Dentistry-30 (REALD-30). The relationships amongst participant characteristics, PDA and OHL were evaluated through the Chi-square and ANOVA. Additionally, binary regression analysis was conducted to identify predictor variables associated with PDA and OHL. A P value of < 0.05 was considered statistically significant. RESULTS Children with ≥ 1 untreated decayed tooth were 2.5 times more likely to have PDA (95% confidence interval [CI] = 1.37, 4.37). Children who visited the dentist in < 6 months had 93% lower likelihood to have PDA (adjusted odds ratio (AOR) = 0.07; 95% CI = 0.03, 0.18). Parents aged 20-25 years were 81% less likely to have OHL than those above 30 years (AOR = 0.19; P = 0.038). Similarly, parents with medium family income were 52% less likely to have OHL than the high-income group (AOR = 0.48; P = 0.013). Finally, parents of children who visited the dentist within < 6 months were 34 times more likely to have OHL than those whose children visited the dentist > 12 months ago (AOR = 34.94; P < 0.001). CONCLUSION PDA and OHL were significantly affected by parental age, family income, the presence of ≥ 1 untreated decaying tooth and the child dental visit patterns. During a child's first dental visit, paediatric dentists should always assess the PDA, OHL and sociobehavioural characteristics of a family by using appropriate scales and semistructured interviews.
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Affiliation(s)
- Ravi Kumar Gudipaneni
- Pediatric dentistry, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Al Jouf, Saudi Arabia.
| | - Khalid Maziad D Alzabni
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Al Jouf, Saudi Arabia
| | - Faisal Fraih A Alrashedi
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Al Jouf, Saudi Arabia
| | - Dimah Hamoud J Alruwaili
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Al Jouf, Saudi Arabia
| | - Farah Awad Albalawi
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Al Jouf, Saudi Arabia
| | - Asrar Helal Alanazi
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Al Jouf, Saudi Arabia
| | - Buthainah Saleh Alshamri
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Al Jouf, Saudi Arabia
| | - Saud Hamdan Almaeen
- Pediatric dentistry, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Al Jouf, Saudi Arabia
| | - Nithin Manchery
- School of Dentistry, The University of Queensland Herston, Queensland, 4006, Australia
| | - Omar A Bawazir
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Silva-Rabelo JA, Moreira-Santos LF, Serra-Negra JM, Bendo CB, Paiva SM, Pordeus IA. Parental Reports of Children's Dental Pain Experience and Associated Factors among Brazilian Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:599. [PMID: 38791813 PMCID: PMC11121240 DOI: 10.3390/ijerph21050599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Revised: 05/02/2024] [Accepted: 05/03/2024] [Indexed: 05/26/2024]
Abstract
Exploring children's dental pain experiences helps to develop healthcare policies for improving oral health and quality of life. A cross-sectional study involved 300 parents/caregivers of four- to seven-year-old children using snowball sampling. Parents/caregivers self-completed an online questionnaire on sociodemographic characteristics, parenting styles, their child's oral hygiene practices, free sugar consumption, and dental history. The questionnaire was created using Google Forms and was disseminated to parents/caregivers via E-mail and/or WhatsApp©. Descriptive and Poisson regression analyses were performed (p < 0.05). Children's dental pain experience was reported by 20.3% of the parents. The authoritative parenting style was predominant. The child's mean age at the first consumption of sugar was 1.38 (±0.64) years, and 40.3% of the children had high-free sugar consumption. The mean age for the first dental appointment was 2.26 (±1.31) years, and 24.3% of the children never went to a dental appointment. The prevalence of dental pain experience was higher in children who attended their first dental appointment later (PR: 1.02; CI 95%: 1.01-1.03) and among those with high-free sugar consumption (PR: 1.90; CI 95%: 1.21-3.00). High sugar consumption and delay in the first dental appointment may increase the likelihood that children will experience dental pain.
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Affiliation(s)
| | | | | | | | - Saul Martins Paiva
- Departament of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil; (J.A.S.-R.); (L.F.M.-S.); (J.M.S.-N.); (C.B.B.); (I.A.P.)
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Mollet SD, Manton DJ, Wollgast J, Toebes B. A Right to Health-Based Approach to Dental Caries: Toward a Comprehensive Control Strategy. Caries Res 2024; 58:444-453. [PMID: 38565094 PMCID: PMC11313044 DOI: 10.1159/000538459] [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: 03/24/2023] [Accepted: 03/17/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Health is a matter of human rights, and dental caries is the most common noncommunicable disease globally. Consequently, dental caries is a matter of human rights and its control, particularly prevention, must be a priority. Although largely preventable, this is too often neglected, both in the literature of human rights and health law, and in dental research. The right to oral health has recently been acknowledged by the World Health Organization (WHO), but it is insufficiently clear what this right entails. SUMMARY This article introduces a right to health-based narrative in the context of dental caries. The right to health is stipulated in human rights treaties, including the International Covenant on Economic, Social and Cultural Rights (ICESCR) and the Convention on the Rights of the Child (CRC). States that are parties to these treaties, which are virtually all States globally, are mandated to ensure the enjoyment of individuals' right to the highest attainable standard of health, including oral health. KEY MESSAGES Dental caries is a matter of human rights. States have binding obligations to address dental caries: they require the regulation of the healthcare system, i.e., the traditional focus on operative care, but also put the regulation of other risk factors on an equal footing, such as the regulation of the living environment and access to fluoride. A right to health-based approach to dental caries thus offers a comprehensive approach to dental caries control, particularly prevention.
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Affiliation(s)
- S Dominique Mollet
- Faculty of Law, University of Groningen, Groningen, The Netherlands
- European Commission, Joint Research Centre (JRC), Ispra, Italy
| | - David John Manton
- University Medical Centre Groningen, Centre for Dentistry and Oral Hygiene, Groningen, The Netherlands
- Pediatric Dentistry, Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Jan Wollgast
- European Commission, Joint Research Centre (JRC), Ispra, Italy
| | - Brigit Toebes
- Faculty of Law, University of Groningen, Groningen, The Netherlands
- Aletta Jacobs School of Public Health, University of Groningen, Groningen, The Netherlands
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Shmarina E, Stensson M, Sant-Network, Jacobsson B. Oral health literacy among migrant mothers in Sweden. A qualitative study. Acta Odontol Scand 2024; 83:83-91. [PMID: 38082482 PMCID: PMC11302650 DOI: 10.1080/00016357.2023.2291206] [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: 12/27/2022] [Revised: 10/17/2023] [Accepted: 11/29/2023] [Indexed: 06/05/2024]
Abstract
OBJECTIVE This interview study explored the oral health literacy of migrant mothers in Sweden, with special reference to where and why they access information about oral health and how they determine the credibility of such information. MATERIAL AND METHOD In-depth interviews were conducted with seven migrant mothers of children up to 10 years old. The mothers had entered Sweden from 2015 onwards and had been resettled in Kalmar County, Sweden. Their native language was Somalian, Dari or Arabic. The interview questions concerned the participants' experiences of seeking oral health information, as well as oral health in general and dental health services. The interviews were analysed by qualitative content analysis. FINDINGS The main findings indicate that migrant mothers used information sourcing as a pathway to solve oral health literacy tasks. Three main categories were identified, each with subcategories, describing the migrant mothers' experiences of accessing and evaluating oral health information: 'accessible source of information', 'needs-related purpose of seeking information' and 'trustworthiness assessment'. The migrant mothers reported that in case of a dental emergency or general queries, they sought oral health information from professionals and social sources. Moreover, they perceived oral health information to be most reliable when it was provided by dental professionals, was a recurring theme, or constituted majority opinion. CONCLUSION To improve oral health literacy in migrant mothers of young children, it is important not only to provide consistent and recurrent oral health information through accessible information channels, but also to adapt dental care to be more culturally appropriate.
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Affiliation(s)
- Elena Shmarina
- Department of Oral Diagnostics, Faculty of Odontology, Malmö University, Malmö, Sweden; Kalmar County Council, Public Dental Service, Oskarshamn, Sweden.
| | - Malin Stensson
- Centre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden; CHILD Research Group, SIDR, Jönköping University, Jönköping, Sweden
| | | | - Brittmarie Jacobsson
- Centre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden; CHILD Research Group, SIDR, Jönköping University, Jönköping, Sweden
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Tenenbaum A, Borsa L, Lupi L, Germa A. Child oral health: A plea for interdisciplinarity. SANTE PUBLIQUE (VANDOEUVRE-LES-NANCY, FRANCE) 2023; 35:83-91. [PMID: 38040649 DOI: 10.3917/spub.hs1.2023.0083] [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: 12/03/2023]
Abstract
A child’s oral health has major implications both for their general health and for their quality of life. Even before birth, the mother’s oral health can affect the development of the baby and pregnancy outcomes. From the very first months of life, feeding habits together with non-nutritive sucking ones, early transmission of pathogenic bacteria, and oral hygiene practices prefigure the child’s future health. The aim of this article is to provide a comprehensive overview of our current knowledge regarding the main oral health issues affecting children, namely dental caries, erosive tooth wear, developmental defects of enamel, maxillofacial growth anomalies, and traumatic dental injuries. Additionally, it aims to examine the oral health prevention and promotion programs that have been implemented in France over several decades. These prevention and promotion initiatives are not only part of a national program but are also being organized at a territorial level, although, unfortunately, they often remain limited to regional, departmental, or municipal scopes. It is essential for all those involved with children, whether they are health care professionals or not, to collaborate effectively to enhance both oral health and overall well-being. This requires fostering an interdisciplinary approach that involves various contributors working together in a complementary way.
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Affiliation(s)
- Annabelle Tenenbaum
- UFR d’Odontologie, Université Paris Cité
- Laboratoire Éducations et Promotion de la santé UR 3412, UFR Santé, Médecine, Biologie Humaine, Université Paris Sorbonne Paris Nord
- AP-HP, Groupe Hospitalier Pitié Salpêtrière, Service d’Odontologie, Département de santé publique orale, F-75651, Paris, France
| | - Leslie Borsa
- Université Côte d’Azur, Faculté de Chirurgie Dentaire-Odontologie Nice, France Département de Santé Publique
- Laboratoire Microbiologie orale, Immunothérapie et Santé (Micoralis), Université Côte d’Azur, Nice, France
- Pôle Odontologie, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, Nice, France
| | - Laurence Lupi
- Université Côte d’Azur, Faculté de Chirurgie Dentaire-Odontologie Nice, France Département de Santé Publique
- Laboratoire Microbiologie orale, Immunothérapie et Santé (Micoralis), Université Côte d’Azur, Nice, France
- Pôle Odontologie, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, Nice, France
| | - Alice Germa
- UFR d’Odontologie, Université Paris Cité
- Université Paris Cité Centre de Recherche en Épidémiologie et Statistiques/CRESS, INSERM, INRA, Paris, France
- Service de médecine bucco-dentaire, APHP, hôpital Charles Foix, Ivry-sur-Seine, France
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Menoncin BLV, Crema AFDA, Ferreira FDM, Zandoná AF, Menezes JVNBD, Fraiz FC. Parental oral health literacy influences preschool children's utilization of dental services. Braz Oral Res 2023; 37:e090. [PMID: 37672423 DOI: 10.1590/1807-3107bor-2023.vol37.0090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 04/24/2023] [Indexed: 09/08/2023] Open
Abstract
Parental behavior towards their children's oral health is strongly influenced by parent's Oral Health Literacy (OHL) level. This study evaluated the impact of parental OHL on preschool children's utilization of dental services. A cross-sectional study was conducted with parents of 419 children aged 3 to 5 years who answered a self-administered questionnaire about their perception of their children's oral health and whether their children had already been to a dental visit. Parental OHL level was assessed by the validated version of the Oral Health Literacy Adult Questionnaire (OHL-AQ) translated into Brazilian Portuguese. Univariate and multivariate Poisson regression analyses with robust variance were used for the data analysis (α = 0.05). Most children had already been to a dental visit (73%). Overall, 31.7% of the parents or guardians reported that their children had experienced dental pain or dental caries. Parental OHL level was classified by tercile as low, medium, and high. The final model showed independent associations between children who had already been to a dental visit and higher parental OHL level (PR = 1.16; 95%CI = 1.00-1.35) when compared to the lowest OHL level, higher parental educational level (PR = 1.39; 95%CI = 1.03-1.87) when compared to lower educational level, the report of children's pain and dental caries (PR = 1.22; 95%CI = 1.09-1.36) and married parents or parents in a common-law marriage (PR = 1.17; 95%CI = 1.03-1.93). The prevalence of children who had already been to a dental visit was higher among those parents with a higher OHL level when compared to those with a lower OHL level.
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Affiliation(s)
| | | | - Fernanda de Morais Ferreira
- Universidade Federal de Minas Gerais - UFMG, Department of Oral Health for Children and Adolescents, Belo Horizonte, MG, Brazil
| | | | | | - Fabian Calixto Fraiz
- Universidade Federal do Paraná - UFPR, Department of Stomatology, Curitiba, PR, Brazil
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Zarabadipour M, Mokhlesi A, Poorsoleiman T, Mirzadeh M. Parent's Attitudes toward Their Children's Oral Health Care during the COVID-19 Pandemic: A Cross-Sectional Study. Int J Dent 2023; 2023:7340105. [PMID: 37469490 PMCID: PMC10353902 DOI: 10.1155/2023/7340105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 06/01/2023] [Accepted: 06/26/2023] [Indexed: 07/21/2023] Open
Abstract
Background The COVID-19 pandemic has significantly impacted global health and presented challenges to maintaining oral health in children. Efficient management and prevention of oral diseases are therefore crucial in this population. Aim This cross-sectional study aimed to assess parents' self-reported oral and dental hygiene habits for their children during the COVID-19 pandemic. Methods A total of 256 parents of primary school children in Qazvin completed an online questionnaire containing demographic, general, and cardinal questions. The collected data were analyzed using SPSS 22 software, and accurate analytical tests were run to reach the results. Results The study found that 69.1% of parents and 87.1% of children brushed their teeth regularly during the pandemic. Additionally, 80.5% of parents monitored their children while brushing. While some parents expressed concerns about COVID-19 infection, parents from lower socioeconomic status reported a higher willingness to attend dental centers than those from more prosperous areas. Conclusion These findings suggest that parents' supervision and attitude toward oral health care significantly affect children's oral hygiene habits during the pandemic, possibly due to increased time spent together during lockdowns.
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Affiliation(s)
- Mahdieh Zarabadipour
- Department of Oral and Maxillofacial Medicine, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
- USERN Office, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Aida Mokhlesi
- USERN Office, Qazvin University of Medical Sciences, Qazvin, Iran
- Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Taniya Poorsoleiman
- USERN Office, Qazvin University of Medical Sciences, Qazvin, Iran
- Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Monirsadat Mirzadeh
- USERN Office, Qazvin University of Medical Sciences, Qazvin, Iran
- Community Medicine, Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
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Marcus K, Balasubramanian M, Short S, Sohn W. Barriers and facilitators to dental care among culturally and linguistically diverse carers: A mixed-methods systematic review. Community Dent Oral Epidemiol 2023; 51:327-344. [PMID: 35342972 DOI: 10.1111/cdoe.12745] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 03/02/2022] [Accepted: 03/09/2022] [Indexed: 12/21/2022]
Abstract
OBJECTIVES Culturally and linguistically diverse (CALD) communities experience widespread inequalities in dental care utilization. While, several studies have reported factors contributing to such inequalities, a synthesis of evidence is lacking for CALD carers. This review examined the barriers and facilitators to dental care utilization among CALD carers. METHODS Medline, CINAHL, ProQuest, Scopus and Web of Science were searched for dental utilization and related factors, without geographic limitations. An integrated mixed-method design was adopted, where both qualitative and quantitative findings were combined into a single synthesis. Critical appraisal was conducted using JBI tools, and a Universal Health Coverage (UHC) framework guided the synthesis approach. Reliability and researcher triangulation occurred throughout the conduct of this review. RESULTS A total of 20 papers were included: qualitative (n = 8), quantitative (n = 8) and mixed method (n = 4). Studies were from Australia, Canada, South Korea, Trinidad and Tobago, United Kingdom and the United States. Three studies insufficiently reported confounding variables and nine qualitative papers lacked philosophical perspectives. Affordability was the foremost barrier at the system level, followed by psychosocial negative provider experiences and language/communication issues at the provider level. Cultural, knowledge, attitudes and beliefs were individual-family level factors. Utilizing a UHC framework, the barriers and facilitators were aggregated at three levels; financial-system, provider and individual-family levels and illustrated in the rainbow model of CALD oral health. CONCLUSION The review strengthens evidence for multilayered, system-related policies and culturally sensitive provision of services for reducing oral healthcare inequalities in CALD carers.
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Affiliation(s)
- Kanchan Marcus
- Faculty of Medicine and Health, School of Dentistry, The University of Sydney, Surry Hills, New South Wales, Australia
| | - Madhan Balasubramanian
- Health Care Management, College of Business, Government and Law, Flinders University, Adelaide, South Australia, Australia
- Faculty of Medicine and Health, Menzies Centre for Health Policy and Economics, School of Public Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Stephanie Short
- Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Woosung Sohn
- Faculty of Medicine and Health, School of Dentistry, The University of Sydney, Surry Hills, New South Wales, Australia
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11
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Deery C. What is the influence of oral health literacy on the parents' choice of fluoride toothpaste? Evid Based Dent 2023; 24:5-6. [PMID: 36894674 DOI: 10.1038/s41432-023-00861-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 01/05/2023] [Indexed: 03/11/2023]
Abstract
DESIGN Investigator blind randomised controlled trial. INTERVENTION One hundred and forty-five parents or carers of children up to four years of age were recruited from families attending a clinic for premature children in Brazil. The aim was to assess the influence of Oral Health Literacy (OHL/OHL-AQ) on the effective and safe use of fluoride toothpaste. The participants were stratified into adequate (12-17) and marginal/inadequate OHL (0-11) and randomly allocated into one of four intervention groups as follows, based on how information was provided: 1. written, 2. oral, 3. written & photograph, 4. oral & photograph. Socioeconomic status was also recorded. Prior to the intervention, the participant's ability to apply the correct amount of toothpaste (1000 p.p.m F-) was assessed. DATA ANALYSIS Data were analysed using the t-test and one-way ANOVA. The chi-squared test was used to evaluate associations between participants' ability to select the correct toothpaste, sociodemographic characteristics, oral health habits and OHL. RESULTS The majority of the sample were female (89%), with the whole sample's mean age being 31.9 ± 8.3 years. The OHL-AQ score ranged from 2-16 (mean: 11.3 ± 3.0). Before or after the intervention, having a higher level of OHL was associated with a tendency to deliver the more correct amount of toothpaste onto the brush. The interventions did lead to an improvement in the volume of toothpaste used across all groups. Only schooling was associated with the correct choice of toothpaste. CONCLUSIONS Parents or guardians with higher OHL used less, and consequently more ideal amounts of, fluoride toothpaste for children compared to those with a lower level of OHL. This was the case both before and after the educational interventions. The allocation to intervention group did not predict the amount of toothpaste used. Finally, only schooling predicted the choice of correct fluoride toothpaste.
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Affiliation(s)
- Chris Deery
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
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Bajrić E, Arslanagić A, Zukanović A, Duratbegović D, Šačić-Selmanović L, Katana E, Marković N. Dental Caries Experience in Children in Public Kindergartens of Sarajevo, Bosnia and Herzegovina. Acta Stomatol Croat 2023; 57:32-42. [PMID: 37288159 PMCID: PMC10243709 DOI: 10.15644/asc57/1/4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 03/01/2023] [Indexed: 07/30/2023] Open
Abstract
OBJECTIVES Dental caries first occurs within primary dentition in toddlers and preschool children, in a form of early childhood caries (ECC). In every day's busy and employment burdened parenting, caretakers and institutions have become important even more nowadays, not only for forming child general behavior and character, but also for maintenance of their general and oral health as well. AIMS To evaluate the presence and severity of ECC in children who attended public kindergartens in Sarajevo, and to offer basic information for the maintenance and improvement of child oral health to their parents and kindergarten teachers. METHODS The study included 1722 preschool children aged 3-6 years who attended kindergartens within Sarajevo public kindergarten institution, together with their parents and kindergarten teachers. Dental team members gradually visited all kindergartens situated in four Sarajevo city municipalities and examined kindergarten children according to the WHO Oral Health Survey Manual. Oral health promotion material for parents and kindergarten teachers was also distributed simultaneously during sequential visits. RESULTS ECC was present in preschool kindergarten children in Sarajevo, with its high prevalence (67.71%); dmft-value (3.97) and severity (SiC index 8.79). There was also a significant lack of dental healthcare to examined children mostly related to lack of visiting dental offices by children's parents (CI=10.55%, RI=10.80%, TI=12.98%). CONCLUSION Parental role in preserving and improving of their children oral health should be systematically and profoundly improved. Kindergarten officials and staff should recognize the importance of anticariogenic diet menus and oral hygiene maintenance within their institutions.
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Affiliation(s)
- Elmedin Bajrić
- Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Amra Arslanagić
- Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Amila Zukanović
- Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Damir Duratbegović
- Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Lejla Šačić-Selmanović
- Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Elma Katana
- Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Nina Marković
- Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
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Buldur B, Oguz E. Reliability and validity of the Turkish version of the Oral Health Literacy Assessment Task: Pathways between parental oral health literacy and oral health consequences in children. Int J Paediatr Dent 2023; 33:101-112. [PMID: 35851730 DOI: 10.1111/ipd.13025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 03/08/2022] [Accepted: 06/30/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Parental oral health literacy (OHL) is a determinant of oral health behavior and oral health status of children. AIM To delineate the pathways between parental OHL and oral health consequences in children and to validate the Turkish version of the Oral Health Literacy Assessment Task (TOHLAT-P). DESIGN This cross-sectional study was conducted with 315 parent-child dyads. The TOHLAT-P was psychometrically evaluated. Item analysis was performed to determine the reliability of the TOHLAT-P. Construct validity was tested by comparing a commonly used instrument using Pearson's product-moment correlation coefficients. A path model was developed to evaluate associations between parental OHL and oral health consequences in children. The model consisted of five endogenous variables (parental oral health behaviors, children's oral health behaviors, children's dental anxiety, dental caries, and oral health-related quality of life [OHRQoL]) and one exogenous variable (parental OHL). A path analysis was used to test the compatibility of the conceptual model, with a statistical significance of p < .001. RESULTS There was a statistically significant association between parental oral health behaviors and children's oral health behaviors, and between dental caries and OHRQoL. The variable most directly affected by parental OHL was parental oral health behaviors, whereas the variable most indirectly affected by parental OHL was children's oral health behaviors. CONCLUSIONS The path analysis revealed significant associations between parental and children's oral health behaviors, and between dental caries and OHRQoL. Understanding these pathways is necessary to establish strategies to improve children's oral health. The TOHLAT-P will be useful for future assessments of Turkish children.
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Affiliation(s)
- Burak Buldur
- Department of Pediatric Dentistry, Faculty of Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
| | - Esra Oguz
- Department of Pediatric Dentistry, Faculty of Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
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Torres‐Mantilla JD, Newball‐Noriega EE. Factors associated with the use of oral health services in Peruvian children under the age of 12 years. Clin Exp Dent Res 2023; 9:230-239. [PMID: 36305044 PMCID: PMC9932245 DOI: 10.1002/cre2.674] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 08/09/2022] [Accepted: 08/11/2022] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVES To determine the prevalence and factors associated with the use of oral health services in Peruvian children under 12 years of age. MATERIAL AND METHODS A secondary analysis of 2019 Demographic and Family Health Survey was conducted. The sample consisted of 40,751 children. The main variable was the use of dental services (attended/not attended) in the last 6 months, and the independent variables were gender, age, area of residence, wealth quintile, health insurance coverage, information received on oral health care, age, and educational level of the caregivers. Analyses of absolute and relative frequencies, differences in proportions, and multivariate analysis using generalized linear models were performed. RESULTS The dental service utilization prevalence during the last 6 months was 31%. Correlation was found with urban area residents (PRa = 0.945; 95% CI: 0.904-0.988), the Jungle geographical domain (PRa = 0.926; 95% CI: 0.877-0.977), the highest wealth quintile (PRa = 1.323; 95% CI: 1.232-1.421), the higher education level of the caregiver (PRa = 1.375; 95% CI: 1.231-1.536), affiliation with the Public Health Insurance (PRa = 1.112; 95% CI: 1.069-1.158), and the condition of having received information on oral health care (PRa = 2.355; 95% CI: 2.263-2.245) with respect to their baseline variables. CONCLUSIONS Several socio-demographic factors were correlated with the use of oral health services in Peruvian children under 12 years of age and the percentage of their use was low. Information on oral health care had a more significant impact on both, the population from the highest wealth quintile and the highest educational attainment.
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Affiliation(s)
- José Diego Torres‐Mantilla
- Unidad de Salud Pública, Escuela de Posgrado, Universidad Peruana Unión (UPeU)LimaPerú
- Departamento de Odonto‐estomatologíaHospital Carlos Lanfranco la HozLimaPerú
| | - Edda E. Newball‐Noriega
- Unidad de Salud Pública, Escuela de Posgrado, Universidad Peruana Unión (UPeU)LimaPerú
- Departamento de Ciencias BásicasEscuela de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión (UPeU)LimaPerú
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Pawellek M, Köninger A, Melter M, Kabesch M, Apfelbacher C, Brandstetter S. Development of Mothers' Health Literacy: Findings From the KUNO-Kids Study. Health Lit Res Pract 2023; 7:e39-e51. [PMID: 36779929 PMCID: PMC9918306 DOI: 10.3928/24748307-20230131-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023] Open
Abstract
BACKGROUND AND OBJECTIVE The aim of this study was to analyze the longitudinal development of health literacy (HL) in a large cohort of new mothers in Germany and to investigate which determinants are associated with the initial HL level and with change over time. METHODS Longitudinal data from 1,363 mothers participating with their child in the KUNO-Kids Health Study was used; data were collected at birth of the child (baseline), after 6 and 12 months, using interviews and self-report questionnaires. The HL of mothers was assessed with the health care scale of the European Health Literacy Survey Questionnaire, which has 16 items on accessing, understanding, appraising, and applying health information in the health care setting. Latent growth curve models were used to analyze average trajectories and predictors of HL in the total sample and in the subgroup of first-time mothers. KEY RESULTS HL values increased from baseline (M = 35.46, standard deviation [SD] = 7.34) over 6 months (M = 37.31, SD = 7.31) to 12 months (M = 38.01, SD = 7.41). The increase was statistically significant in the total sample (1.188, standard error [SE] = 0.087, p < .001) and in the subgroup of first-time mothers (1.357, SE = 0.113, p <. 001), with a steeper trajectory for mothers with lower HL at baseline. Several personal and situational variables were associated with HL at baseline (e.g., education, child health) and with its development (e.g., number of children). CONCLUSION Overall, new mothers became slightly more health literate during their child's first year of life. However, some groups of mothers could benefit from support in developing HL skills even before childbirth. [HLRP: Health Literacy Research and Practice. 2023;7(1):e39-e51.] Plain Language Summary: We investigated how health literacy (that is the ability to find, understand, and apply health information) develops in new mothers in Germany. Mothers told us that this ability slightly improved during the child's first year of life. Some mothers still have difficulties in dealing with health information; these mothers should be supported even before childbirth.
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Affiliation(s)
- Maja Pawellek
- Address correspondence to Maja Pawellek, MSc, University Children's Hospital Regensburg (KUNO), Hospital St. Hedwig of the Order of St. John, Steinmetzstr. 1–3, 93049 Regensburg, Germany;
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Yin A, Bai G, Jiang H, Xiao X, Zhang X, Gu H, Zheng M, Li M. Validity and Reliability of the Parental Health Literacy Questionnaire for Caregivers of Children Aged 0 to 3 Years in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16076. [PMID: 36498150 PMCID: PMC9737177 DOI: 10.3390/ijerph192316076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 11/26/2022] [Accepted: 11/29/2022] [Indexed: 06/17/2023]
Abstract
Caregivers' health literacy plays a vital role in the quality of parenting and significantly impacts children's physical and psychological health. However, the instruments to assess the health literacy of caregivers of children aged 0 to 3 years are lacking. This study aimed to evaluate the reliability and validity of the Chinese Parental Health Literacy Questionnaire (CPHLQ) in China. We conducted a cross-sectional study. Six hundred and thirty-four caregivers of children aged 0 to 3 years were recruited from Shandong, Yunnan, and Shaanxi Provinces, representing the eastern, central, and western regions of China, between November 2020 and January 2021. The reliability was evaluated by internal consistency reliability and split-half reliability. The construct validity was determined by confirmatory factor analysis. Social determinants of parental health literacy were assessed by multivariate linear regression model. Results showed that CPHLQ had satisfactory reliability and acceptable construct validity. Mothers compared to other types of caregivers, higher education levels, and nuclear or extended families compared to other family compositions were significantly associated with higher parental health literacy. The study further demonstrated that CPHLQ is a reliable and valid instrument to measure the health literacy of caregivers of children aged 0 to 3 years in the Chinese population. It can be used as an evaluation tool for intervention research, to inform policy-making and future health education interventions of improving caregivers' health literacy.
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Affiliation(s)
- Anxin Yin
- School of Public Health, Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China
| | - Guannan Bai
- Department of Child Health Care, The Children’s Hospital, and National Clinical Research Center for Child Health, Zhejiang University School of Medicine, Hangzhou 310052, China
| | - Hong Jiang
- School of Public Health, Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China
| | - Xia Xiao
- School of Public Health, Kunming Medical University, Kunming 650500, China
| | | | - Huaiting Gu
- School of Public Health, Jining Medical University, Jining 272067, China
| | - Min Zheng
- Yunnan Maternal and Child Health Care Hospital, Kunming 650051, China
| | - Mu Li
- School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia
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Giacaman RA, Fernández CE, Muñoz-Sandoval C, León S, García-Manríquez N, Echeverría C, Valdés S, Castro RJ, Gambetta-Tessini K. Understanding dental caries as a non-communicable and behavioral disease: Management implications. FRONTIERS IN ORAL HEALTH 2022; 3:764479. [PMID: 36092137 PMCID: PMC9448953 DOI: 10.3389/froh.2022.764479] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 08/05/2022] [Indexed: 11/13/2022] Open
Abstract
New paradigms in caries conceptualization have emerged during the last decades, leading to intense debate and discussion on how to approach the disease, both from a preventive and a therapeutic perspective. Among many new ideas, research discoveries and technologies, one major concept can be highlighted that created a deep frontier between the old and the new paradigm in caries conceptualization; the non-communicable nature of the disease, firmly associated with behaviors and lifestyles. This article synthetizes the conceptual construction of dental caries as a non-communicable disease (NCD) based on the current evidence and discusses the appropriate management of the disease in this context. Dental caries has shifted from being considered transmissible and infectious to an ecological and non-communicable disease. Environmental factors such as frequent sugars intake, disrupt the symbiosis of the dental biofilm leading to a dysbiosis, which favors caries lesion initiation and progression. As an NCD, dental caries shares characteristics with other NCDs such as cardiovascular and chronic respiratory diseases, cancer and diabetes, including long duration and slow progression, not being transmissible from person-to-person, being strongly related to modifiable behavioral risk factors, and affecting preferentially disadvantaged populations with a strong inequality gradient. Given the high prevalence of dental caries, and its consequences on people's health and quality of life, a recognizable conceptual view of caries as a NCD is required to target an effective management. Current understanding of dental caries supports prevention through acting on the modifiable risk factors (behaviors) and involves management based on an interdisciplinary approach. Communicating these modern concepts among researchers, clinicians and policymakers is needed to decrease the global high burden of the disease.
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Affiliation(s)
- Rodrigo A. Giacaman
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Gerodontology Research Group, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Interuniversity Center on Healthy Aging, Punta Arenas, Chile
- Centro de Epidemiología y Vigilancia de las Enfermedades Orales, University of Chile and University of Talca, Santiago, Chile
- *Correspondence: Rodrigo A. Giacaman
| | - Constanza E. Fernández
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Gerodontology Research Group, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
| | - Cecilia Muñoz-Sandoval
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
| | - Soraya León
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Gerodontology Research Group, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Interuniversity Center on Healthy Aging, Punta Arenas, Chile
- Centro de Epidemiología y Vigilancia de las Enfermedades Orales, University of Chile and University of Talca, Santiago, Chile
| | - Natalia García-Manríquez
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
| | - Constanza Echeverría
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
| | - Sebastián Valdés
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
| | - Ramiro J. Castro
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Gerodontology Research Group, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Interuniversity Center on Healthy Aging, Punta Arenas, Chile
| | - Karla Gambetta-Tessini
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Gerodontology Research Group, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Centro de Epidemiología y Vigilancia de las Enfermedades Orales, University of Chile and University of Talca, Santiago, Chile
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Dieng SN, Kanouté A, Lombrail P, Diouf M, Azogui-Levy S. Characteristics of oral health literacy in Senegal: A cross-sectional study among women in the Department of Pikine. J Public Health Afr 2022; 13:2114. [PMID: 36051522 PMCID: PMC9425963 DOI: 10.4081/jphia.2022.2114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Accepted: 05/03/2022] [Indexed: 11/22/2022] Open
Abstract
Senegal having a significant prevalence of socially differentiated oral diseases, oral health literacy (OHL), an individual and social resource, should be considered alongside a remedial response. This work aimed to analyze women’s OHL characteristics. A cross-sectional study on 315 women in Pikine County was carried out, using the Oral Health Literacy-Adult Questionnaire (OHL-AQ) for the OHL data collection and a questionnaire for the women’s socioeconomic characteristics data. These women had an OHL average score of 6.5±3.1 and a median of 6. Among them, 56.5% had a seemingly low OHL level, a little over 68.9% had a score above the median as regards the “listening, communication and understanding” aspect, 58.4% to “decision making”, 55.2% to “understanding numbers” and 33% to “reading and understanding”. According to a multivariate analysis, secondary and higher educated women (p<0.001) with an active social network (p<0.023), in a wealthy household (p<0.0001) and of nuclear household type (p<0.036) had a higher OHL level. Women in Pikine have low OHL and are from working- class households. Therefore, oral health policies must take into account the women’s social network contribution to the OHL improvement.
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Wang Y, Inglehart MR, Yuan C. Impact of Parents' Oral Health Literacy on Their Own and Their Children's Oral Health in Chinese Population. Front Public Health 2022; 10:809568. [PMID: 35345505 PMCID: PMC8957213 DOI: 10.3389/fpubh.2022.809568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 02/04/2022] [Indexed: 11/13/2022] Open
Abstract
Background Oral health literacy (OHL) has been recognized as a component of oral health disparities; however, the precise relationship between literacy and oral health outcomes has not been established. To explore the role of parents' OHL for their own subjective oral health, related behavior, and for the proxy assessment of their child's oral health, oral health-related behavior. Methods Survey data were collected from 406 parents of 4- to 7-year-old children in Beijing, China. The background characteristics, oral health assessment, oral health-related behavior, knowledge and attitudes, and diet-related questions of parents and their children were surveyed by a questionnaire. OHL was assessed with the Hong Kong Rapid Estimate of Adult Literacy in Dentistry (HKREAL-30) Scale and a revised version that asked the respondents to indicate if they understood the words (HKREALD-30-Understand). Results The HKREALD-30 responses correlated with the HKREALD-30-Understand responses. The higher the parents' HKREALD-30-Understand scores, the better they described the health of their own teeth and gums, the greater their child's diet was influenced by the protein, sugar and calories of the food, and the more positive their oral health-related attitudes were. The higher the parent's HKREALD-30 scores, the healthier they described their child's teeth and gums. Conclusions Both the HKREALD-30 and HKREALD-30-Understand Scores correlate with parents' self and proxy oral health-related responses. Chinese parents could understand that the word would add predictive value to the prediction of how parents' oral health literacy affects their own oral health care, children's oral health and other related aspects.
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Affiliation(s)
- Yu Wang
- Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.,International Trained Dentist Program, University of Michigan School of Dentistry, Ann Arbor, MI, United States
| | - Marita R Inglehart
- Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI, United States
| | - Chao Yuan
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
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Development and Validation of an Oral Health Literacy Measurement for Primary School Children in Thailand. Int J Dent 2022; 2022:9161619. [PMID: 35295405 PMCID: PMC8920617 DOI: 10.1155/2022/9161619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 01/09/2022] [Accepted: 02/12/2022] [Indexed: 11/17/2022] Open
Abstract
Background Oral health promotion programs have been implemented in primary schools for many years in Thailand. Oral health literacy has been introduced as a health promotion outcome; however, no assessment tool has been developed for this age group. The objective of this study was to develop and validate the Test of Functional Health Literacy in Dentistry for Primary School Children (P-TOFHLiD). Materials and Methods. The P-TOFHLiD was developed by modifying contents and outlines using a previously validated tool for older adults, then verified by two experts for face validity. A cross-sectional study was conducted with samples collected from 118 grade-six students from two government schools in Chiang Mai Province, Thailand. The P-TOFHLiD and a previously validated word recognition test were administered, followed by oral examination to assess reliability, concurrent validity, convergent validity, and predictive validity and establish the cut-off score of the tool. The statistical analysis was performed using SPSS version 25. Results The internal reliability of P-TOFHLiD was good (α = 0.808). The correlation coefficient between the P-TOFHLiD and grade point average was 0.478 (p value <0.001), which is the represented concurrent validity of the tool. Coefficients between P-TOFHLiD and a word recognition test was 0.422 (p-value <0.001) for convergent validity. P-TOFHLiD was significantly correlated with the number of missing teeth from tooth decay (p-value <0.05), but the correlation coefficient was poor (r = −0.100). The cut-off scores for adequate oral health literacy were set at ≥21 out of the total scores of 26. Conclusion P-TOFHLiD presented good validity and reliability and was ready to use for oral health promotion program evaluation. However, the predictive validity of the P-TOFHLiD in predicting oral health status was questionable only.
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MIALHE FL, SANTOS BL, BADO FMR, OLIVEIRA JÚNIOR AJD, SOARES GH. Association between oral health literacy and dental outcomes among users of primary healthcare services. Braz Oral Res 2022; 36:e004. [DOI: 10.1590/1807-3107bor-2022.vol36.0004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 06/02/2021] [Indexed: 11/21/2022] Open
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Alsaadoon AM, Sulimany AM, Hamdan HM, Murshid EZ. Impact of a Dental Storybook on Parents' Knowledge of Children's Oral Health: A Randomized Controlled Trial. Patient Prefer Adherence 2022; 16:2271-2285. [PMID: 36034330 PMCID: PMC9415471 DOI: 10.2147/ppa.s370430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 08/12/2022] [Indexed: 11/23/2022] Open
Abstract
PURPOSE To evaluate the effectiveness of a dental storybook on parents' knowledge about oral health of their children and to assess their perception of its effect in reducing dental anxiety levels among their children, as well as improving their oral health knowledge. PATIENTS AND METHODS This was a two-arm parallel, single-blind, randomized controlled trial (RCT) which was performed at the pediatric dental clinics in the Dental University Hospital, King Saud University, Riyadh, Saudi Arabia. Parents of 88 children (6-8 years old) were included in the present study. Parents and their children were randomly divided into two groups as follows: the intervention group (received the storybook and verbal oral hygiene instructions) and the control group (only received verbal oral hygiene instructions; same information included in the book). Three dental visits, including screening, examination/cleaning and treatment, were provided for each child. In the screening visit, baseline parental oral health knowledge was evaluated for all parents. Afterward, parental oral health knowledge was re-evaluated in the examination visit. In the treatment visit, a parental perception questionnaire was administered to parents following treatment to evaluate their satisfaction regarding the use of the storybook in reducing anxiety levels among their children. RESULTS There was a significant improvement in the total knowledge score at the follow-up visit in the intervention group compared to the control group (P<0.0001). Overall, the majority of parents perceived the storybook as a useful source of information, and they found it to be effective in reducing dental anxiety levels among their children. CONCLUSION The dental storybook is an effective educational tool that can help parents become more knowledgeable about their children's oral health. Moreover, parents perceived the storybook as an effective tool for enhancing their oral health knowledge and lowering their children's dental anxiety.
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Affiliation(s)
- Alrouh M Alsaadoon
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
- Correspondence: Alrouh M Alsaadoon, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, 11545, Saudi Arabia, Email
| | - Ayman M Sulimany
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Hebah M Hamdan
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Ebtissam Z Murshid
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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ABANTO J, OLIVEIRA LB, PAIVA SM, GUARNIZO-HERREÑO C, SAMPAIO FC, BÖNECKER M. Impact of the first thousand days of life on dental caries through the life course: a transdisciplinary approach. Braz Oral Res 2022; 36:e113. [DOI: 10.1590/1807-3107bor-2022.vol36.0113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 04/04/2022] [Indexed: 12/23/2022] Open
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MORIYAMA CM, VELASCO SRM, BUTINI L, ABANTO J, ANTUNES JLF, BÖNECKER M. How oral health literacy and parental behavior during the meals relate to dental caries in children. Braz Oral Res 2022; 36:e131. [DOI: 10.1590/1807-3107bor-2022.vol36.0131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Accepted: 06/02/2022] [Indexed: 11/13/2022] Open
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de Moura MDFL, Firmino RT, Neves ÉTB, Costa EMMDB, Paiva SM, Ferreira FM, Granville-Garcia AF. Attention-deficit Disorder, Family Factors, and Oral Health Literacy. Int Dent J 2021; 72:565-571. [PMID: 34872699 PMCID: PMC9381381 DOI: 10.1016/j.identj.2021.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 08/25/2021] [Accepted: 09/25/2021] [Indexed: 11/29/2022] Open
Abstract
Introduction Relationships amongst attention-deficit/hyperactivity disorder (ADHD), family factors, and oral health literacy (OHL) in adolescents are unclear. The objective of this research was to investigate whether family environment and signs of ADHD are associated with OHL at the onset of adolescence. Methods A cross-sectional study was performed with 448 twelve-year-old adolescents enrolled in schools in Cajazeiras, Brazil. Adolescents responded to an instrument measuring OHL (Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry [BREALD-30]) and a validated questionnaire addressing family cohesion and adaptability (Family Adaptability and Cohesion Scales [FACES III]). Parents and teachers answered subscales of the Swanson, Nolan, and Pelham Questionnaire (SNAP-IV) and a socioeconomic questionnaire. Adjusted Poisson regression analysis was employed for the data analysis (P < .05). Results Greater OHL was found in adolescents with higher family cohesion scores (rate ratio [RR], 1.02; 95% confidence interval [CI], 1.01–1.03), those whose mothers had more than 8 years of schooling (RR, 1.07; 95% CI, 1.03–1.12), and those whose families earned more than the Brazilian minimum salary (RR, 1.08; 95% CI, 1.03–1.12). Higher family adaptability scores (RR, 0.99; 95% CI, 0.98–0.99) and more signs of ADHD (teachers’ reports) (RR, 0.95; 95% CI, 0.91–0.99) were associated with lower OHL. Conclusions OHL in adolescents was influenced by family adaptability and cohesion, signs of ADHD, maternal schooling, and family income.
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Affiliation(s)
| | - Ramon Targino Firmino
- Faculty of Medical Sciences of Campina Grande, UNIFACISA University Center, Campina Grande, Paraíba, Brazil; Postgraduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - Érick Tássio Barbosa Neves
- Faculty of Medical Sciences of Campina Grande, UNIFACISA University Center, Campina Grande, Paraíba, Brazil; Postgraduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | | | - Saul Martins Paiva
- Postgraduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - Fernanda Morais Ferreira
- Postgraduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
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Neves ÉTB, Firmino RT, Costa EMMDB, Paiva SM, Ferreira FM, Granville-Garcia AF. Contextual and individual factors associated with oral health literacy in adolescents: A multi-level approach. Braz Dent J 2021; 32:1-13. [PMID: 34614056 DOI: 10.1590/0103-6440202103623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 10/21/2020] [Indexed: 11/21/2022] Open
Abstract
This study aimed to evaluate the association of contextual and individual factors with Oral Health literacy (OHL) in early adolescence. This is a population-based cross-sectional study carried out with 740 12-year-old adolescents randomly selected by a two-stage probabilistic cluster sampling process from schools in Campina Grande, Brazil. The guardians provided sociodemographic information. Adolescents answered the Brazilian version of the Family Adaptability and Cohesion Scales (FACES III) to measure family functioning, and the Brazilian Rapid Estimate of Literacy in Dentistry (BREALD-30) to measure OHL. Descriptive analysis was conducted, followed by robust Poisson's regression analysis for complex samples with a multilevel approach (p<0.05). Rate ratio (RR) and 95% confidence intervals (CI) were calculated. The two levels of the analysis were students and schools. Adolescents enrolled at schools with higher grade-retention rate had slightly worse OHL scores (RR = 0.99; 95% CI: 0.98 to 0.99). The following individual factors were associated with the level of OHL: the female sex (RR = 1.05; 95% CI: 1.01 to 1.10), mother's schooling more than eight years (RR = 1.13; 95% CI: 1.08 to 1.19), younger guardians (RR = 0.94; 95% CI: 0.90 to 0.97) and a balanced family functioning (RR = 1.08; 95% CI: 1.01 to 1.14). Individual and contextual factors were associated with OHL in early adolescence.
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Affiliation(s)
| | - Ramon Targino Firmino
- Department of Pediatric Dentistry and Orthodontics, Federal University of Minas Gerais (UFMG), Belo Horizonte-MG, Brazil
| | | | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Federal University of Minas Gerais (UFMG), Belo Horizonte-MG, Brazil
| | - Fernanda Morais Ferreira
- Department of Pediatric Dentistry and Orthodontics, Federal University of Minas Gerais (UFMG), Belo Horizonte-MG, Brazil
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Association between first oral examination characteristics and dental treatment needs in privately insured children: A claims data analysis. J Am Dent Assoc 2021; 152:936-942.e1. [PMID: 34521538 DOI: 10.1016/j.adaj.2021.05.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 05/21/2021] [Accepted: 05/27/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND Early childhood caries (ECC) remains the most common, preventable infectious disease among children in the United States. Screening is recommended after the eruption of the first tooth, but it is unclear how the age at first dental examination is associated with eventual restorative treatment needs. The authors of this study sought to determine how provider type and age at first dental examination are associated longitudinally with caries experience among children in the United States. METHODS Deidentified claims data were included for 706,636 privately insured children aged 0 through 6 years as part of the nationwide IBM Watson Health Market Scan (2012-2017). The authors used Kaplan-Meier survival analysis to describe the association between the age of first visit and restorative treatment needs. RESULTS A total of 21% of this population required restorative treatment, and the average age at first dental examination was 3.6 years. A multivariable Cox proportional hazards model showed increased hazard for restorative treatment with age at first dental visit at 3 years (hazard ratio, 2.05; 95% CI, 1.97 to 2.13) and 4 years (hazard ratio, 3.99; 95% CI, 3.84 to 4.16). CONCLUSION The high proportion of children requiring restorative treatment and late age at first dental screening show needed investments in educating general dentists, medical students, and pediatricians about oral health guidelines for pediatric patients. PRACTICAL IMPLICATIONS Communicating the importance of children establishing a dental home by age 1 year to parents and health care professionals may help reduce disease burden in children younger than 6 years.
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Which determinants should be considered to reduce social inequalities in paediatric dental care access? A cross-sectional study in France. PLoS One 2021; 16:e0255360. [PMID: 34347827 PMCID: PMC8336796 DOI: 10.1371/journal.pone.0255360] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 07/14/2021] [Indexed: 12/03/2022] Open
Abstract
Better access to dental care through systemic and educational strategies is needed to lessen the burden of disease due to severe early caries. Our study aims to describe family characteristics associated with severe early caries: parental knowledge, attitudes, practices in oral health and socio-demographic factors. For this cross-sectional study, 102 parents of children aged under 6 years with severe early caries and attending paediatric dentistry service in France completed a questionnaire during face-to-face interviews. Caries were diagnosed clinically by calibrated investigators, using the American Academy of Paediatric Dentistry criteria, and dental status was recorded using the decayed, missing, and filled teeth index. The majority of children were from underprivileged backgrounds and had poor oral health status, with a median dmft index of 10. Parents highlighted the difficulty of finding suitable dental care in private practices. Parents appeared to have good oral health knowledge and engaged in adapted behaviours but showed a low sense of self-efficacy. They perceived the severity of early caries as important but the susceptibility of their child as moderate. The study affirmed the importance of improving the accessibility of paediatric dental care and developing educational strategies to enhance the knowledge, skills, and oral health practices of families.
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Brega AG, Johnson RL, Jiang L, Wilson AR, Schmiege SJ, Albino J. Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115633. [PMID: 34070347 PMCID: PMC8197463 DOI: 10.3390/ijerph18115633] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 05/19/2021] [Accepted: 05/20/2021] [Indexed: 11/26/2022]
Abstract
In cross-sectional studies, parental health literacy (HL) is associated with children’s oral health. It is unclear, however, whether HL influences pediatric outcomes. We examined the relationship of HL with change over time in parental oral health knowledge, beliefs, and behaviors, as well as pediatric oral health outcomes. We used longitudinal data from a study designed to reduce dental decay in American Indian children (N = 579). At baseline and annually for three years, parents answered questions assessing HL; oral health knowledge, beliefs, and behaviors; and pediatric oral health status. The number of decayed, missing, and filled tooth surfaces (dmfs) was computed based on annual dental evaluations. Linear mixed models showed that HL was significantly associated with all constructs, except dmfs, at their reference time points and persistently across the three-year study period. HL predicted change over time in only one variable, parents’ belief that children’s oral health is determined by chance or luck. HL is strongly associated with oral health knowledge, beliefs, behaviors, and status prospectively but is not a key driver of change over time in these oral health constructs.
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Affiliation(s)
- Angela G. Brega
- Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA;
- Correspondence: ; Tel.: +1-303-724-1470
| | - Rachel L. Johnson
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA; (R.L.J.); (S.J.S.)
| | - Luohua Jiang
- Department of Epidemiology & Biostatistics, Susan and Henry Samueli College of Health Sciences, University of California Irvine, Irvine, CA 92697, USA;
| | - Anne R. Wilson
- Department of Pediatric Dentistry, School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA;
| | - Sarah J. Schmiege
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA; (R.L.J.); (S.J.S.)
| | - Judith Albino
- Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA;
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Neves ÉTB, Granville-Garcia AF, Dutra LDC, Baccin Bendo C, Ferreira FDM, Paiva SM, Horowitz AM. Association of Oral Health Literacy and School Factors with Untreated Dental Caries among 12-Year-Olds: A Multilevel Approach. Caries Res 2021; 55:144-152. [PMID: 33721863 DOI: 10.1159/000514501] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 01/17/2021] [Indexed: 11/19/2022] Open
Abstract
Dental caries are a global health problem that affects all age groups and must be considered a public health priority due to its significant financial costs and impact on the quality of life. This study evaluated the association between oral health literacy (OHL), school factors, and untreated dental caries in 12-year-old Brazilian adolescents using a multilevel approach. A population-based cross-sectional study was carried out with 740 adolescents randomly selected from private and public schools in Campina Grande, Brazil. Two dentists were trained and calibrated to diagnose dental caries using the Nyvad index and OHL using the Brazilian Rapid Estimate of Literacy in Dentistry (BREALD-30). The caregivers of the adolescents reported demographic data (sex, skin color, and socioeconomic status). Data of school factors such as the type of school and the school grade retention rate were classified through a 2-step hierarchical cluster analysis to obtain the school environment. A robust multilevel log-linear negative binomial regression for complex samples was performed (p < 0.05). In the analysis, adjusted by individual determinants, nonwhite skin color (RR = 2.20; 95% CI 1.56-3.12), a low socioeconomic status (RR = 1.60; 95% CI 1.09-2.34), a low OHL score (RR = 0.94; 95% CI 0.91-0.98), and low satisfaction with the last dental appointment (RR = 2.25; 95% CI 1.67-3.04) were associated with untreated dental caries. The following factors remained associated with untreated dental caries in the final model: students from an unfavorable learning environment (RR = 2.20; 95% CI 1.27-3.80), nonwhite skin color (RR = 1.92; 95% CI 1.27-2.91), a low socioeconomic status (RR = 1.82; 95% CI 1.12-2.94), a low OHL score (RR = 0.95; 95% CI 0.91-0.98), and low satisfaction with the last dental appointment (RR = 2.07; 95% CI 1.47-2.91). Untreated dental caries in early adolescence were impacted by the school environment, the socioeconomic status, OHL, and the adolescent's satisfaction with the last dental appointment.
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Affiliation(s)
| | | | - Laio da Costa Dutra
- Department of Dentistry, State University of Paraiba, Campina Grande, Brazil
| | | | | | - Saul Martins Paiva
- Department of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Trends and developments in oral health literacy: a scientometric research study (1991-2020). BDJ Open 2021; 7:13. [PMID: 33649305 PMCID: PMC7977145 DOI: 10.1038/s41405-021-00066-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 01/13/2021] [Accepted: 01/22/2021] [Indexed: 12/18/2022] Open
Abstract
Objective This study aimed to establish the current situation, intellectual base, hotspots, development trends, and frontiers of oral health literacy (OHL) from the literature. Methods We analyzed 1505 bibliographic records dated between January 1990 and December 2020 retrieved from the Web of Science Core Collection and the Scopus database. We used CiteSpace for word frequency analysis, co-occurrence analysis, co-citation analysis, clustering analysis, and burst analysis. Results The total number of publications increased year-on-year, with the majority of publications coming from the USA. Most studies focused on the relationship between (oral) health literacy and oral health, and the development of OHL instruments. The top 10 keywords by frequency were “health literacy”, “oral health”, “attitude to health”, “dental caries”, “adult”, “children”, “dental care”, “knowledge”, “questionnaire”, and “adolescent”. The keyword with the highest burst intensity was “dental health education”. Conclusions OHL research is a thriving field. The field is focused on the development of an OHL instrument and health promotion practice. Strategic cooperation among countries, institutions, authors, hospitals, and communities will be important to encourage further OHL research and address oral health problems.
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Okike I, Reid A, Woonsam K, Dickenson A. COVID-19 and the impact on child dental services in the UK. BMJ Paediatr Open 2021; 5:e000853. [PMID: 34192186 PMCID: PMC7830322 DOI: 10.1136/bmjpo-2020-000853] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 12/21/2020] [Accepted: 01/06/2021] [Indexed: 01/10/2023] Open
Affiliation(s)
- Ifeanyichukwu Okike
- Paediatrics, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK
| | - Allan Reid
- Public Health Improvement Team, Public Health England, Midlands, Nottingham, UK
| | - Katherine Woonsam
- Paediatrics, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.,Mill Hill Dental Clinic, Community Dental Services CIC, 2 Mill Hill Road Derby, UK
| | - Andrew Dickenson
- Regional Postgraduate Dental Dean Midlands and East, Health Education England, Leicester, UK
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Carrada CF, Tavares MC, Drummond AMA, Correa NMDO, Mattos FDF, Moura RNVD, Ribeiro RA, Paiva SM. Early Childhood Caries Experience of Children from Poor Families Living Below and Above Poverty Line. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Lopez N, Quick K, Sager J. Rural schoolteachers' knowledge about oral health and perceived roles in oral health education. J Public Health Dent 2020; 82:148-155. [PMID: 33370844 DOI: 10.1111/jphd.12439] [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: 05/02/2020] [Revised: 11/25/2020] [Accepted: 12/11/2020] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To explore schoolteachers' knowledge about oral health, their perception of their role as oral health educators, and their preparedness to teach oral health in rural public schools. METHODS We conducted a survey of 119 schoolteachers in four public elementary and middle schools in rural Minnesota during spring semester of 2019. We used descriptive statistics to analyze the data. RESULTS Sixty percent of 119 teachers participated. Schoolteachers have knowledge about basic oral health hygiene but have limited awareness about fluoride and periodontal disease. Correct agreements to the fluoride statements ranged from 23 percent to 87 percent and 23 percent to 70 percent agreed correctly to statements about periodontal disease. They prefer passive roles in oral health education. There was a high rate of agreement (51-83 percent) to integrate oral health topics with subjects taught in classrooms. CONCLUSIONS Schoolteachers see themselves as integrating oral health topics in the subjects they currently teach but will need further training to augment their limited knowledge of oral health.
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Affiliation(s)
- Naty Lopez
- Division of Dental Public Health, Department of Primary Dental Care, University of Minnesota School of Dentistry, Minneapolis, MN, USA
| | - Karin Quick
- Division of Dental Public Health, Department of Primary Dental Care, University of Minnesota School of Dentistry, Minneapolis, MN, USA
| | - Joanna Sager
- Division of Dental Public Health, Department of Primary Dental Care, University of Minnesota School of Dentistry, Minneapolis, MN, USA
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Adil AH, Eusufzai SZ, Kamruddin A, Wan Ahmad WMA, Jamayet NB, Karobari MI, Alam MK. Assessment of Parents' Oral Health Literacy and Its Association with Caries Experience of Their Preschool Children. CHILDREN (BASEL, SWITZERLAND) 2020; 7:E101. [PMID: 32824693 PMCID: PMC7464453 DOI: 10.3390/children7080101] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 08/11/2020] [Accepted: 08/14/2020] [Indexed: 11/30/2022]
Abstract
(1) Purpose: To assess the oral health literacy (OHL) of parents and its association with the caries experience of their preschool children attending the Hospital University Sains Malaysia (HUSM), Kota Bharu, Kelantan, Malaysia. (2) Materials and Methods: This is a descriptive cross-sectional study involving a systematic random sampling method, using a sample of 230 parent/preschool child dyads. Among 230 parents, 24 were males and 206 were females (mean age 31.43 ± 5.82); among 230 children, 92 were boys and 138 were girls (mean age 4.82 ± 1.04) attending the pedodontics clinic, HUSM, who participated and met the inclusion criteria. A structured, self-administered oral health literacy questionnaire including sociodemographic factors was used in this study. A child's oral examination was performed to check the dmft (decayed, missing, filled teeth) status. Statistical analysis was done using descriptive and Spearman's correlation analysis and multivariate regression analysis. (3) Results: The mean dmft score of children in relation to the OHL level of parents showed a significant difference (p < 0.00). The mean dmft score of children in relation to the OHL level of parents showed the following relationships: Inadequate (7.49 ± 4.10) followed by marginal (3.28 ± 2.67) and then adequate (0.55 ± 1.55). The incidence of caries amongst children in relation to parental employment was more associated with unemployed parents (6.11 ± 4.43) than with employed parents (2.79 ± 3.65). The caries experience amongst children in relation to education of their parents revealed a significant difference (p < 0.001), and the mean dmft score was high amongst preschool children with primary school qualified parents (10.7 ± 4.10) followed by high school (7.04 ± 3.68), vocational (5.81 ± 3.57), diploma (2.61 ± 2.81), and university (1.29 ± 2.27), respectively. The results revealed a valid significant difference (negative correlation, rs = -0.753 **) between the OHL of parents with the dmft score of their preschool children. The age and gender of parents was not significantly associated with OHL, whereas ethnicity (positive correlation, rs = 0.283 **), education (positive correlation, rs = 0.865 **), and employment (negative correlation, rs = -0.490 **) were found to be significant. Conclusion: We conclude that there is a significant association between the OHL of parents with the dmft score of their preschool children. The logistic regression showed that after adjustment for sociodemographic factors, parents' gender (OR = 0.067, 95% CI: 0.012-0.360), parents' employment status (OR = 3.247, 95% CI: 0.897-11.754), parents' OHL score (OR = 0.042, 95% CI: 0.016-0.114), and child age (OR = 2.195, 95% CI: 1.249-3.857) were significantly associated with dental caries in children. Our study concluded that parents' employment status, age, gender, OHL, and child's age were significantly associated with the caries experience of their preschool children.
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Affiliation(s)
- Abdul Habeeb Adil
- Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Sumaiya Zabin Eusufzai
- Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Aimi Kamruddin
- Pedodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Wan Muhamad Amir Wan Ahmad
- Biostatistics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Nafij Bin Jamayet
- Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Mohmed Isaqali Karobari
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Mohammad Khursheed Alam
- Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka, Aljouf 72345, Saudi Arabia;
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Marquillier T, Lombrail P, Azogui-Lévy S. [Social inequalities in oral health and early childhood caries: How can they be effectively prevented? A scoping review of disease predictors]. Rev Epidemiol Sante Publique 2020; 68:201-214. [PMID: 32631663 DOI: 10.1016/j.respe.2020.06.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 05/20/2020] [Accepted: 06/03/2020] [Indexed: 10/23/2022] Open
Abstract
BACKGROUND Early childhood caries represent a major public health problem. In addition to their individual impact, the massive social inequalities in oral health that are at the roots and result from the disease have largely underestimated consequences for the child, his family and the community. In response to the question of "how and where to act?", this scoping review identifies the individual characteristics associated with the disease on which it would be possible to act, using appropriate prevention strategies. METHODS This scoping review is aimed at describing and analyzing available data in the literature on the different factors associated with early childhood caries. RESULTS The predictors of early childhood caries are represented by mediating (knowledge, attitudes and parents' oral health practices) and moderating (psychosocial parameters, parental health literacy and alcohol consumption) factors. Twenty-eight articles fulfilled the selection criteria, twenty of which studied mediators related to early childhood caries, and fourteen of which dealt with moderators. The lower the parents' level of knowledge and literacy in oral health, the higher a child's dmft index. Additional studies are needed to assess the role of psychosocial parameters. CONCLUSION Parents' knowledge and oral health literacy are the key predictors to be preferentially targeted in view of reducing social inequalities in health through actions undertaken on a local scale. The prevention of early childhood caries necessitates a combination of generic and targeted interventions.
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Affiliation(s)
- T Marquillier
- Pediatric Dentisry, CHU de Lille, university of Lille, 59000 Lille, France; Educational and Health Practices Laboratory, LEPS, UR 3412, Université Sorbonne Paris Nord, 74, rue Marcel-Cachin, 93017 Bobigny, France.
| | - P Lombrail
- Educational and Health Practices Laboratory, LEPS, UR 3412, Université Sorbonne Paris Nord, 74, rue Marcel-Cachin, 93017 Bobigny, France
| | - S Azogui-Lévy
- Educational and Health Practices Laboratory, LEPS, UR 3412, Université Sorbonne Paris Nord, 74, rue Marcel-Cachin, 93017 Bobigny, France; Public health Department, Dentistry Faculty, university of Paris, 75006 Paris, France
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de Buhr E, Ewers M, Tannen A. Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2577. [PMID: 32283733 PMCID: PMC7178108 DOI: 10.3390/ijerph17072577] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Revised: 04/02/2020] [Accepted: 04/07/2020] [Indexed: 12/14/2022]
Abstract
Health literacy (HL) plays a key role in explaining health disparities. School nurses (SN) provide health related expertise within the school setting. A positive effect on the HL of children but also their teachers and parents has been suggested by some research, but gaps persist in the available information. As a pilot project, SN, which are not common in German schools, were placed in 28 public elementary and secondary schools in two German states. Children (11+ years, n = 2773), parents (n = 3978) and teachers (n = 420) participated in a 2017 baseline (T0) survey. Data collection was repeated in 2018 (T1). HL was measured using the Health Literacy for School-Aged Children scale (HLSAC) (children) and the European Health Literacy Short Scale (HLS-EU-Q16) (adults). Descriptive and multivariate data analyses were carried out. The HL of all groups increased between T0 and T1. Low child HL decreased from 17.9% to 14.9%. Problematic and inadequate HL dropped from 43.8% to 38.8% among parents and from 49.9% to 45.8% among teachers. Improvements were significant for children and parents but not for the teachers. Despite the relatively short intervention period and a relatively non-specific spectrum of interventions, there is some evidence that SN may contribute to strengthening HL within the school setting. The longer-term effects of SN on health literacy and child health should be further examined. For this, a clearer conceptualization of the scope of work of the SN in Germany including their educational interventions is imperative.
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Affiliation(s)
- Elke de Buhr
- Berlin Institute of Health and Nursing Science, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany; (M.E.); (A.T.)
- School of Public Health and Tropical Medicine, Tulane University of New Orleans, New Orleans, LA 70112, USA
| | - Michael Ewers
- Berlin Institute of Health and Nursing Science, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany; (M.E.); (A.T.)
| | - Antje Tannen
- Berlin Institute of Health and Nursing Science, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany; (M.E.); (A.T.)
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Neves ÉTB, Dutra LDC, Gomes MC, Paiva SM, Abreu MHNG, Ferreira FM, Granville‐Garcia AF. The impact of oral health literacy and family cohesion on dental caries in early adolescence. Community Dent Oral Epidemiol 2020; 48:232-239. [DOI: 10.1111/cdoe.12520] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 12/15/2019] [Accepted: 01/14/2020] [Indexed: 12/21/2022]
Affiliation(s)
| | - Laio da Costa Dutra
- Graduate program in Dentistry State University of Paraiba (UEPB) Campina Grande Brazil
| | | | - Saul Martins Paiva
- Graduate program in Dentistry Federal University of Minas Gerais (UFMG) Belo Horizonte Brazil
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Lisboa SO, Assunção CM, Junkes MC, Yokoyama MF, Couto ACF, Fraiz FC, Paiva SM, Ferreira FM. Do Parents’ Oral Health Literacy Levels Influence Their Response to Interventions to Improve Their Knowledge of Traumatic Dental Injuries? PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Wang Y, Hays RD, Marcus M, Maida CA, Shen J, Xiong D, Coulter ID, Lee SY, Spolsky VW, Crall JJ, Liu H. Developing Children's Oral Health Assessment Toolkits Using Machine Learning Algorithm. JDR Clin Trans Res 2019; 5:233-243. [PMID: 31710817 DOI: 10.1177/2380084419885612] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES Evaluating children's oral health status and treatment needs is challenging. We aim to build oral health assessment toolkits to predict Children's Oral Health Status Index (COHSI) score and referral for treatment needs (RFTN) of oral health. Parent and Child toolkits consist of short-form survey items (12 for children and 8 for parents) with and without children's demographic information (7 questions) to predict the child's oral health status and need for treatment. METHODS Data were collected from 12 dental practices in Los Angeles County from 2015 to 2016. We predicted COHSI score and RFTN using random Bootstrap samples with manually introduced Gaussian noise together with machine learning algorithms, such as Extreme Gradient Boosting and Naive Bayesian algorithms (using R). The toolkits predicted the probability of treatment needs and the COHSI score with percentile (ranking). The performance of the toolkits was evaluated internally and externally by residual mean square error (RMSE), correlation, sensitivity and specificity. RESULTS The toolkits were developed based on survey responses from 545 families with children aged 2 to 17 y. The sensitivity and specificity for predicting RFTN were 93% and 49% respectively with the external data. The correlation(s) between predicted and clinically determined COHSI was 0.88 (and 0.91 for its percentile). The RMSEs of the COHSI toolkit were 4.2 for COHSI (and 1.3 for its percentile). CONCLUSIONS Survey responses from children and their parents/guardians are predictive for clinical outcomes. The toolkits can be used by oral health programs at baseline among school populations. The toolkits can also be used to quantify differences between pre- and post-dental care program implementation. The toolkits' predicted oral health scores can be used to stratify samples in oral health research. KNOWLEDGE TRANSFER STATEMENT This study creates the oral health toolkits that combine self- and proxy- reported short forms with children's demographic characteristics to predict children's oral health and treatment needs using Machine Learning algorithms. The toolkits can be used by oral health programs at baseline among school populations to quantify differences between pre and post dental care program implementation. The toolkits can also be used to stratify samples according to the treatment needs and oral health status.
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Affiliation(s)
- Y Wang
- Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, CA, USA.,Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA.,Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - R D Hays
- Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA, USA.,Department of Medicine, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.,RAND Corporation, Santa Monica, CA, USA
| | - M Marcus
- Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - C A Maida
- Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA.,Division of Oral Biology and Medicine, School of Dentistry, University of California, Los Angeles, CA, USA
| | - J Shen
- Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - D Xiong
- Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, CA, USA.,Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - I D Coulter
- Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA.,RAND Corporation, Santa Monica, CA, USA
| | - S Y Lee
- Division of Constitutive & Regenerative Sciences, Section of Restorative Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - V W Spolsky
- Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - J J Crall
- Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - H Liu
- Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, CA, USA.,Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA.,Department of Medicine, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA
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