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Lefèvre T, Denis C, Marchand C, Vidal C, Gagnayre R, Chariot P. Multiple brief interventions in police custody: The MuBIC randomized controlled study for primary prevention in police custody. Protocol and preliminary results of a feasibility study in the Paris metropolitan area, France. J Forensic Leg Med 2018; 57:101-108. [PMID: 29801943 DOI: 10.1016/j.jflm.2016.05.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Revised: 05/09/2016] [Accepted: 05/10/2016] [Indexed: 11/27/2022]
Abstract
BACKGROUND The 15- to 35-year-old population has little contact with the health care system and is exposed to risk factors. Several studies demonstrated the feasibility of brief interventions (BIs) in different settings, e.g., in addiction medicine during police custody, where arrestees are entitled to a medical examination. Approximately 700,000 individuals are detained in police custody in France annually, and custody is an opportunity for young people to be medically examined. The characteristics of the detainees and previous experience with BIs suggest that custody is an opportunity to contribute to primary prevention. We propose to investigate the feasibility of such a contribution. OBJECTIVES The aim of this article is to present a study protocol and some preliminary results. The primary research objective is to assess the feasibility of performing brief interventions without a specific topic in police custody settings in arrestees aged 15-35 years. The secondary research objectives include i) testing four strategies for engaging in BIs that maximize the chances of success of the BI; ii) identifying the determinants that can orient the practitioner's choice to use a specific strategy over another one; and iii) analysing the differences between individuals who engage in BIs and those who do not and, in those who do engage, the determinants of success of the intervention. METHODS A two-step randomized and prospective study: i) randomization of eligible patients into 4 groups of 500 patients each; analysis of the response rates for each strategy; performance of the BI; and analyses of the associated factors and ii) a real-life, full-scale phase study evaluating the effectiveness of BIs performance of the BI; and analyses of the interventions. Analyses of the determinants of a positive response to BI, of success and of the topic of intervention will be conducted. EXPECTED RESULTS The rates of BI performed, rates of success, and characteristics associated with response and with success are the main expected results. Additionally, the development and assessment of filter questions and an improved BI dedicated to primary prevention for police custody settings will be attained.
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Affiliation(s)
- Thomas Lefèvre
- AP-HP, Hôpital Jean-Verdier, Department of Forensic Medicine, 93140 Bondy, France; IRIS - Institut de recherches interdisciplinaires sur les enjeux sociaux (INSERM, CNRS, EHESS, Université Paris 13, UMR 8156-723), 93 100 Bobigny, France.
| | - Céline Denis
- AP-HP, Hôpital Jean-Verdier, Department of Forensic Medicine, 93140 Bondy, France.
| | - Claire Marchand
- Paris 13 University, Sorbonne Paris Cite, Educations and Health Practices Laboratory (LEPS), (EA 3412), UFR SMBH, F-93017 Bobigny, France.
| | - Camille Vidal
- AP-HP, Hôpital Jean-Verdier, Department of Forensic Medicine, 93140 Bondy, France.
| | - Rémi Gagnayre
- Paris 13 University, Sorbonne Paris Cite, Educations and Health Practices Laboratory (LEPS), (EA 3412), UFR SMBH, F-93017 Bobigny, France.
| | - Patrick Chariot
- AP-HP, Hôpital Jean-Verdier, Department of Forensic Medicine, 93140 Bondy, France; IRIS - Institut de recherches interdisciplinaires sur les enjeux sociaux (INSERM, CNRS, EHESS, Université Paris 13, UMR 8156-723), 93 100 Bobigny, France.
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Gnanamanickam ES, Teusner DN, Arrow PG, Brennan DS. Dental insurance, service use and health outcomes in Australia: a systematic review. Aust Dent J 2017; 63:4-13. [PMID: 28543627 DOI: 10.1111/adj.12534] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2017] [Indexed: 11/29/2022]
Abstract
Private health insurance plays a key role in financing dental care in Australia. Having private dental insurance has been associated with higher levels of access to dental care, visiting for a check-up and receiving a favourable pattern of services. Associations with better oral health have also been reported. In the absence of any existing review, this paper aims to systematically review the relationship between dental insurance and dental service use and/or oral health outcomes in Australia. A systematic search of online databases and subsequent sifting resulted in 36 publications, 33 of which were cross sectional and three cohort analyses. Dental service outcomes were more commonly reported than oral health outcomes. There was considerable heterogeneity in the outcome measures reported, for both service use and health outcomes. Overall, the majority of the evidence was from cross sectional studies and few studies reported analyses adjusted for confounding factors. The consolidated evidence points towards a positive association between dental insurance and dental visiting. Dentally insured adults are likely to have more regular access to dental care and have a more favourable pattern of service use than the uninsured. However, evidence of associations between dental insurance and oral health are mixed.
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Affiliation(s)
- E S Gnanamanickam
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - D N Teusner
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - P G Arrow
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.,Department of Health, Dental Health Services, Perth, Western Australia, Australia
| | - D S Brennan
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
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da Fonseca EP, Frias AC, Mialhe FL, Pereira AC, Meneghim MDC. Factors associated with last dental visit or not to visit the dentist by Brazilian adolescents: A population-based study. PLoS One 2017; 12:e0183310. [PMID: 28859102 PMCID: PMC5578480 DOI: 10.1371/journal.pone.0183310] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Accepted: 08/02/2017] [Indexed: 11/27/2022] Open
Abstract
Objectives We investigated the factors associated with no dental visit within the last two years by adolescents in the state of São Paulo, Brazil, by using data from the Oral Health Conditions of São Paulo state population Project (SBSP-2015) conducted in 2015. Methods This was a cross-sectional epidemiological study with a representative sample of adolescents aged 15 to higher years residing in São Paulo State. The examiners were calibrated and dental visits were measured categorically as 1- Less than 1 year, 2- One to two years, 3 - Three years or more, 4- I have never visited the dentist. Based on the literature we dichotomized the outcome in two groups: response 1 plus 2 against response 3 plus 4. Then, Multilevel Poisson Regression (MPR) was used to estimate the prevalence ratios of last dental visit three years or had never been to a dentist by adolescents compared with those who had visited the dentist within the past two years, with contextual variables as the distal level; sociodemographic variables, mesial; and individual variables, proximal level. Results A high percentage of adolescents (84.9%) reported visiting the dentist in the last 2 years. Whereas, 626 (11.6%) had not visited the dentist for over 3 years and 188 (3.4%) had never been. A significantly higher proportion of females than males reported visiting the dentist in the past 2 years (p = 0.003). The oral and dental condition was reported as satisfactory by 4,350 respondents (80.6%), and when they accessed the health service, 2,286 (42.3%) went to the public service. Lower mean family income (1.62PR;95%CI;1.36–1.94); ≥ 1,000 inhabitant/Dental Surgeons (1.25PR;95%IC;1.03–1.56);male (1.26PR;95%CI; 1.11–1.43) non-Caucasian ethnicity (Mulatto:1.30PR;95%CI;1.13–1.50 and Black:1.58PR;95%CI;1.29–1.93); dissatisfaction with the oral health condition (1.20PR;95%CI;1.01–1.45),last visit to the public service versus private service (2.26PR; 95%CI;1.91–2.65) and presenting with periodontal disease in the form of dental calculus as the worst situation (1.38PR; 95%CI; 1.16–1.53) were associated with last visit to the dentist. Conclusions A high proportion of adolescents had visited the dentist in the last two years. No dental visit within the last two years by adolescents were associated with contextual, health care system, sociodemographic, personal and oral health status, demonstrating that this is a complex phenomenon. Actions to promote regular dental visits by adolescents in Brazil should take these factors into consideration.
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Affiliation(s)
- Emílio P. da Fonseca
- Department of Community Dentistry, Piracicaba Dental School, FOP/UNICAMP, Graduate Program, University of Campinas, Piracicaba, São Paulo, Brazil
- * E-mail:
| | - Antonio C. Frias
- Department of Community Dentistry, Dental School of São Paulo University, FO/USP, São Paulo University, São Paulo, Brazil
| | - Fábio L. Mialhe
- Department of Community Dentistry, Health Education and Health Promotion Area of Piracicaba Dental School, FOP/UNICAMP, University of Campinas, Piracicaba, São Paulo, Brazil
| | - Antonio C. Pereira
- Department of Community Dentistry, Preventive Dentistry and Public Health Area of Piracicaba Dental School, FOP/UNICAMP, University of Campinas, Piracicaba, São Paulo, Brazil
| | - Marcelo de C. Meneghim
- Department of Community Dentistry, Preventive Dentistry and Public Health Area of Piracicaba Dental School, FOP/UNICAMP, University of Campinas, Piracicaba, São Paulo, Brazil
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Abstract
This cross-sectional and descriptive-analytic study aimed to estimate the demands for the use of dental services by Shirazi inhabitants in Iran from June 2013 to October 2013. Six hundred eighty subjects older than 18 years were selected from among the people living in Shiraz, using a multistage sampling method. The collected data were analyzed using SPSS 16.0 and Stata 11.0. The results showed that the factors affecting the number of referrals to the dental services centers and the use of these services included the age groups of 28 to 37 and 38 to 47 years, household expenses per month, and having supplementary health insurance coverage (P < .05). According to the results, in order to improve access to dental services and increase the probability of utilizing such services by people in need, the researchers recommend that the authorities should design and develop basic and supplementary health insurance plans to cover different types of dental services, allocate subsidies to dental health services, and increase the knowledge of all the people in different age groups about adherence to dental health principles and prevention of oral and dental diseases.
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Chi DL. Medical care transition planning and dental care use for youth with special health care needs during the transition from adolescence to young adulthood: a preliminary explanatory model. Matern Child Health J 2014; 18:778-88. [PMID: 23812799 DOI: 10.1007/s10995-013-1322-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The aims of the study were to test the hypotheses that youth with special health care needs (YSHCN) with a medical care transition plan are more likely to use dental care during the transition from adolescence to young adulthood and that different factors are associated with dental utilization for YSHCN with and YSHCN without functional limitations. National Survey of CSHCN (2001) and Survey of Adult Transition and Health (2007) data were analyzed (N = 1,746). The main predictor variable was having a medical care transition plan, defined as having discussed with a doctor how health care needs might change with age and having developed a transition plan. The outcome variable was dental care use in 2001 (adolescence) and 2007 (young adulthood). Multiple variable Poisson regression models with robust standard errors were used to estimate covariate-adjusted relative risks (RR). About 63 % of YSHCN had a medical care transition plan and 73.5 % utilized dental care. YSHCN with a medical care transition plan had a 9 % greater RR of utilizing dental care than YSHCN without a medical care transition plan (RR 1.09; 95 % CI 1.03-1.16). In the models stratified by functional limitation status, having a medical care transition plan was significantly associated with dental care use, but only for YSHCN without functional limitations (RR 1.11; 95 % CI 1.04-1.18). Having a medical care transition plan is significantly associated with dental care use, but only for YSHCN with no functional limitation. Dental care should be an integral part of the comprehensive health care transition planning process for all YSHCN.
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Affiliation(s)
- Donald L Chi
- Department of Oral Health Sciences, School of Dentistry, University of Washington, Box 357475, Seattle, WA, 98195, USA,
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Ravaghi V, Quiñonez C, Allison PJ. The magnitude of oral health inequalities in Canada: findings of the Canadian health measures survey. Community Dent Oral Epidemiol 2013; 41:490-8. [DOI: 10.1111/cdoe.12043] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2012] [Accepted: 01/13/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Vahid Ravaghi
- Oral Health & Society Research Unit; Faculty of Dentistry; McGill University; Montreal QC Canada
| | - Carlos Quiñonez
- Dental Public Health; Faculty of Dentistry; University of Toronto; Toronto ON Canada
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Anderson CN, Noar SM, Rogers BD. The persuasive power of oral health promotion messages: a theory of planned behavior approach to dental checkups among young adults. HEALTH COMMUNICATION 2012; 28:304-313. [PMID: 22742562 DOI: 10.1080/10410236.2012.684275] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Although routine dental checkups are important for both oral and overall health, several factors influence young adults' use or nonuse of dental services. The two studies included in this report tested the theory of reasoned action (TRA), the theory of planned behavior (TPB), and an expanded TPB model in predicting young adults' routine dental checkups. Additionally, the study tested the perceived message effectiveness of TPB-based messages. Results support the use of an expanded TPB model (particularly adding satisfaction with the dentist and environmental constraints to the traditional model) for an understanding of routine dental checkup intention and behavior, and, most notably, provide support for the use of subjective norm-based messages to prompt dental checkups. This study lays the groundwork for a health communication campaign encouraging routine dental checkups among young adults. The use of targeting and tailoring to design effective oral health media campaign messages is discussed.
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Affiliation(s)
- Christina N Anderson
- Department of Communication, Costal Carolina University, 133 W. Chanticleer Drive, Edwards College of Humanitres and Fine Arts, Conway, SC 29528-6054, USA.
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Åstrøm AN, Wold B. Socio-behavioural predictors of young adults’ self-reported oral health: 15 years of follow-up in the The Norwegian Longitudinal Health Behaviour study. Community Dent Oral Epidemiol 2011; 40:210-20. [DOI: 10.1111/j.1600-0528.2011.00657.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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