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Lahti S, Kataja EL, Suominen A, Palo K, Ogawa M, Kallio A, Räikkönen O, Pohjola V, Rantavuori K, Karlsson L, Karlsson H. Two-Year Trajectories of Dental Anxiety in Parents and Their Association with Parents' and Children's Oral Healthcare Procedures in FinnBrain Birth Cohort Study. Dent J (Basel) 2024; 12:72. [PMID: 38534296 DOI: 10.3390/dj12030072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 02/16/2024] [Accepted: 03/05/2024] [Indexed: 03/28/2024] Open
Abstract
We aimed to identify parents' dental anxiety trajectories and the association of the trajectories with the number of parents' and their children's oral healthcare procedures in the FinnBrain Birth Cohort Study. Dental anxiety was measured with the Modified Dental Anxiety Scale at gestational weeks (gw) 14 and 34, as well as 3 and 24 months (mo) after childbirth. Oral healthcare procedures from gw14 to 24 mo were obtained from the national patient data register and categorized as preventive and treatment. Trajectories were identified with latent growth mixture modelling for 2068 fathers and 3201 mothers. Associations between trajectories and procedures adjusted for education were analyzed using unordered multinomial logit models. Fathers' trajectories were stable low (80.1%), stable high (3.4%), stable moderate (11.0%), moderate increasing (3.9%) and high decreasing (1.6%). Mothers' trajectories were stable low (80.7%), stable high (11.2%), moderate increasing (5.3%) and high decreasing (2.8%). Mothers with decreasing dental anxiety had a higher number of preventive and treatment procedures. Fathers with decreasing dental anxiety had a higher number of preventive and treatment procedures, while fathers with increasing dental anxiety had fewer procedures. Children of mothers with stable low dental anxiety had higher number of preventive procedures. There seems to be a two-way association between dental anxiety trajectories and oral healthcare procedures.
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Affiliation(s)
- Satu Lahti
- Department of Community Dentistry, University of Turku, 20014 Turku, Finland
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, Turku Brain and Mind Center, University of Turku, 20014 Turku, Finland
- Centre for Population Health Research, University of Turku, Turku University Hospital, 20521 Turku, Finland
| | - Eeva-Leena Kataja
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, Turku Brain and Mind Center, University of Turku, 20014 Turku, Finland
- Centre for Population Health Research, University of Turku, Turku University Hospital, 20521 Turku, Finland
| | - Auli Suominen
- Department of Community Dentistry, University of Turku, 20014 Turku, Finland
| | - Katri Palo
- Department of Community Dentistry, University of Turku, 20014 Turku, Finland
| | - Mika Ogawa
- Department of Community Dentistry, University of Turku, 20014 Turku, Finland
| | - Anu Kallio
- Department of Community Dentistry, University of Turku, 20014 Turku, Finland
- Oral Health Services, Wellbeing Services County of Southwest Finland, 20521 Turku, Finland
| | - Outi Räikkönen
- Department of Community Dentistry, University of Turku, 20014 Turku, Finland
- Oral Health Services, Wellbeing Services County of Southwest Finland, 20521 Turku, Finland
| | - Vesa Pohjola
- Department of Community Dentistry, University of Turku, 20014 Turku, Finland
- Research Unit of Population Health, Faculty of Medicine, University of Oulu, 90014 Oulu, Finland
| | - Kari Rantavuori
- Department of Oral Development and Orthodontics, University of Turku, 20014 Turku, Finland
- Cleft Palate and Craniofacial Center, Department of Plastic Surgery Helsinki University, Helsinki University Hospital, 00014 Helsinki, Finland
| | - Linnea Karlsson
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, Turku Brain and Mind Center, University of Turku, 20014 Turku, Finland
- Centre for Population Health Research, University of Turku, Turku University Hospital, 20521 Turku, Finland
- Unit of Public Health, Department of Clinical Medicine, University of Turku, 20014 Turku, Finland
- Department of Clinical Medicine, Paediatrics and Adolescent Medicine, University of Turku, Turku University Hospital, 20521 Turku, Finland
| | - Hasse Karlsson
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, Turku Brain and Mind Center, University of Turku, 20014 Turku, Finland
- Centre for Population Health Research, University of Turku, Turku University Hospital, 20521 Turku, Finland
- Department of Psychiatry, University of Turku, Turku University Hospital, 20521 Turku, Finland
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Amarasena N, Luzzi L, Brennan D. Effect of Different Frequencies of Dental Visits on Dental Caries and Periodontal Disease: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6858. [PMID: 37835128 PMCID: PMC10572504 DOI: 10.3390/ijerph20196858] [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: 07/16/2023] [Revised: 09/21/2023] [Accepted: 09/26/2023] [Indexed: 10/15/2023]
Abstract
Recommending dental visits every six months is commonplace among dental practitioners worldwide. A scoping review was conducted by electronically searching PubMed, Scopus and Embase to identify and map the nature of evidence for the effect of different frequencies of dental visits on dental caries and periodontal disease. Studies were written in English on the frequency of dental visits and published between January 2008 and April 2023. Three systematic reviews that evaluated the risk of bias, strength of studies and certainty of evidence were included from the 4537 articles yielded through the search strategy. The available evidence was weak and of low quality for the currently recommended frequencies of dental visits, whether these are fixed or universal. For adults, there was little to no effect of making biannual, biennial or risk-based dental visits on dental caries and periodontal disease, which was supported by moderate- to high-certainty evidence. Accordingly, it is suggested that dental professionals and dental insurance providers make individually tailored, customised and risk-based recommendations for dental visits, rather than encouraging fixed or universal frequencies of dental visits. For children and adolescents, further research on this issue warrants well-designed randomised controlled trials (RCTs) and cohort studies of sufficient duration with an adequate number of participants.
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Affiliation(s)
- Najith Amarasena
- Australian Research Centre for Population Oral Health, Adelaide Dental School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia; (L.L.); (D.B.)
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Hong CL, Thomson WM, Broadbent JM. Oral Health-Related Quality of Life from Young Adulthood to Mid-Life. Healthcare (Basel) 2023; 11:515. [PMID: 36833050 PMCID: PMC9957151 DOI: 10.3390/healthcare11040515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 01/27/2023] [Accepted: 02/02/2023] [Indexed: 02/12/2023] Open
Abstract
Quality of life varies with time, often worsening, and is affected by circumstances, events, and exposures at different stages of life. Little is known about how oral health-related quality of life (OHRQoL) changes during middle age. We investigated OHRQoL changes from age 32 to 45 years among participants in a population-based birth cohort, along with clinical and socio-behavioural associations. Generalised estimating equation models were used to investigate the association between OHRQoL (assessed at ages 32, 38, and 45 years; n = 844), and the socioeconomic position in childhood (up to age 15 years) and adulthood (ages 26 through to 45 years), dental self-care (dental services utilisation and tooth brushing), oral conditions (such as tooth loss), and experiencing a dry mouth. The multivariable analyses were controlled for sex and personality traits. At each stage of life, those of a lower socioeconomic status were at greater risk of experiencing OHRQoL impacts. Those who engaged in favourable dental self-care habits (the regular use of dental services and at least twice daily tooth brushing) experienced fewer impacts. A social disadvantage at any stage of life has enduring deleterious effects on one's quality of life in middle age. Ensuring access to timely and appropriate dental health services in adulthood may reduce the impacts of oral conditions on one's quality of life.
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Affiliation(s)
| | | | - Jonathan M. Broadbent
- Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin 9016, New Zealand
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Edlibi Al Hage W, Dascălu CG, Balcoș C, Agop-Forna D, Forna NC. Trends in Access to Oral Health Care among Adults from the N-E Region of Romania. MEDICINA (KAUNAS, LITHUANIA) 2022; 59:medicina59010074. [PMID: 36676698 PMCID: PMC9863676 DOI: 10.3390/medicina59010074] [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: 12/05/2022] [Revised: 12/26/2022] [Accepted: 12/27/2022] [Indexed: 12/31/2022]
Abstract
Aims and Objectives: To investigate the trends in access to dental services among adults from the N-E region of Romania and to evaluate the factors that influence access to dental care. Material and Methods: A self-administered questionnaire was used to evaluate the access and utilization of dental care among a sample of adults. We collected data on their demographic characteristics, their type of medical insurance, their monthly income, the type of dental office they visited, their reasons for choosing a certain type of dentist office, and their oral hygiene habits. It was found that their financial status determined by the occupation of the individual, as well as their monthly income, influenced their access to medical services. Data were analyzed using SPSS 20.0. Results: Of a total of 696 participants, 55.6% were female, 83.3% were from urban areas, 42.1% were retired, 62.3% of the subjects utilized dental emergency services, and 67.9% of the subjects self-funded their treatment. The reasons for women not attending dental offices included costs (24.3%) and dental fear (9.8%), while men's reasons were high costs (26.4%) and lack of time (5.9%). Significant differences were recorded between gender and reasons for visiting the dentist (p = 0.018), payment for dental services (p = 0.009), and preferred clinic (p = 0.010). In relation to occupation, there were significant differences for most of the variables evaluated (reasons to visit a dentist, payment for dental services, preferred dental clinic, self-rated oral health, etc.). Conclusions: Gender, occupation, and monthly income levels were found to influence access to dental medicine services of Romanians in the N-E region. Dental services were frequently accessed for emergency reasons. Dental services were found to be paid for by state insurance for those with low monthly incomes and self-funded for those with higher monthly incomes.
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Affiliation(s)
- Walid Edlibi Al Hage
- Department of Implantology, Removable Prostheses and Dental Prostheses Technology, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Cristina Gena Dascălu
- Informatics Department, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Carina Balcoș
- Department Surgery, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
- Correspondence: (C.B.); (D.A.-F.); Tel.: +004-074-553-3607 (C.B.); +004-073-411-7885 (D.A.-F.)
| | - Doriana Agop-Forna
- Department Surgery, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
- Correspondence: (C.B.); (D.A.-F.); Tel.: +004-074-553-3607 (C.B.); +004-073-411-7885 (D.A.-F.)
| | - Norina Consuela Forna
- Department of Implantology, Removable Prostheses and Dental Prostheses Technology, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
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D'Costa VG, Singhal DK, Acharya S. Effect of life course factors on dental fear among adult dental patients attending out-reach clinics in a rural area of Southern India. Indian J Dent Res 2022; 33:105-109. [PMID: 35946255 DOI: 10.4103/ijdr.ijdr_113_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Objectives The aim of the study was to assess the effect of life course factors on dental fear among adult dental patients attending out-reach clinics in a rural area of South India. The objectives were to measure dental fear and changes in socio-economic status during the life course among the study population and to know whether social mobility reduced/increased dental fear. Methods Dental fear scale and life course data were collected from 403 respondents. The improvement status of individual life course criteria was categorised into "less/minimal", "stable", or "upwardly mobile". Results The odds of dental fear in the group showing less or minimal upward social mobility was two times that of the stable group [p = 0.022; 95% confidence interval (C.I): 1.104-3.598], whereas the odds of dental fear in the group showing more or good upward social mobility were 4.5 times that of the stable group [p = 0.001; 95% C.I: 1.928-10.515] when adjusted for covariates, that is, participant age, gender, and education and past history of dental avoidance. Conclusion Social mobility was found to be a risk indicator for dental fear. Dental services may have been affected even with increased standards of living because of psychological factors such as dental fear.
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Affiliation(s)
- Valerie G D'Costa
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Deepak K Singhal
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Shashidhar Acharya
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India
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The Efficacy of Little Lovely Dentist, Dental Song, and Tell-Show-Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial. BIOMED RESEARCH INTERNATIONAL 2021; 2021:1119710. [PMID: 34124238 PMCID: PMC8166486 DOI: 10.1155/2021/1119710] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 05/15/2021] [Indexed: 11/17/2022]
Abstract
Introduction Dental anxiety is a common occurrence in patients undergoing dental treatments, especially in children. The success in paedriatric dental treatments and patient comfort depends on controlling the level of patient's anxiety in clinical settings. This study is aimed at evaluating the efficacy of different techniques applied for the reduction of dental anxiety in paediatric patients. Material and Methods. One hundred and sixty participants were divided into 4 groups; each group having 40 patients as follows: group I: mobile application "little lovely dentist," group II: YouTube® "dental video songs," group III "tell-show-do," and group IV "control." Dental prophylaxis treatments were provided to all the participants. Initial anxiety levels were noted during the patient's education phase by measuring heart rate with pulse oximeter and distress level with facial image scale, at the same time in each group, respectively. The postoperative anxiety was noted later with the same methods, after the application of anxiety reduction techniques. The data obtained were entered in the statistical package for the social sciences software, version 25. One-way ANOVA and paired t-test for matched groups were used to compare mean values of the 4 groups, in this study to determine their effectiveness. A p value of ≤0.05 was considered as statistically significant. Results The mean age of patients in group 1 was 6.8 ± 2.1 years, group 2: 8.15 ± 2.27 years, group 3: 7.5 ± 2.3 years, and group 4: 7.27 ± 1.68 years. The intragroup comparisons of heart rate and facial image scores have shown a significant difference in before and after dental treatment procedures. Marked reduction in heart rate and facial image scale scores were found in patients belonging to group 1 (mobile applications) and group 2 (dental video songs). An increase in heart rate and facial image scale scores was seen in group 3 (tell-show-do) and the control group. Conclusion The paediatric dental anxiety is a common finding in dental clinics. Behavior modification techniques like smartphone applications, "little lovely dentist," and "dental songs" can alleviate dental anxiety experienced by paediatric patients. The "tell-show-do" technique although most commonly used did not prove to be beneficial in the reduction of the anxiety levels.
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Khadka S, Khan S, King A, Goldberg LR, Crocombe L, Bettiol S. Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review. Age Ageing 2021; 50:81-87. [PMID: 32677660 DOI: 10.1093/ageing/afaa102] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Revised: 04/04/2020] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND aspiration pneumonia increases hospitalisation and mortality of older people in residential aged care. OBJECTIVES determine potentially pathogenic microorganisms in oral specimens of older people with aspiration pneumonia and the effect of professional oral care in reducing aspiration pneumonia risk. DATA SOURCES PUBMED/MEDLINE, CINAHL, EMBASE, COCHRANE, PROQUEST, Google Scholar, Web of Science. STUDY ELIGIBILITY CRITERIA published between January 2001 and December 2019 addressing oral microorganisms, aspiration pneumonia, oral health and treatment. PARTICIPANTS people 60 years and older in residential aged care. STUDY APPRAISAL AND SYNTHESIS METHODS the Newcastle-Ottawa Scale and the Standard Protocol Items: Recommendations for Intervention Trials checklist. RESULTS twelve studies (four cross-sectional, five cohort and three intervention) reported colonisation of the oral cavity of older people by microorganisms commonly associated with respiratory infections. Aspiration pneumonia occurred less in people who received professional oral care compared with no such care. Isolation of Candida albicans, Staphylococcus aureus, methicillin-resistant S. aureus and Pseudomonas aeruginosa was related to mortality due to aspiration pneumonia. An interesting finding was isolation of Escherichia coli, a gut bacterium. LIMITATIONS more information may be present in publications about other co-morbidities that did not meet inclusion criteria. A high degree of heterogeneity prevented a meta-analysis. Issues included sampling size, no power and effect size calculations; different oral health assessments; how oral specimens were analysed and how aspiration pneumonia was diagnosed. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS pathogenic microorganisms colonising the oral microbiome are associated with aspiration pneumonia in older people in residential care; professional oral hygiene care is useful in reducing aspiration pneumonia risk.
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Affiliation(s)
- Sangeeta Khadka
- Centre for Rural Health, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
| | - Shahrukh Khan
- Centre for Rural Health, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Faculty of Health, Deakin University, Geelong, Australia
- Nursing Services, Alfred Health, Melbourne, Victoria, Australia
| | - Anna King
- Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
| | - Lynette R Goldberg
- Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
| | - Leonard Crocombe
- Centre for Rural Health, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
| | - Silvana Bettiol
- School of Medicine, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
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Silveira ER, Cademartori MG, Schuch HS, Corrêa MB, Ardenghi TM, Armfield J, Horta BL, Demarco FF. The vicious cycle of dental fear at age 31 in a birth cohort in Southern Brazil. Community Dent Oral Epidemiol 2020; 49:354-361. [PMID: 33283921 DOI: 10.1111/cdoe.12609] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 11/12/2020] [Accepted: 11/18/2020] [Indexed: 12/30/2022]
Abstract
OBJECTIVES This longitudinal study assessed the prevalence of dental fear in adulthood and the association with socio-economic, behavioural and clinical variables. Also, the existence of a vicious cycle of dental fear was tested. METHODS A random sample of adults (n = 535) from the 1982 Pelotas Birth Cohort, Brazil, was selected. Socio-economic data, behavioural characteristics and clinical variables were collected during different cohort waves. Oral health data were collected at ages 15, 24 and 31 years old, using questionnaires and oral examination. Dental fear (the outcome) was assessed by the question: 'Are you afraid of going to the dentist?', with possible responses: dichotomized into 'No' or 'A little/Yes/A lot'. Exposure variables were as follows: dental visit in the last years (at the ages 15 and 31); caries experience (DMFT ≥ mean) at the ages 15 and 31; the trajectory of caries prevalence from 15 to 31 years old; dental pain in the last six months in the two ages evaluated; and self-rated oral health at age 31. Several multivariable Poisson regression models were used to investigate the association between each of the exposure variables and dental fear. RESULTS Dental fear prevalence was 22.1%, and it was more prevalent among non-white individuals and females. After controlling for potential confounders, dental fear was more likely to be reported by those individuals who had dental pain or a higher prevalence of dental caries at the age 15. Dental fear was also associated with a worse trajectory of dental caries, negative self-rated oral health at age 31 and with not having visited the dentist in the last year (at the age 31). Results supported the proposed vicious cycle of dental fear. CONCLUSIONS Dental fear in adulthood was related to exposures occurring across the lifecourse. Also, it was possible to observe the occurrence of the vicious cycle of dental fear in the 1982 Pelotas Birth Cohort. Therefore, preventive measures during different periods of the life course are required to prevent dental fear and adulthood.
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Affiliation(s)
- Ethieli R Silveira
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.,Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | | | - Helena S Schuch
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Marcos B Corrêa
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Thiago M Ardenghi
- Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | - Jason Armfield
- Australian Centre for Precision Health, University of South Australia, Adelaide, South Australia, Australia
| | - Bernardo L Horta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Flavio F Demarco
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.,Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
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Seerig LM, Nascimento GG, Peres MA, Horta BL, Demarco FF. [Accumulated risk from poverty and tooth loss at 31 years of age: the 1982 live birth cohort in Pelotas, Rio Grande do Sul State, Brazil]. CAD SAUDE PUBLICA 2020; 36:e00167619. [PMID: 32813794 DOI: 10.1590/0102-311x00167619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 12/20/2019] [Indexed: 12/13/2022] Open
Abstract
The objective was to estimate the effect of accumulated risk from poverty and tooth loss at 31 years, using longitudinal data from the 1982 live birth cohort in Pelotas, Rio Grande do Sul State, Brazil. The income trajectory variables were built with four time points: birth and 15, 24, and 30 years of age. Potential confounding factors were sex, maternal schooling, maternal skin color, and smoking at 24 years. Potential mediators used the history of dentistry services use and caries based on the Significant Index Caries (SIC). The trajectory variable in the accumulated risk model was created with group-based trajectory modeling. The target outcome was the number of missing teeth at 31 years. Mean number of missing teeth at 31 years was 1.25. In the accumulated risk model after adjusting for confounders and mediators, individuals that were poor at one or two time points showed risk ratio - RR = 1.92 (95%CI: 1.40-2.63), and those with three or four episodes of poverty showed RR = 1.97 (95%CI: 1.24-3.13) for tooth loss. The results highlight the effect of lifetime poverty on tooth loss. The effect was expanded in individuals that were exposed to poverty longer. Public policies aimed at improving income conditions also help reduce tooth loss.
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Affiliation(s)
| | | | - Marco Aurelio Peres
- National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore
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Hong C, Broadbent J, Thomson W, Poulton R. The Dunedin Multidisciplinary Health and Development Study: Oral health findings and their implications. J R Soc N Z 2020; 50:35-46. [PMID: 32226196 PMCID: PMC7100605 DOI: 10.1080/03036758.2020.1716816] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Accepted: 01/13/2020] [Indexed: 10/25/2022]
Abstract
Longitudinal research is needed to better understand the natural history of oral conditions and long-term health and social outcomes. Oral health data has been collected periodically in the Dunedin Multidisciplinary Health and Development Study for over 40 years. To date, 70+ peer-review articles on the Study's oral health-related findings have been published, providing insight into the natural history of oral conditions, risk factors, impacts on quality of life, and disparities in oral health. Some of these report new findings, while others build upon the existing body of evidence. This paper provides an overview of these findings and reflects on their public health implications and policy utility in New Zealand.
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Affiliation(s)
- C.L. Hong
- Department of Oral Sciences, University of Otago
| | | | - W.M. Thomson
- Department of Oral Sciences, University of Otago
| | - R. Poulton
- Department of Psychology, University of Otago
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11
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Brennan DS, Chrisopoulos S, Luzzi L, Teusner DN. Dental services provided by dentists in Australia. Aust Dent J 2019; 65:90-95. [PMID: 31814141 DOI: 10.1111/adj.12741] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/01/2019] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To examine the efect of age and gender on dental services provided by dentists in Australia, and compare with previous estimates across the period 1983-1984 to 2013-2014. METHODS Data were collected by mailed survey from a random sample of Australian dentists. Private sector dentists were the focus of the analysis. Data were weighted to the age and sex distribution of Australian practising dentists. RESULTS The analysis was based on service logs collected from n = 211 dentists. Adjusted results (rate ratio, 95% CI) showed male dentists had higher endodontic rates (1.7, 1.0-2.9) than female dentists. Dentists aged 40-49 years had higher restorative rates (1.6, 1.1-2.2) but lower preventive rates (0.5, 0.3-0.9) than those aged 20-29 years. Diagnostic services were lower for dentists aged 40-49 to 60+ years (0.8, 0.6-0.9), while denture services were higher for dentists aged 40-49 (11.1, 2.5-48.5) to 60+ years (6.4, 1.2-33.3). Crowns were higher for dentists aged 40-49 (2.4, 1.0-5.6) and 50-59 years (2.9, 1.3-6.6). Diagnostic and preventive services were consistently higher across 1983-1984 to 2013-2014. CONCLUSIONS Younger dentists provided higher rates of diagnostic and preventive services. Over a 30-year period, there was a consistent trend towards higher provision of diagnostic and preventive services.
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Affiliation(s)
- D S Brennan
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - S Chrisopoulos
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - L Luzzi
- 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
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12
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Fägerstad A, Lundgren J, Arnrup K, Carlson E. Barriers and facilitators for adolescent girls to take on adult responsibility for dental care - a qualitative study. Int J Qual Stud Health Well-being 2019; 14:1678971. [PMID: 31608818 PMCID: PMC6807868 DOI: 10.1080/17482631.2019.1678971] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/07/2019] [Indexed: 11/03/2022] Open
Abstract
Purpose: This study aims to explore and describe experiences of the dental care system among adolescent dental patients with a recent history of missed dental appointments at public dental clinics (PDCs) in a Swedish county. Methods: Twelve adolescent girls participated in the study. Data were collected by individual, semi-structured, open-ended interviews and analysed with qualitative content analysis. Results: The study findings could be summed into the theme "Triggers for adolescent girls to take on or not take on adult responsibility for dental care". The experience of free dental care could be summarized in five main categories: Pain and discomfort; Attractive and healthy teeth; Feeling safe and secure; Taking on the responsibility; and Free of charge. These five categories consisted of 15 subcategories. Conclusions: The results of this study should increase the knowledge on how to meet and treat adolescent girls in dental care. Knowing what will happen during the dental visit was highlighted by the participants as decisive to whether or not they would attend their dental appointments. Therefore, we should as far as possible ensure that our patients feel safe at their dental visits and by trying to avoid painful treatments.
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Affiliation(s)
- Anida Fägerstad
- Public Dental Service, Region Örebro County, Örebro, Sweden
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
| | - Jesper Lundgren
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
| | - Kristina Arnrup
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
| | - Eva Carlson
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
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Maffioletti F, Vettore MV, Rebelo M, Herkrath F, Queiroz A, Herkrath AP, Pereira J, Rebelo Vieira J. Predisposing, enabling, and need characteristics of dental services utilization among socially deprived schoolchildren. J Public Health Dent 2019; 80:97-106. [PMID: 31788798 DOI: 10.1111/jphd.12349] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 10/11/2019] [Accepted: 10/27/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To test the relationship of predisposing, enabling and need characteristics with dental services utilization and pattern of dental attendance among 12-year-old schoolchildren living in a socially deprived urban area. METHODS A cross-sectional study was carried out involving 358 children enrolled in public schools located in a deprived area of the city of Manaus, Brazil. Predisposing, enabling, and need characteristics were selected according to Andersen's behavioral conceptual model. Self-completed questionnaires were used to collect the predisposing characteristics (child's gender, sense of coherence, self-esteem, oral health beliefs). Parents or guardians provided data on enabling characteristics, including dental health insurance and socioeconomic status. Evaluated need characteristics included oral clinical status assessed through dental examinations conducted by five calibrated examiners. Structural equation modeling was used to test the predictors of dental services utilization and pattern of dental attendance. RESULTS Predisposing characteristics, including male gender and low parents/guardians sense of coherence predicted poor dental services utilization and inadequate pattern of dental attendance, respectively. Low socioeconomic status and poor oral clinical status were linked to poor dental services utilization and worse children's pattern of dental attendance. CONCLUSIONS The present findings suggest that predisposing (child's gender and parental sense of coherence), enabling (socioeconomic conditions) and evaluated need characteristics (oral clinical status) are associated with dental services utilization among children.
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Affiliation(s)
| | | | - Maria Rebelo
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
| | - Fernando Herkrath
- Superior School of Health Sciences, University of Amazonas State, Manaus, Brazil
| | - Adriana Queiroz
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
| | - Ana P Herkrath
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
| | - Juliana Pereira
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
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Liinavuori A, Tolvanen M, Pohjola V, Lahti S. Longitudinal interrelationships between dental fear and dental attendance among adult Finns in 2000‐2011. Community Dent Oral Epidemiol 2019; 47:309-315. [DOI: 10.1111/cdoe.12458] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2018] [Revised: 03/12/2019] [Accepted: 03/14/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Arja Liinavuori
- Department of Community DentistryUniversity of Turku Turku Finland
- Social and Health Services Kirkkonummi Finland
| | - Mimmi Tolvanen
- Department of Community DentistryUniversity of Turku Turku Finland
| | - Vesa Pohjola
- Faculty of MedicineDepartment of Community DentistryUniversity of Oulu Oulu Finland
- Medical Research CenterOulu University Hospital Oulu Finland
| | - Satu Lahti
- Department of Community DentistryUniversity of Turku Turku Finland
- Turku Clinical Research CentreTurku University Hospital Turku Finland
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15
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Bas AC, Azogui‐Lévy S. Evaluation of children's participation in a national dental programme in France. Community Dent Oral Epidemiol 2019; 47:291-298. [DOI: 10.1111/cdoe.12456] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Revised: 02/20/2019] [Accepted: 02/21/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Anne Charlotte Bas
- Department of Health EconomicsLEDA‐LEGOS LaboratoryIRDESUniversity Paris‐Dauphine Paris France
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Almutlaqah MA, Baseer MA, Ingle NA, Assery MK, Al Khadhari MA. Factors Affecting Access to Oral Health Care among Adults in Abha City, Saudi Arabia. J Int Soc Prev Community Dent 2018; 8:431-438. [PMID: 30430071 PMCID: PMC6187887 DOI: 10.4103/jispcd.jispcd_205_18] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Accepted: 07/09/2018] [Indexed: 11/06/2022] Open
Abstract
AIMS AND OBJECTIVES To investigate the self-reported access problems to dental care among adults in Abha city, KSA. MATERIALS AND METHODS A cross-sectional descriptive survey was carried out among adults in Abha city, Saudi Arabia. A structured, close-ended, self-administered questionnaire elicited the access and utilization of dental care among a sample of adults. Data were collected and analyzed using SPSS version 21.0 statistical software. The descriptive statistics and logistic regression analysis were performed to predict the variables associated with access and utilization of dental care. RESULTS A total of 499 adults (male = 270, female = 229) participated in the study. More than half (289, 57.9%) of the participants utilized dental services and emergency services (283, 56.7%) were the most common reason to visit dentist. For most of the participants (281, 57.1%), the last dental visit was less than 1 year. Majority (409, 82%) of the participants self-funded for their treatment in private dental clinics (382, 76.6%). More than half (258, 51.7%) of the participants received restorative treatment during their last visit to dentist. Cost (39.1%) and lack of time (28.7%) were the main barriers to accessing dental care. Education and income were all involved in predicting nonutilization of dental services among the study participants. CONCLUSION Access to and utilization of dental care are the multidimensional concepts influenced by many factors. Cost and lack of time were the predominant barriers to utilization of dental services. Access to dental care is a multidimensional issue with education and income, were considered as the significant predictors of nonutilization of dental services. Similarly, income and transportation problems significantly predicted the use of private dental services. Marital status, transportation problem, health problems, and difficulty in movement were all concerned with multiple barriers to accessing dental services among the study participants.
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Affiliation(s)
- Mohammed Abdullah Almutlaqah
- Department of Advanced General Dentistry and Dental Public Health, Riyadh Elm University, Kingdom of Saudi Arabia
| | | | - Navin Anand Ingle
- Department of Preventive Dentistry, Riyadh Elm University, Kingdom of Saudi Arabia
| | - Mansour K. Assery
- Department of Post Graduate and Scientific Research, Riyadh Elm University, Kingdom of Saudi Arabia
| | - Majdah A. Al Khadhari
- Department of Advanced Restorative Dentistry, King Abdulaziz Medical City, Jeddah, Kingdom of Saudi Arabia
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Wu L, Gao X. Children's dental fear and anxiety: exploring family related factors. BMC Oral Health 2018; 18:100. [PMID: 29866080 PMCID: PMC5987456 DOI: 10.1186/s12903-018-0553-z] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Accepted: 05/22/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Dental fear and anxiety (DFA) is a major issue affecting children's oral health and clinical management. This study investigates the association between children's DFA and family related factors, including parents' DFA, parenting styles, family structure (nuclear or single-parent family), and presence of siblings. METHODS A total of 405 children (9-13 years old) and their parents were recruited from 3 elementary schools in Hong Kong. Child's demographic and family-related information was collected through a questionnaire. Parents' and child's DFA were measured by using the Corah Dental Anxiety Scale (CDAS) and Children Fear Survey Schedule-Dental Subscale (CFSS-DS), respectively. Parenting styles were gauged by using the Parent Authority Questionnaire (PAQ). RESULTS DFA was reported by 33.1% of children. The mean (SD) CFSS-DS score was 29.1 (11.0). Children with siblings tended to report DFA (37.0% vs. 24.1%; p = 0.034) and had a higher CFSS-DS score (29.9 vs. 27.4; p = 0.025) as compared with their counterpart. Children from single-parent families had lower CFSS-DS score as compared with children from nuclear families (β = - 9.177; p = 0.029). Subgroup analysis showed a higher CFSS-DS score among boys with siblings (β = 7.130; p = 0.010) as compared with their counterpart; girls' from single-parent families had a lower CFSS-DS score (β = - 13.933; p = 0.015) as compared with girls from nuclear families. Children's DFA was not associated with parents' DFA or parenting styles (p > 0.05). CONCLUSIONS Family structure (nuclear or single-parent family) and presence of siblings are significant determinants for children's DFA. Parental DFA and parenting style do not affect children's DFA significantly.
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Affiliation(s)
- Lingli Wu
- Department of Dentistry, Key Laboratory of Oral Diseases of Gansu Province, Northwest University for Nationalities, Lanzhou, China
| | - Xiaoli Gao
- Dental Public Health, Faculty of Dentistry, The University of Hong Kong, 3rd Floor, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong.
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Shen J, Listl S. Investigating social inequalities in older adults' dentition and the role of dental service use in 14 European countries. THE EUROPEAN JOURNAL OF HEALTH ECONOMICS : HEPAC : HEALTH ECONOMICS IN PREVENTION AND CARE 2018; 19:45-57. [PMID: 28064379 PMCID: PMC5773639 DOI: 10.1007/s10198-016-0866-2] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Accepted: 12/13/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Oral disease, despite being largely preventable, remains the most common chronic disease worldwide and has a significant negative impact on quality of life, particularly among older adults. OBJECTIVE This study is the first to comprehensively and at a large scale (14 European countries) measure the social inequalities in the number of natural teeth (an informative oral health marker) in the over 50-year-old population and to investigate the extent to which such inequalities are attributable to dental service use. METHODS Using Wave 5 of the Survey of Health, Ageing and Retirement in Europe, which included internationally harmonized information on over 50,000 individuals across 14 European countries, we calculated Gini and Concentration indices (CI) as well as the decompositions of CIs by socioeconomic factors. RESULTS Sweden consistently performed the best with the lowest inequalities as measured by Gini (0.1078), CI by income (0.0392), CI by education (0.0407), and CI by wealth (0.0296). No country performed the worst in all inequality measures. However, unexpectedly, some wealthier countries (e.g., the Netherlands and Denmark) had higher degrees of inequalities than less-wealthy countries (e.g., Estonia and Slovenia). Decomposition analysis showed that income, education, and wealth contributed substantially to the inequalities, and dental service use was an important contributor even after controlling for income and wealth. CONCLUSIONS The study highlighted the importance of comprehensively investigating oral health inequalities. The results are informative to policymakers to derive country-specific health policy recommendations to reduce oral health inequalities in the older population and also have implications for oral health improvement of the future generations.
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Affiliation(s)
- Jing Shen
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
| | - Stefan Listl
- Quality and Safety of Oral Care, Radboud University, Nijmegen, The Netherlands
- Translational Health Economics, Heidelberg University, Heidelberg, Germany
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Åstrøm AN, Ekbäck G, Ordell S, Lie SA, Gulcan F. Dental hygienist attendance and its covariates in an ageing Swedish cohort. Eur J Oral Sci 2017; 125:487-494. [PMID: 29083073 DOI: 10.1111/eos.12385] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Delegation of tasks between professional groups is important to make health-care services accessible and effective for ageing people. Focussing on a Swedish 1942 birth cohort and guided by Andersen's Behavioral Model, this study assessed dental hygienist attendance from age 50 to age 70 and identified covariates at the population-averaged and person-specific levels. In 1992, a census of 50-yr-old subjects was invited to participate in a questionnaire survey. Of the 6,346 respondents, 3,585 completed follow-ups in 1997, 2002, 2007, and 2012. Multiple logistic regression analysis was conducted using a marginal model and a random intercept model. Cochran's Q test revealed that significantly more respondents confirmed dental hygienist attendance in 2012 than in 1992 (57.2% in 2012 vs. 26.0% in 1992). Population-averaged ORs for dental hygienist attendance across time were 3.5 at age 70 yr compared with age 50 yr (baseline); 2.0 if being a regular rather than an irregular dental attendee; and 0.7 if being of non-native origin compared with native origin. The corresponding person-specific ORs were 8.9, 3.2, and 0.5. Consistent with Andersen's Behavioral Model, predisposing, enabling, and need-related factors were associated with dental hygienist attendance at population-averaged and person-specific levels. This has implications for promoting dental hygienist attendance among ageing people.
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Affiliation(s)
- Anne N Åstrøm
- Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway
| | - Gunnar Ekbäck
- Örebro County Council, Örebro, Sweden.,School of Health and Medical Sciences, Örebro University, Örebro, Sweden
| | - Sven Ordell
- Dental Commissioning Unit, Östergötland County Council, Linköping University, Linköping, Sweden
| | - Stein A Lie
- Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway
| | - Ferda Gulcan
- Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway
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Bernabé E, Humphris G, Freeman R. The social gradient in oral health: Is there a role for dental anxiety? Community Dent Oral Epidemiol 2017; 45:348-355. [DOI: 10.1111/cdoe.12297] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 02/23/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Eduardo Bernabé
- Division of Population and Patient Health; King's College London Dental Institute at Guy's; King's College and St. Thomas’ Hospitals; London UK
| | - Gerry Humphris
- Health Psychology; School of Medicine; University of St Andrews; St Andrews UK
| | - Ruth Freeman
- Dental Health Services Research Unit; School of Dentistry; University of Dundee; Dundee UK
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Reddy LS, Doshi D, Reddy BS, Kulkarni S, Reddy MP, Satyanarayana D, Baldava P. Self-Reported Obstacles to Regular Dental Care among Information Technology Professionals. J Clin Diagn Res 2016; 10:ZC132-ZC137. [PMID: 27891475 DOI: 10.7860/jcdr/2016/20655.8696] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 07/26/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Good oral health is important for an individual as well as social well-being. Occupational stress and work exhaustion in Information Technology (IT) professionals may influence the oral health and oral health related quality of life. AIM To assess and compare self-reported obstacles for regular dental care and dental visits among IT professionals based on age, gender, dental insurance and working days per week. MATERIALS AND METHODS A cross-sectional study was conducted among 1,017 IT professionals to assess the self-reported obstacles to regular oral health care in Hyderabad city, Telangana, India. The Dental Rejection of Innovation Scale (DRI-S) was employed in this study. Comparison between means of DRI-S based on variables was done using t-test and ANOVA. The association between variables and DRI-S was determined using Chi-square test. RESULTS A total of 1017 participants comprising of 574 (56%) males and 443 (44%) females participated in the study. As age increased, a significant increase in mean DRI-S scores was seen for total and individual domains except for the "Situational" domain wherein higher mean score (9.42±2.5; p=0.0006) was observed among 30-39 years age group. Even though females reported higher mean scores for total and individual domains when compared to males, nevertheless significant difference was seen only for total (p=0.03) and "Lack of Knowledge" (p=0.001) domain. CONCLUSION Self-reported obstacles to regular dental care was more with increasing age, increased number of working days per week, irregular dental visits and absence of dental insurance facility.
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Affiliation(s)
- L Swetha Reddy
- Postgraduate Student, Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital , Hyderabad, Telangana, India
| | - Dolar Doshi
- Professor, Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital , Hyderabad, Telangana, India
| | - B Srikanth Reddy
- Reader, Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital , Hyderabad, Telangana, India
| | - Suhas Kulkarni
- Professor and Head, Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital , Hyderabad, Telangana, India
| | - M Padma Reddy
- Reader, Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital , Hyderabad, Telangana, India
| | - D Satyanarayana
- Senior Lecturer, Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital , Hyderabad, Telangana, India
| | - Pavan Baldava
- Reader, Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital , Hyderabad, Telangana, India
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de Castro RD, Rangel MDL, da Silva MAA, de Lucena BTL, Cavalcanti AL, Bonan PRF, Oliveira JDA. Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13101026. [PMID: 27775584 PMCID: PMC5086765 DOI: 10.3390/ijerph13101026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Revised: 09/15/2016] [Accepted: 10/10/2016] [Indexed: 11/16/2022]
Abstract
The Specialized Dental Clinics (SDCs) represent the first government initiative in Latin America aimed at providing specialized oral health services. This study sought to evaluate the organizational accessibility to specialized oral health care services in Brazil and to understand the factors that may be associated with accessibility from the user’s perspective. This epidemiological, cross-sectional and quantitative study was conducted by means of interviews with individuals who sought specialized public oral health services in the city of João Pessoa, Paraíba, Brazil, and consisted of a sample of 590 individuals. Users expressed a favorable view of the classification and resolutive nature of specialized services offered by Brazilian public health. The binary logistic regression analysis revealed weak points highlighting the difficulty involved in obtaining such treatments leading to unfavorable evaluations. In the resolutive nature item, difficulty in accessing the location, queues and lack of materials and equipment were highlighted as statistically significant unfavorable aspects. While many of the users considered the service to be resolutive, weaknesses were mentioned that need to be detected to promote improvements and to prevent other health models adopted worldwide from reproducing the same flaws.
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Affiliation(s)
- Ricardo Dias de Castro
- Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil.
- Centro de Ciências da Saúde, Departamento de Fonoaudiologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil.
| | - Marianne de Lucena Rangel
- Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil.
| | - Marcos André Azevedo da Silva
- Centro de Ciências da Saúde, Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil.
| | - Brunna Thaís Lucwu de Lucena
- Centro de Ciências da Saúde, Departamento de Fonoaudiologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil.
| | - Alessandro Leite Cavalcanti
- Programa de Pós-Graduação em Odontologia, Universidade Estadual da Paraíba, Campina Grande 58429-500, PB, Brazil.
| | - Paulo Rogério Ferreti Bonan
- Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil.
| | - Julyana de Araújo Oliveira
- Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil.
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Brennan DS, Balasubramanian M, Spencer AJ. Preventive services in Australia by patient and visit characteristics. Int Dent J 2016; 66:344-349. [PMID: 27292715 DOI: 10.1111/idj.12246] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES Growth in rates of preventive services has been linked to trends in retention of teeth and the emergence of minimal intervention approaches. In this study, we examined associations between patient-level characteristics and rates of the preventive services dental/prophylaxis and application of remineralisation agents. METHODS A random sample of dentists in Australia was posted a self-administered questionnaire in 2009-2010. A service log was used to collect data on preventive services and patient characteristics. RESULTS Responses were obtained from 1,148 dentists (response rate = 67%). Preventive service rate models, adjusted according to the age and gender of patients, indicated that insured patients had higher rates of prophylaxis [rate ratio (RR) = 1.39; 95% confidence interval (95% CI): 1.21-1.59) and remineralisation services (RR = 1.85; 95% CI: 1.46-2.33), and that emergency visits had lower rates for prophylaxis (RR = 0.26; 95% CI: 0.20-0.35) and remineralisation services (RR = 0.23; 95% CI: 0.14-0.38). Those who had 20 teeth or more demonstrated higher rates of prophylaxis (RR = 1.41; 95% CI: 1.13-1.75) and remineralisation services (RR = 1.45; 95% CI: 1.02-2.08). Those with decayed teeth had lower rates of prophylaxis (RR = 0.54; 95% CI: 0.46-0.63) and remineralisation services (RR = 0.66; 95% CI: 0.53-0.82). CONCLUSIONS Preventive services were associated with patient age, characteristics of visits and oral health. Patients who were worse off, in terms of attending an emergency visit for the relief of pain and having decayed teeth, had lower rates of preventive care. The findings indicate that patients most in need are missing out on the benefits of preventive dental services.
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Affiliation(s)
- David S Brennan
- Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, Adelaide, South Australia, Australia
| | - Madhan Balasubramanian
- Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, Adelaide, South Australia, Australia
| | - A John Spencer
- Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, Adelaide, South Australia, Australia
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Brennan DS, Spencer AJ. Income-based life-course models of caries in 30-year-old Australian adults. Community Dent Oral Epidemiol 2015; 43:262-71. [DOI: 10.1111/cdoe.12150] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Accepted: 12/23/2014] [Indexed: 12/01/2022]
Affiliation(s)
- David Simon Brennan
- Australian Research Centre for Population Oral Health; School of Dentistry; University of Adelaide; Adelaide SA Australia
| | - A. John Spencer
- Australian Research Centre for Population Oral Health; School of Dentistry; University of Adelaide; Adelaide SA Australia
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Obeidat SR, Alsa'di AG, Taani DS. Factors influencing dental care access in Jordanian adults. BMC Oral Health 2014; 14:127. [PMID: 25326268 PMCID: PMC4210624 DOI: 10.1186/1472-6831-14-127] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2014] [Accepted: 10/10/2014] [Indexed: 11/24/2022] Open
Abstract
Background The aims of this study are to assess the influences of demographic and personal factors on Jordanian adults’ abilities to use dental services and the barriers to regular attendance. Methods A self-administered questionnaire was distributed to a sample of 650 Jordanian adults attending King Abdullah University Hospital (KAUH) (n = 200), Jordan University of Science and Technology–Dental Health Teaching Center (JUST–DHTC) (n = 150), Yarmouk University Health Clinics (YUHC) (n = 150), and United Nations Relief and Works Agency (UNRWA) clinics (n = 150). 614 questionnaires were completed. Statistical Package for Social Sciences (SPSS) was used to analyze data, generate descriptive statistics and perform multiple logistic regressions. The level of significance was set at α = 0.05. Results Approximately 93% of participants were dental services users. 89% were irregular users, while only 11% were regular users. The main reasons given for not visiting dental offices regularly were lack of time (39.2%), cost of treatment (26.9%), treatment not needed (22.2%), and fear of dentists (15.1%). Only 6.7% of respondents stated that they had never visited a dentist, while more than half (56.1%) reported the lack of need for dental treatment as a major reason for not using dental services. Restorative therapy was the most frequently sought treatment (61.6%), while periodontal treatment was the least frequently sought (14.1%). Although respondents who were married and/or those having missing teeth were significantly more likely to use dental services, respondents who were single were more likely to be regular attendees. Conclusion The overwhelming majority of adults were irregular attendees. Time and cost constraints, lack of need for treatment, and fear of dentists were reported as major barriers to regular attendance. The study findings call for planning of educational and promotional programs to increase Jordanians’ awareness of and regular use of available dental services to maintain health, which will be both socially and economically beneficial.
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Affiliation(s)
- Suhair Ref'at Obeidat
- Department of Applied Dental Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.
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Brennan DS, Spencer AJ. Health-related quality of life and income-related social mobility in young adults. Health Qual Life Outcomes 2014; 12:52. [PMID: 24735954 PMCID: PMC3996105 DOI: 10.1186/1477-7525-12-52] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2013] [Accepted: 03/21/2014] [Indexed: 11/24/2022] Open
Abstract
Background To assess the association of income-related social mobility between the age of 13 and 30 years on health-related quality of life among young adults. Methods In 1988-89 n = 7,673 South Australian school children aged 13 years were sampled with n = 4,604 children (60.0%) and n = 4,476 parents (58.3%) returning questionnaires. In 2005-06 n = 632 baseline study participants responded (43.0% of those traced and living in Adelaide). Results Multivariate regressions adjusting for sex, tooth brushing and smoking status at age 30 showed that compared to upwardly mobile persons social disadvantage was associated (p < 0.05) with more oral health impact (Coeff = 5.5), lower EQ-VAS health state (Coeff = -5.8), and worse satisfaction with life scores (Coeff = -3.5) at age 30 years, while downward mobility was also associated with lower satisfaction with life scores (Coeff = -1.3). Conclusions Stable income-related socioeconomic disadvantage was associated with more oral health impact, and lower health state and life satisfaction, while being downwardly mobile was associated with lower life satisfaction at age 30 years. Persons who were upwardly mobile were similar in health outcomes to stable advantaged persons.
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Affiliation(s)
- David S Brennan
- Australian Research Centre for Population Oral Health School of Dentistry, University of Adelaide, Adelaide 5005, South Australia.
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Brennan D, Spencer A. Childhood Oral Health and SES Predictors of Caries in 30-Year-Olds. Caries Res 2014; 48:237-43. [DOI: 10.1159/000354044] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2013] [Accepted: 06/14/2013] [Indexed: 11/19/2022] Open
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Listl S, Moeller J, Manski R. A multi-country comparison of reasons for dental non-attendance. Eur J Oral Sci 2013; 122:62-9. [PMID: 24147428 DOI: 10.1111/eos.12096] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2013] [Indexed: 11/27/2022]
Abstract
The purpose of this study was to describe differences across countries with respect to the reasons for dental non-attendance by Europeans currently 50 yr of age and older. The analyses were based on retrospective life-history data from the Survey of Health, Ageing, and Retirement in Europe and included information on various reasons why respondents from 13 European countries had never had regular dental visits in their lifetime. A series of logistic regression models was estimated to identify reasons for dental non-attendance across different welfare-state regimes. The highest proportion of respondents without any regular dental attendance throughout their lifetime was found for the Southern welfare-state regime, followed by the Eastern, the Bismarckian, and the Scandinavian welfare-state regimes. Factors such as patients' perception that regular dental treatment is 'not necessary' or 'not usual' appear to be the predominant reason for non-attendance in all welfare-state regimes. The health system-level factor 'no place to receive this type of care close to home' and the perception of regular dental treatment as 'not necessary' were more often referred to within the Southern, Eastern, and Bismarckian welfare-state regimes than in Scandinavia. This could be relevant information for health-care decision makers in order to prioritize interventions towards increasing rates of regular dental attendance.
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Affiliation(s)
- Stefan Listl
- Department of Conservative Dentistry, University of Heidelberg, Heidelberg, Germany; Munich Center for the Economics of Aging, Max-Planck-Institute for Social Law and Social Policy, Munich, Germany
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Brennan DS, Spencer AJ. Dental visiting history between ages 13 and 30 years and oral health-related impact. Community Dent Oral Epidemiol 2013; 42:254-62. [PMID: 24117800 DOI: 10.1111/cdoe.12077] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2011] [Accepted: 08/29/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND The aim was to assess the role of visit history factors between the age of 13 and 30 years on oral health-related impact. MATERIALS AND METHODS In 1988-89, n=7,673 South Australian school children aged 13 years were sampled with n=4,604 children (60.0%) and n=4,476 parents (58.3%) returning questionnaires. In 2005-06, n=632 baseline study participants responded (43.0% response of those traced and living in Adelaide). Oral health impact was measured at age 30 years using OHIP-14. RESULTS Multivariate regression showed that OHIP scores were significantly higher (P<0.05) for those with episodes of relief of pain visits once (β=1.487) or two or more times (β=2.883), and episodes of extraction once (β=1.301) or two or more times (β=3.172). Higher positive dental visit attitude scores were associated with lower OHIP scores (β=-1.265), as were being male (β=-0.637), having a job (β=-1.555) and being tertiary educated (β=-0.632). CONCLUSIONS History of adverse dental events between the age of 13 and 30 years such as episodes of relief of pain visits and episodes of extraction was associated with higher impact of oral health problems at age 30 suggesting a cumulative effect.
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Affiliation(s)
- David S Brennan
- Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, Adelaide, SA, Australia
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Gao X, Hamzah SH, Yiu CKY, McGrath C, King NM. Dental fear and anxiety in children and adolescents: qualitative study using YouTube. J Med Internet Res 2013; 15:e29. [PMID: 23435094 PMCID: PMC3636260 DOI: 10.2196/jmir.2290] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2012] [Revised: 08/17/2012] [Accepted: 01/08/2013] [Indexed: 01/22/2023] Open
Abstract
Background Dental fear and anxiety (DFA) refers to the fear of and anxiety towards going to the dentist. It exists in a considerable proportion of children and adolescents and is a major dilemma in pediatric dental practice. As an Internet social medium with increasing popularity, the video-sharing website YouTube offers a useful data source for understanding health behaviors and perceptions of the public. Objective Using YouTube as a platform, this qualitative study aimed to examine the manifestations, impacts, and origins of DFA in children and adolescents from the public’s perspective. Methods To retrieve relevant information, we searched YouTube using the keywords “dental fear”, “dental anxiety”, and “dental phobia”. Videos in English expressing a layperson’s views or experience on children’s or adolescent’s DFA were selected for this study. A video was excluded if it had poor audiovisual quality, was irrelevant, was pure advertisement or entertainment, or contained only the views of professionals. After the screen, we transcribed 27 videos involving 32 children and adolescents, which were reviewed by a panel of 3 investigators, including a layperson with no formal dental training. Inductive thematic analysis was applied for coding and interpreting the data. Results The videos revealed multiple manifestations and impacts of DFA, including immediate physical reactions (eg, crying, screaming, and shivering), psychological responses (eg, worry, upset, panic, helplessness, insecurity, resentment, and hatred), and uncooperativeness in dental treatment. Testimonials from children, adolescents, and their parents suggested diverse origins of DFA, namely personal experience (eg, irregular dental visits and influence of parents or peers), dentists and dental auxiliaries (eg, bad manner, lack of clinical skills, and improper work ethic), dental settings (eg, dental chair and sounds), and dental procedures (eg, injections, pain, discomfort, and aesthetic concerns). Conclusions This qualitative study suggests that DFA in children and adolescents has multifaceted manifestations, impacts, and origins, some of which only became apparent when using Internet social media. Our findings support the value of infodemiological studies using Internet social media to gain a better understanding of health issues.
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Affiliation(s)
- Xiaoli Gao
- Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
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Astrom AN, Ekback G, Nasir E, Ordell S, Unell L. Use of dental services throughout middle and early old ages: a prospective cohort study. Community Dent Oral Epidemiol 2012; 41:30-9. [DOI: 10.1111/j.1600-0528.2012.00709.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Anne N. Astrom
- Faculty of Medicine and Dentistry; Institute of Clinical Odontology-Community Dentistry; University of Bergen; Bergen; Norway
| | - Gunnar Ekback
- Department of Dentistry; Örebro County Council; Örebro; Sweden
| | - Elwalid Nasir
- Faculty of Medicine and Dentistry; Institute of Clinical Odontology-Community Dentistry; University of Bergen; Bergen; Norway
| | - Sven Ordell
- Dental Commissioning Unit Östergötland County Council; Örebro; Sweden
| | - Lennart Unell
- Department of Oral Public Health; Malmö University; Malmö; Sweden
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Tobias CR, Fox JE, Walter AW, Lemay CA, Abel SN. Retention of people living with HIV/AIDS in oral health care. Public Health Rep 2012; 127 Suppl 2:45-54. [PMID: 22547876 DOI: 10.1177/00333549121270s207] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We identified factors associated with retention in oral health care for people living with HIV/AIDS (PLWHA) and the impact of care retention on oral health-related outcomes. METHODS We collected interview, laboratory value, clinic visit, and service utilization data from 1,237 HIV-positive patients entering dental care from May 2007 to August 2009, with at least an 18-month observation period. Retention in care was defined as two or more dental visits at least 12 months apart. We conducted multivariate regression using generalized estimating equations to explore factors associated with retention in care. RESULTS In multivariate analysis, patients who received oral health education were 5.91 times as likely (95% confidence interval 3.73, 9.39) as those who did not receive this education to be retained in oral health care. Other factors associated with care retention included older age, taking antiretroviral medications, better physical health status, and having had a dental visit in the past two years. Patients retained in care were more likely to complete their treatment plans and attend a recall visit. Those retained in care experienced fewer oral health symptoms and less pain, and better overall health of teeth and gums. CONCLUSIONS Retention in oral health care was associated with positive oral health outcomes for this sample of PLWHA. The strongest predictor of retention was the receipt of oral health education, suggesting that training in oral health education is an important factor when considering competencies for new dental professionals, and that patient education is central to the development of dental homes, which are designed to engage and retain people in oral health care over the long term.
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Affiliation(s)
- Carol R Tobias
- Health & Disability Working Group, Boston University School of Public Health, 715 Albany St., Boston, MA 02118, USA.
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Astrøm AN, Skaret E, Haugejorden O. Dental anxiety and dental attendance among 25-year-olds in Norway: time trends from 1997 to 2007. BMC Oral Health 2011; 11:10. [PMID: 21426538 PMCID: PMC3068991 DOI: 10.1186/1472-6831-11-10] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2010] [Accepted: 03/22/2011] [Indexed: 11/29/2022] Open
Abstract
Background So far, there are few studies considering the development of dental anxiety and dental attendance patterns across time in the general population of Norwegian adults. This study aimed to 1) determine the frequency of dental anxiety and regular dental attendance among 25-year-olds in Norway in 1997 and 2007, 2) to study the development (time trend) of dental anxiety and the socio-behavioral distribution of dental anxiety from 1997 to 2007. Method Random samples of 1,190 and 8,000 25-yr-olds were drawn from the populations of three counties in Western Norway in 1997 and 2007, respectively. The eligible participants received questionnaires by mail including questions on socio-demographics, dental anxiety (DAS) and dental attendance. Results In 1997, 11.5% males versus 23% females reported high dental anxiety (DAS ≥ 13). Corresponding figures in 2007 were 11.3% and 19.8%. The proportions who had attended yearly for a dental check-up during the past 5 years fell from 62% in 1997 (men 56.9% and women 66.4%) to 44.6% (men 38.1% and women 48.6%) in 2007. After controlling for potential confounding factors, the 25-year-olds were 1.4 times more likely to report dental anxiety in 1997 compared to 2007. The decrease was largely attributable to a lower mean DAS score among higher educated females in 2007 than in 1997. The discrepancy in dental anxiety between regular and non-regular dental attendees had decreased, largely attributable to a decline in dental anxiety among irregular dental attendees. Conclusion The study showed reduced dental anxiety and dental attendance among 25 year-olds in Norway from 1997 to 2007. This study points to the importance of controlling for possible changes in socio-demographic distributions when different cohorts are compared.
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Affiliation(s)
- Anne N Astrøm
- Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
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