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Lito MFP, Knorst JK, Noronha TG, Pohl MB, Brondani B, de Araújo G, Ardenghi TM, Tomazoni F. Impact of the COVID-19 pandemic on sleep bruxism among adolescents in Brazil: A longitudinal study. Oral Dis 2024; 30:2678-2684. [PMID: 37759359 DOI: 10.1111/odi.14714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 07/17/2023] [Accepted: 07/18/2023] [Indexed: 09/29/2023]
Abstract
AIM To evaluate the immediate and late impact of the COVID-19 pandemic on the occurrence of possible sleep bruxism (SB) among adolescents in Brazil. DESIGN This is a longitudinal study performed with adolescents (11-15 years old) from Southern Brazil. Baseline data were collected before the Brazilian COVID-19 outbreak (T1). Posteriorly, data were collected after 3 (T2) and 15 months under the Brazilian COVID-19 outbreak. The possible SB was evaluated by the question: 'Do you grind your teeth during your sleep?'. Sociodemographic, psychosocial and clinical variables were also collected. Changes in SB were evaluated by multilevel logistic regression models for repeated measures. RESULTS Of the 290 adolescents assessed at T1, 182 were reassessed at both follow-ups. The prevalence of possible SB was 13% at T1, 11% at T2 and 22% at T3. There were no immediate effects of the COVID-19 pandemic on the occurrence of possible SB (T2). Adolescents had odds 2.77 times greater of presented possible SB after 15 months (T3) of COVID-19 pandemic scenarios when compared to T1. CONCLUSION There was a considerable and late increase in the possible SB in adolescents in Brazil during the COVID-19 pandemic.
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Affiliation(s)
| | - Jessica Klöckner Knorst
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Thaís Gioda Noronha
- Post Graduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Marina Blanco Pohl
- Post Graduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Bruna Brondani
- Post Graduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Gabriela de Araújo
- Post Graduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Fernanda Tomazoni
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
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2
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Pohl MB, Noronha-Ramos TG, Knorst JK, Lito MFP, de Araujo G, Emmanuelli B, Ardenghi TM, Tomazoni F. Short and long effects of the COVID-19 context on oral health-related quality of life of adolescents. Oral Dis 2024. [PMID: 38424685 DOI: 10.1111/odi.14885] [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: 08/21/2023] [Revised: 12/22/2023] [Accepted: 12/27/2023] [Indexed: 03/02/2024]
Abstract
AIM To assess the immediate and late effects of the COVID-19 pandemic on the oral health-related quality of life (OHRQoL) of adolescents. DESIGN This is a longitudinal study performed with adolescents (11-15 years old) from Southern Brazil who were evaluated before the COVID-19 outbreak, and 3 (T2) and 15 (T3) months after the beginning of the pandemic. OHRQoL was assessed using the CPQ11-14. Sociodemographic and clinical variables were also collected. Changes in OHRQoL before, 3 and 15 months after the start of the pandemic were analyzed through multilevel Poisson regression models for repeated measures. RESULTS A total of 290 adolescents were evaluated at T1, 207 were re-evaluated at T2, and 204 at T3. Overall CPQ11-14 scores over follow-ups were 11.0 (SD 8.0) at T1, 8.3 (SD 7.8) and 12.8 (SD 8.8) at T3. Compared to T1, adolescents presented 29% lower overall CPQ11-14 scores (IRR 0.71 95% CI 0.66-0.75) at T2, and 11% higher scores at T3 (IRR 1.11 95% CI 1.05-1 0.17), especially for the emotional and social well-being domains. CONCLUSION COVID-19 pandemic impacted the adolescents' OHRQoL differently over time, indicating a reduction in impacts immediately after the beginning and worsening over long term exposure to this scenario.
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Affiliation(s)
- Marina Blanco Pohl
- Post Graduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | | | - Jessica Klöckner Knorst
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | | | - Gabriela de Araujo
- Post Graduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Bruno Emmanuelli
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Fernanda Tomazoni
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
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3
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Reis LOB, Silva AER, Cascaes AM, Boscato N. Agreement between self-rated denture condition and clinical examination in older adults. Gerodontology 2023; 40:135-141. [PMID: 35416323 DOI: 10.1111/ger.12631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 03/21/2022] [Accepted: 03/28/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVES This study aimed to compare differences between complete denture conditions self-rated by older adult wearers and clinically exanimated by a professional based on standardised aesthetics and functional criteria. MATERIALS AND METHODS Complete denture clinical examination was based on the functional (stability, retention, occlusion and articulation, vertical dimension of occlusion) and aesthetics criteria. Data on self-rated complete denture conditions were measured using the Patient's Denture Assessment (PDA) questionnaire based on standardised aesthetic and functional criteria (n = 122). Prevalence rates of clinical and self-rated complete denture condition, sensitivity, specificity, positive and negative predictive values, and absolute and relative bias were calculated. RESULTS The highest sensitivity (66.7% [95% CI 55.3-76.7]) was obtained for aesthetic criterion, whereas occlusion revealed the lowest sensitivity (14.9% [95% CI 6.2-28.3]). Stability had the highest specificity (91.3% [95% CI 72.0-98.9]) and aesthetics the lowest (21.4% [95% CI 8.3-41.0]). Stability also yielded the highest positive predictive value (83.3% [95% CI 51.6-97.9]), and vertical dimension of occlusion the lowest (26.3% [95% CI 9.1-51.2]). The vertical dimension of occlusion yielded the highest negative predictive value (71.2% [95% CI 58.7-81.7]). Self-rated data underestimated the complete denture condition in 6.5% compared with clinical examinations when the aesthetic criterion was excluded from the analysis and 7.6% when added. CONCLUSIONS Older adult wearers better identified the condition of their complete denture when the aesthetic criterion was excluded from examination. In contrast, considering functional criteria (retention, stability, occlusion and vertical dimension of occlusion), self-rated complete denture conditions underestimated clinical examination. CLINICAL RELEVANCE Using standardised aesthetic criteria in epidemiological studies for assessing complete denture conditions self-rated by wearers could avoid underestimating or overestimating the information regarding the use or need for dental prostheses.
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Affiliation(s)
- Luiz Otávio B Reis
- Graduate Program in Dentistry, Catholic University of Pelotas, Pelotas, Brazil
| | | | - Andreia Morales Cascaes
- Department of Public Health, Graduate Program in Public Health, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Noéli Boscato
- Graduate Program in Dentistry, Prosthodontics Division, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
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Toh JR, Wooi N, Tan SN, Wong K, Lopez-Silva C, Zafar S. Association between lack of dental service utilisation and caregiver-reported caries in Australian Indigenous children: A national survey. J Paediatr Child Health 2022; 58:2218-2224. [PMID: 36082587 PMCID: PMC10087467 DOI: 10.1111/jpc.16192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 06/06/2022] [Accepted: 08/18/2022] [Indexed: 11/30/2022]
Abstract
AIM To investigate the association between the lack of dental service utilisation and dental caries in Australian Indigenous children. METHODS Data from the Longitudinal Study of Indigenous Children, which is a longitudinal population-based cross-sectional study in Australia were analysed. A total of 1258 children were included, consisting of the baby cohort and the child cohort at Wave 7. Logistic regression analysis was conducted to examine the association between caregiver-reported child dental caries and dental service utilisation. Multiple imputation using the fully conditional specifications approach was used to account for missing data. RESULTS Around one tenth (12.3%) of Indigenous children did not see a dentist when required. Lack of dental service utilisation was associated with an increased likelihood of caregiver-reported dental caries (odds ratio (OR) 2.4; 95% confidence interval (CI) 1.5-3.8) and teeth removed due to dental caries (OR 2.3; 95% CI 1.1-4.7). These associations remained after adjusting for confounders (caregiver-reported dental caries OR 2.3; 95% CI 1.3-3.8; teeth removed due to dental caries OR 2.1; 95% CI 1.0-4.4). The reasons reported for not utilising dental services when required were the lack of an available dentist (31.4%), difficulties with physical access (19.8%), long waiting times (13.9%), financial issues with cost (5.8%) and feeling that 'they could cope' (4.6%). CONCLUSIONS Lack of dental service utilisation was associated with dental caries and extraction due to caries in Australian Indigenous children.
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Affiliation(s)
- Jia R Toh
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
| | - Nadine Wooi
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
| | - Si N Tan
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
| | - Kingsley Wong
- Child Disability, Telethon Kids Institute, University of Western Australia, Perth, Western Australia, Australia
| | - Claudia Lopez-Silva
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
| | - Sobia Zafar
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
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Agustanti A, Ramadhani A, Adiatman M, Rahardjo A, El Tantawi M, Maharani DA. Validation of self-reported oral health among Indonesian adolescents. BMC Oral Health 2021; 21:586. [PMID: 34798849 PMCID: PMC8603482 DOI: 10.1186/s12903-021-01953-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 11/08/2021] [Indexed: 11/10/2022] Open
Abstract
Background and aim With the recognition of health as a subjective state, self-reported oral health has been applied in many epidemiological studies. However, the validity of self-reports may vary across different age groups and socio-cultural backgrounds and by using different tools. This study aimed to assess the validity of self-reported oral health of 15-year-old Indonesian adolescents.
Materials and methods This study used data from the Indonesian National Oral Health Survey, a part of the Indonesian Basic Health Survey 2018. The study included 572 15-year-old Indonesian adolescents. We compared the presence of clinically assessed dental caries, tooth loss, and fillings following the World Health Organization Basic Health Survey method and questionnaire-based self-reported oral conditions using McNemar test. The sensitivity (Sn), specificity (Sp), and likelihood ratios (LRs) of self-reports were calculated using clinical assessment as the reference standard. The overall accuracy of self-reports in identifying the clinical condition was assessed using the area under the curve (AUC) of a receiver operating characteristic curve. Results Self-reports significantly underestimated the clinical presence of caries (39.3% and 67.1%) and overestimated the clinical presence of tooth loss (9.3% and 4.2%) and filling (4.7% and 2.4%, p < 0.05). All self-reported conditions had higher Sp (at least 70.3%) than Sn (max 54.2%) and the AUC for all self-reported conditions were < 0.7. Self-reporting the presence of fillings had the highest LR+ = 11. Conclusions Self-reporting oral health in Indonesian adolescents had low accuracy. Further studies of other methods of self-reporting are needed before they can be used to assess adolescents’ oral health in epidemiological surveys.
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Affiliation(s)
- Ary Agustanti
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Atik Ramadhani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Melissa Adiatman
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Anton Rahardjo
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia
| | - Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Diah Ayu Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jalan Salemba No. 4, Jakarta, 10430, Indonesia.
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Cademartori MG, Demarco FF, Freitas da Silveira M, Barros FC, Corrêa MB. Dental caries and depression in pregnant women: The role of oral health self-perception as mediator. Oral Dis 2021; 28:1733-1740. [PMID: 33529472 DOI: 10.1111/odi.13789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 01/16/2021] [Accepted: 01/24/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVE This study investigated the role of oral health self-perception as mediator of association between dental caries and depression among pregnant women from the 2015 Pelotas Birth Cohort Study, Brazil. MATERIALS AND METHODS Overall, 2,496 pregnant women participated of this oral health sub-study. Data related to demographic and socioeconomic conditions, lifetime and current depression, and oral health self-perception were collected. Participants were also assessed for dental caries (DMF-T index). Depression was assessed using the Edinburgh Postnatal Depression Scale. For analysis, six outcomes related to dental caries experience were considered. Causal mediation analysis was performed using parametric regression models. RESULTS When it was assumed that all subjects had poor perception about oral health, it was observed that the presence of moderate/severe depressive signals and symptoms was higher in subjects with dental caries experience (OR 1.13; CI 95% 1.06-1.20), with severity of untreated dental caries (OR 2.08; CI 95% 1.16-3.78), untreated dental caries (OR 1.18; 95% CI 1.07-1.29), tooth loss (OR 1.08; 95% CI 1.02-1.14), and filled tooth (OR 1.07; 95% CI 1.02-1.16). CONCLUSIONS Our findings show the effect of dental caries on depression is mediated by self-perception about oral health in pregnant women.
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Affiliation(s)
| | - Flavio F Demarco
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.,Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | | | - Fernando C Barros
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Marcos B Corrêa
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
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7
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Zaura E, Pappalardo VY, Buijs MJ, Volgenant CMC, Brandt BW. Optimizing the quality of clinical studies on oral microbiome: A practical guide for planning, performing, and reporting. Periodontol 2000 2021; 85:210-236. [PMID: 33226702 PMCID: PMC7756869 DOI: 10.1111/prd.12359] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
With this review, we aim to increase the quality standards for clinical studies with microbiome as an output parameter. We critically address the existing body of evidence for good quality practices in oral microbiome studies based on 16S rRNA gene amplicon sequencing. First, we discuss the usefulness of microbiome profile analyses. Is a microbiome study actually the best approach for answering the research question? This is followed by addressing the criteria for the most appropriate study design, sample size, and the necessary data (study metadata) that should be collected. Next, we evaluate the available evidence for best practices in sample collection, transport, storage, and DNA isolation. Finally, an overview of possible sequencing options (eg, 16S rRNA gene hypervariable regions, sequencing platforms), processing and data interpretation approaches, as well as requirements for meaningful data storage, sharing, and reporting are provided.
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Affiliation(s)
- Egija Zaura
- Department of Preventive DentistryAcademic Centre for Dentistry Amsterdam (ACTA)Vrije Universiteit Amsterdam and University of AmsterdamAmsterdamthe Netherlands
| | - Vincent Y. Pappalardo
- Department of Preventive DentistryAcademic Centre for Dentistry Amsterdam (ACTA)Vrije Universiteit Amsterdam and University of AmsterdamAmsterdamthe Netherlands
| | - Mark J. Buijs
- Department of Preventive DentistryAcademic Centre for Dentistry Amsterdam (ACTA)Vrije Universiteit Amsterdam and University of AmsterdamAmsterdamthe Netherlands
| | - Catherine M. C. Volgenant
- Department of Preventive DentistryAcademic Centre for Dentistry Amsterdam (ACTA)Vrije Universiteit Amsterdam and University of AmsterdamAmsterdamthe Netherlands
| | - Bernd W. Brandt
- Department of Preventive DentistryAcademic Centre for Dentistry Amsterdam (ACTA)Vrije Universiteit Amsterdam and University of AmsterdamAmsterdamthe Netherlands
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Folayan MO, Alimi P, Alade MO, Tantawi ME, Adeniyi AA, Finlayson TL. Validation of maternal report of early childhood caries status in Ile-Ife, Nigeria. BMC Oral Health 2020; 20:336. [PMID: 33238956 PMCID: PMC7687827 DOI: 10.1186/s12903-020-01288-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 10/18/2020] [Indexed: 12/25/2022] Open
Abstract
Background To determine the validity of maternal reports of the presence of early childhood caries (ECC), and to identify maternal variables that increase the accuracy of the reports.
Methods This secondary data analysis included 1155 mother–child dyads, recruited through a multi-stage sampling household approach in Ile-Ife Nigeria. Survey data included maternal characteristics (age, monthly income, decision-making ability) and maternal perception about whether or not her child (age 6 months to 5 years old) had ECC. Presence of ECC was clinically determined using the dmft index. Maternally reported and clinically determined ECC presence were compared using a chi-squared test. McNemar's test was used to assess the similarity of maternal and clinical reports of ECC. Sensitivity, specificity, positive and negative predictive values, absolute bias, relative bias and inflation factor were calculated. Statistical significance was determined at p < 0.05. Results The clinically-determined ECC prevalence was 4.6% (95% Confidence interval [CI]: 3.5–5.0) while the maternal-reported ECC prevalence was 3.4% (CI 2.4–4.6). Maternal reports underestimated the prevalence of ECC by 26.1% in comparison to the clinical evaluation. The results indicate low sensitivity (9.43%; CI 3.13–20.70) but high specificity (96.9%; CI 95.7–97.9). The positive predictive value was 12.8% (CI 4.3–27.4) while the negative predictive value was 95.7% (CI 94.3–96.8). The inflation factor for maternally reported ECC was 1.4. Sensitivity (50.0%; CI 6.8–93.2) and positive predictive value were highest (33.3%; CI 4.3–77.7) when the child had a history of visiting the dental clinic. Conclusions Mothers under-reported the presence of ECC in their children in this study population. The low sensitivity and positive predictive values of maternal report of ECC indicates that maternal reporting of presence of ECC may not be used as a valid tool to measure ECC in public health surveys. The high specificity and negative predictive values indicate that their report is a good measure of the absence of ECC in the study population. Child’s history of dental service utilization may be a proxy measure of presence of ECC.
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Affiliation(s)
| | - Peter Alimi
- Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Micheal O Alade
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
| | - Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Abiola A Adeniyi
- Department of Preventive Dentistry, Lagos State University College of Medicine, Lagos, Nigeria
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Karam SA, Costa FDS, Schwendicke F, Correa MB, Demarco FF. Oral health and academic performance or absenteeism: Findings from a University in Southern Brazil. Community Dent Oral Epidemiol 2020; 49:267-274. [PMID: 33210324 DOI: 10.1111/cdoe.12598] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 10/24/2020] [Accepted: 10/30/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To evaluate the association between oral health conditions and academic performance and absenteeism in university students. METHODS This cross-sectional study was carried out on a comprehensive sample of 1865 freshman students from the Federal University of Pelotas/Southern Brazil in 2017. A self-administered questionnaire was applied in the classroom, inquiring about socioeconomic, demographic, psychological, academic characteristics and oral conditions (tooth loss, self-reported oral health and toothache). For the dependent variables, academic performance was evaluated by the question: 'How would you describe your academic performance?' while absenteeism was assessed with the question 'In the last six months, have you missed some class for dental reasons?'. Multivariable analyses used hierarchical Poisson regression with backward selection. RESULTS The prevalence of low academic performance was 38.6% and absenteeism due to dental reasons 6.2%. The prevalence of toothache and poor self-perceived oral health was 28% and 20%, respectively. Multivariable analysis found low academic performance to be more prevalent in students with poor self-perceived oral health (PR 1.46; 95% CI 1.22-1.77), and absenteeism to be almost six times more prevalent (PR 5.85; 95% CI 3.84-8.90) in students reporting toothache. CONCLUSIONS Poor oral health is associated with both poor academic performance and absenteeism in university students.
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Affiliation(s)
- Sarah Arangurem Karam
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.,Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Francine Dos Santos Costa
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.,Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Falk Schwendicke
- Department of Oral Diagnostics, Digital Health, Health Services Research, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Marcos Britto Correa
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Flávio Fernando Demarco
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.,Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
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10
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Chisini LA, Cademartori MG, Collares K, Pires ALC, Azevedo MS, Corrêa MB, Demarco FF. Desire of university students for esthetic treatment and tooth bleaching. BRAZILIAN JOURNAL OF ORAL SCIENCES 2019. [DOI: 10.20396/bjos.v18i0.8657267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Aim: The aim of this study was to investigate the prevalence of the desire of university students for esthetic treatment and tooth bleaching, and associated factors. Methods: A cross-sectional study was performed in 2016 with first-semester university students in Pelotas. Data was collected via a self-administered questionnaire including demographic, socioeconomic and psychosocial characteristics. Oral Impact on Daily Performance (OIDP) was assessed and Poisson regression models were used to evaluate the association between the following outcomes: prevalence of desire for esthetic treatment and the tooth bleaching, and exposure variables. A p-value of ≤ 0.05 was considered significant. Results: A total of 2,058 students participated in the study. Refusals represented a mere 1.4% of the total sample. Of the individuals interviewed, 16.1% underwent tooth bleaching and 74.4% reported a desire for esthetic dental treatment. Models showed students with higher family income and with the intention to use private dental services had 65% and 47% higher prevalence of tooth bleaching, respectively. Individuals satisfied with dental color and appearance exhibited a higher prevalence of tooth bleaching, as did those who smoked. On the other hand, students satisfied with dental color (PR= 0.77, 95% CI: 0.73-0.80) and with their dental appearance (PR= 0.82, 95% CI 0.78-0.87) demonstrated less desire to undergo esthetic dental treatment. Moreover, individuals who suffered some impact in OIDP reported a greater desire for esthetic treatment (PR= 1.07, 95% CI: 1.02-1.13). Conclusion: General and psychosocial characteristics were associated with the desire for esthetic treatment and tooth bleaching in university students.
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Jayasvasti I, Htun KCSS, Peltzer K. Self-Rated Oral Health Status And Social And Health Determinants Among 35-65 Year-Old Persons In One Region In Myanmar: A Cross-Sectional Study. Clin Cosmet Investig Dent 2019; 11:339-348. [PMID: 31807081 PMCID: PMC6857668 DOI: 10.2147/ccide.s227957] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Accepted: 09/11/2019] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Oral diseases may be a population health problem in Myanmar. Community-based surveys may help in the selection of risk groups that may require priority attention. The study aimed to estimate the prevalence and correlates of self-rated oral health (SROH) status in an adult community sample in Myanmar. METHODS The study design was a cross-sectional household survey in the Magway region Myanmar. In all, 633 persons aged 35 to 65 years, responded to questions on the oral health status, general health status, oral health knowledge and behaviour and socio-demographic information. RESULTS Overall, 13.6% of participants reported poor SROH, and 78.5% average or poor SROH. In adjusted logistic regression analysis, oral conditions (tooth loss, cavities, bleeding gums, and teeth that are sensitive to heat or cold), better oral health knowledge, dental care attendance, and skipping breakfast were associated with poor SROH. CONCLUSION A high proportion of poor or average SROH status was found and several associated variables were found that can facilitate in guiding oral health care programming in Myanmar.
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Affiliation(s)
| | | | - Karl Peltzer
- Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom, South Africa
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12
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Marcus M, Xiong D, Wang Y, Maida CA, Hays RD, Coulter ID, Spolsky VW, Lee SY, Shen J, Crall JJ, Liu H. Development of toolkits for detecting dental caries and caries experience among children using self-report and parent report. Community Dent Oral Epidemiol 2019; 47:520-527. [PMID: 31576591 DOI: 10.1111/cdoe.12494] [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] [Received: 07/26/2018] [Revised: 07/31/2019] [Accepted: 08/08/2019] [Indexed: 12/11/2022]
Abstract
OBJECTIVES To develop child- and parent-reported toolkits for active caries and caries experience in children and adolescents, ages 8-17. METHODS A sample of 398 child/parent dyads recruited from 12 dental practices in Los Angeles County completed a computer-assisted survey that assessed oral health perceptions. In addition, children received a dental examination that identified the presence or absence of active caries and caries experience. A Multiple Adaptive Regression Splines model was used to identify a subset of survey items associated with active caries and caries experience. The splines and coefficients were refined by generalized cross-validation. Sensitivity and specificity for both dependent variables were evaluated. RESULTS Eleven child self-reported items were identified that had sensitivity of 0.82 and specificity of 0.45 relative to active caries. Twelve parent-reported items had a sensitivity of 0.86 and specificity of 0.50. Seven child self-reported items had a sensitivity of 0.86 and specificity of 0.34, and 11 parent-reported items had a sensitivity of 0.86 and specificity of 0.47 for caries experience. CONCLUSIONS The survey items identified here are useful in distinguishing children with and without active caries and with and without caries experience. This research presents a path towards using children's and their parents' reports about oral health to screen for clinically determined caries and caries exposure. The items identified in this study can be useful when clinical information is unavailable.
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Affiliation(s)
- Marvin Marcus
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California
| | - Di Xiong
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California.,Department of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California
| | - Yan Wang
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California.,Department of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California
| | - Carl A Maida
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California.,Division of Oral Biology and Medicine, School of Dentistry, University of California Los Angeles, Los Angeles, California
| | - Ron D Hays
- Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.,Department of Health Policy and Management, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California.,RAND Corporation, Santa Monica, California
| | - Ian D Coulter
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California.,RAND Corporation, Santa Monica, California
| | - Vladimir W Spolsky
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California
| | - Steve Y Lee
- Section of Restorative Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California
| | - Jie Shen
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California
| | - James J Crall
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California
| | - Honghu Liu
- Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California.,Department of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California.,Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California Los Angeles, Los Angeles, California
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13
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Ishizuka Y, Yoshino K, Suzuki S, Sato R, Onose Y, Eguchi T, Takayanagi A, Kamijo H, Sugihara N. Factors Associated with Untreated Decayed Teeth in Male Sales Workers: An Internet Survey. THE BULLETIN OF TOKYO DENTAL COLLEGE 2019; 60:153-161. [PMID: 31308308 DOI: 10.2209/tdcpublication.2018-0053] [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] [Indexed: 11/06/2022]
Abstract
The purpose of this study was to identify factors associated with untreated decayed teeth (DT) in male sales workers. The participants were recruited by screening a pool of Japanese registrants in an online database for eligibility for inclusion in the study. Between 20 February 2015 and 11 March 2015, those deemed eligible were asked to complete a questionnaire on the status of their oral health. Responses from a total of 142 male sales workers aged between 30 and 49 years were analyzed. Of these, 40 reported DT and 102 no untreated decayed teeth (NDT). The percentage of participants with DT was higher than that with NDT among night shift workers (p<0.001). A higher percentage of participants with DT reported pain when eating or drinking something cold (p=0.041), pain in the teeth or gingiva (p<0.001), or frequent stomatitis (p=0.030). A higher percentage of participants with DT reported eating between meals (p=0.027) and a lower percentage visiting a dental clinic in the past 6 months (p=0.017) compared with among participants with NDT. Those with NDT were more likely to report an inability to visit a dental clinic when they wanted to (p=0.033), but those with DT were more likely to report that their reasons for not visiting a dental clinic were that multiple visits were required for treatment (p=0.012) or that they did not like the treatment (p=0.005). Working the night shift (Odds Ratio [OR], 3.492; 95% Confidence Interval [CI], 1.347-8.725) and visiting a dental clinic in the past 6 months (OR, 0.084; 95%CI, 0.010-0.733) were identified as independent variables correlated with leaving DT untreated. Requiring oral health education and dental checkups at least once every 6 months may have a positive effect on oral health among male sales workers, especially those doing night shifts.
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Affiliation(s)
- Yoichi Ishizuka
- Department of Epidemiology and Public Health, Tokyo Dental College
| | - Koichi Yoshino
- Department of Epidemiology and Public Health, Tokyo Dental College
| | - Seitaro Suzuki
- Department of Epidemiology and Public Health, Tokyo Dental College
| | - Ryouichi Sato
- Department of Epidemiology and Public Health, Tokyo Dental College
| | - Yuki Onose
- Department of Epidemiology and Public Health, Tokyo Dental College
| | - Takako Eguchi
- Department of Epidemiology and Public Health, Tokyo Dental College.,Department of Dental Hygiene, Tokyo Dental Junior College
| | | | - Hideyuki Kamijo
- Department of Social Security for Dentistry, Tokyo Dental College
| | - Naoki Sugihara
- Department of Epidemiology and Public Health, Tokyo Dental College
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14
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Medina-Solís CE, Ávila-Burgos L, Márquez-Corona MDL, Medina-Solís JJ, Lucas-Rincón SE, Borges-Yañez SA, Fernández-Barrera MÁ, Pontigo-Loyola AP, Maupomé G. Out-Of-Pocket Expenditures on Dental Care for Schoolchildren Aged 6 to 12 Years: A Cross-Sectional Estimate in a Less-Developed Country Setting. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16111997. [PMID: 31195612 PMCID: PMC6603907 DOI: 10.3390/ijerph16111997] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Revised: 06/03/2019] [Accepted: 06/03/2019] [Indexed: 12/20/2022]
Abstract
Aim: The objective of this study was to estimate the Out-Of-Pocket Expenditures (OOPEs) incurred by households on dental care, as well as to analyze the sociodemographic, economic, and oral health factors associated with such expenditures. Method: A cross-sectional study was conducted among 763 schoolchildren in Mexico. A questionnaire was distributed to parents to determine the variables related to OOPEs on dental care. The amounts were updated in 2017 in Mexican pesos and later converted to 2017 international dollars (purchasing power parities-PPP US $). Multivariate models were created: a linear regression model (which modeled the amount of OOPEs), and a logistic regression model (which modeled the likelihood of incurring OOPEs). Results: The OOPEs on dental care for the 763 schoolchildren were PPP US $53,578, averaging a PPP of US $70.2 ± 123.7 per child. Disbursements for treatment were the principal item within the OOPEs. The factors associated with OOPEs were the child's age, number of dental visits, previous dental pain, main reason for dental visit, educational level of mother, type of health insurance, household car ownership, and socioeconomic position. Conclusions: The average cost of dental care was PPP US $70.2 ± 123.7. Our study shows that households with higher school-aged children exhibiting the highest report of dental morbidity-as well as those without insurance-face the highest OOPEs. An array of variables were associated with higher expenditures. In general, higher-income households spent more on dental care. However, the present study did not estimate unmet needs across the socioeconomic gradient, and thus, future research is needed to fully ascertain disease burden.
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Affiliation(s)
- Carlo Eduardo Medina-Solís
- The Academic Area of Dentistry in the Health Sciences Institute, the Autonomous University of the State of Hidalgo, Pachuca 42039, Mexico.
- The Center for Advanced Studies and Research in Dentistry "Keisaburo Miyata", Faculty of Dentistry, the Autonomous University of the State of Mexico, Toluca 50000, Mexico.
| | - Leticia Ávila-Burgos
- The Center for Health Systems Research, the National Institute of Public Health, Cuernavaca 62100, Mexico.
| | - María de Lourdes Márquez-Corona
- The Academic Area of Dentistry in the Health Sciences Institute, the Autonomous University of the State of Hidalgo, Pachuca 42039, Mexico.
| | - June Janette Medina-Solís
- Ministry of Education of Campeche, Sub-secretary of Educational Coordination, Direction of Coordination and Budgetary Management, Campeche 24095, Mexico.
| | - Salvador Eduardo Lucas-Rincón
- The Center for Advanced Studies and Research in Dentistry "Keisaburo Miyata", Faculty of Dentistry, the Autonomous University of the State of Mexico, Toluca 50000, Mexico.
- School of Dentistry, the Ixtlahuaca University Centre, Ixtlahuaca 50080, Mexico.
| | | | - Miguel Ángel Fernández-Barrera
- The Academic Area of Dentistry in the Health Sciences Institute, the Autonomous University of the State of Hidalgo, Pachuca 42039, Mexico.
| | - América Patricia Pontigo-Loyola
- The Academic Area of Dentistry in the Health Sciences Institute, the Autonomous University of the State of Hidalgo, Pachuca 42039, Mexico.
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University in Indianapolis, Indianapolis, IN 46202, USA.
- The Indiana University Network Science Institute, Bloomington, IN 47408, USA.
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15
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Guarnizo-Herreño CC, Watt RG, Garzón-Orjuela N, Tsakos G. Explaining oral health inequalities in European welfare state regimes: The role of health behaviours. Community Dent Oral Epidemiol 2018; 47:40-48. [DOI: 10.1111/cdoe.12420] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Revised: 08/10/2018] [Accepted: 08/12/2018] [Indexed: 12/30/2022]
Affiliation(s)
- Carol C. Guarnizo-Herreño
- Department of Epidemiology and Public Health; University College London; London UK
- Departamento de Salud Colectiva; Facultad de Odontología; Universidad Nacional de Colombia; Bogotá Colombia
| | - Richard G. Watt
- Department of Epidemiology and Public Health; University College London; London UK
| | - Nathaly Garzón-Orjuela
- Hospital Universitario Nacional de Colombia; Grupo de Equidad en Salud; Facultad de Medicina; Universidad Nacional de Colombia; Bogotá Colombia
| | - Georgios Tsakos
- Department of Epidemiology and Public Health; University College London; London UK
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16
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Goettems ML, Nascimento GG, Peres MA, Santos I, Matijasevich A, Barros AJD, Peres KG, Demarco F. Influence of maternal characteristics and caregiving behaviours on children's caries experience: An intergenerational approach. Community Dent Oral Epidemiol 2018; 46:435-441. [DOI: 10.1111/cdoe.12406] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Revised: 06/18/2018] [Accepted: 06/24/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Marília L. Goettems
- Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Brazil
| | - Gustavo G. Nascimento
- Section of Periodontology; Department of Dentistry and Oral Health; Aarhus University; Aarhus Denmark
| | - Marco A. Peres
- Australian Research Centre for Population Oral Health; Adelaide SA Australia
| | - Ina S. Santos
- Postgraduate Program in Epidemiology; Federal University of Pelotas; Pelotas Brazil
| | - Alicia Matijasevich
- Department of Preventive Medicine; Faculty of Medicine; University of São Paulo; São Paulo Brazil
| | - Aluisio J. D. Barros
- Postgraduate Program in Epidemiology; Federal University of Pelotas; Pelotas Brazil
| | - Karen G. Peres
- Australian Research Centre for Population Oral Health; Adelaide SA Australia
| | - Flávio 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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17
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Guarnizo-Herreño CC, Watt RG, Stafford M, Sheiham A, Tsakos G. Do welfare regimes matter for oral health? A multilevel analysis of European countries. Health Place 2017; 46:65-72. [PMID: 28500911 DOI: 10.1016/j.healthplace.2017.05.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Revised: 05/03/2017] [Accepted: 05/05/2017] [Indexed: 11/25/2022]
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18
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YOSHINO K, SUZUKI S, ISHIZUKA Y, TAKAYANAGI A, SUGIHARA N, KAMIJYO H. Relationship between job stress and subjective oral health symptoms in male financial workers in Japan. INDUSTRIAL HEALTH 2017; 55:119-126. [PMID: 27840370 PMCID: PMC5383409 DOI: 10.2486/indhealth.2016-0120] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/07/2016] [Accepted: 11/07/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE The aim was to assess subjective oral health symptoms and job stress, as measured by self-assessment of how demanding the job is, in male financial workers. METHODS The participants were recruited by applying screening procedures to a pool of Japanese registrants in an online database. For the stress check, 7 items about how demanding the job is were selected from The Brief Job Stress Questionnaire (BJSQ). Participants comprised a total of 950 financial male workers, ages 25 to 64. RESULTS Participants who answered "I can't complete my work in the required time" had more decayed teeth (p=0.010). Participants who felt that their job is highly demanding (answered affirmatively to 6 or all 7 items) were more likely to report "often get food stuck between teeth" (p=0.030), "there are some foods I can't eat" (p=0.005), "bad breath" (p=0.032), and "jaw makes clicking sound" (p=0.032). The independent variable of total stress score of 24-28 was found to be correlated to at least three oral health symptoms (OR: 3.25; 95%CI: 1.66-6.35). CONCLUSION These results indicate that certain job stress factors are associated with certain oral health symptoms, and that oral health symptoms are likely predictors of job stress.
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Affiliation(s)
- Koichi YOSHINO
- Department of Epidemiology and Public Health, Tokyo Dental College, Japan
| | - Seitaro SUZUKI
- Department of Epidemiology and Public Health, Tokyo Dental College, Japan
| | - Yoichi ISHIZUKA
- Department of Epidemiology and Public Health, Tokyo Dental College, Japan
| | - Atsushi TAKAYANAGI
- Department of Epidemiology and Public Health, Tokyo Dental College, Japan
| | - Naoki SUGIHARA
- Department of Epidemiology and Public Health, Tokyo Dental College, Japan
| | - Hideyuki KAMIJYO
- Department of Social Security for Dentistry, Tokyo Dental College, Japan
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19
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Yoshino K, Suzuki S, Ishizuka Y, Takayanagi A, Sugihara N, Kamijyo H. Relationship between amount of overtime work and untreated decayed teeth in male financial workers in Japan. J Occup Health 2017; 59:280-285. [PMID: 28367874 PMCID: PMC5478502 DOI: 10.1539/joh.16-0247-oa] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objective: Continuous or frequent overtime work has been shown to have harmful effects on human health. Meanwhile, one of the main reasons for tooth loss is caries. The aim of this study was to assess the relationship between overtime work and untreated decayed teeth in male financial workers. Methods: The participants were recruited by applying screening procedures to a pool of Japanese registrants in an online database. Participants filled out a questionnaire about their oral health, behavior, and working conditions. Participants comprised a total of 951 financial male workers, aged 25-64 years. Results: The likelihood of tooth decay increased with amount of overtime work (p=0.002). After adjusting for age, income, educational background, oral hygiene behavior, snacking behavior, regular dental visitation, bad interpersonal relationships at work, and smoking habit, a multiple logistic regression analysis found that participants with 45-80 h of overtime work (odds ratio [OR], 2.56; 95% confidence interval [CI], 1.23-5.33) or over 80 h of overtime work (OR, 3.01; 95% CI, 1.13-7.97) were more likely to have untreated tooth decay. The percentage of participants who gave "too busy with work" as the reason for leaving decayed teeth untreated increased with amount of overtime (p<0.001). Conclusion: These results indicate that overtime work is strongly related to untreated decayed teeth. In addition to oral health education and dental checkups, decreasing stress and decreasing the amount of overtime work may also have a positive effect on oral health in the workplace.
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Affiliation(s)
- Koichi Yoshino
- Department of Epidemiology and Public Health, Tokyo Dental College
| | - Seitaro Suzuki
- Department of Epidemiology and Public Health, Tokyo Dental College
| | - Yoichi Ishizuka
- Department of Epidemiology and Public Health, Tokyo Dental College
| | | | - Naoki Sugihara
- Department of Epidemiology and Public Health, Tokyo Dental College
| | - Hideyuki Kamijyo
- Department of Social Security for Dentistry, Tokyo Dental College
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20
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Ju X, Jamieson LM, Mejia GC. Estimating the effects of maternal education on child dental caries using marginal structural models: The Longitudinal Study of Indigenous Australian Children. Community Dent Oral Epidemiol 2016; 44:602-610. [PMID: 27681345 DOI: 10.1111/cdoe.12259] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2015] [Accepted: 08/30/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To estimate the effect of mothers' education on Indigenous Australian children's dental caries experience while controlling for the mediating effect of children's sweet food intake. METHODS The Longitudinal Study of Indigenous Children is a study of two representative cohorts of Indigenous Australian children, aged from 6 months to 2 years (baby cohort) and from 3.5 to 5 years (child cohort) at baseline. The children's primary caregiver undertook a face-to-face interview in 2008 and repeated annually for the next 4 years. Data included household demographics, child health (nutrition information and dental health), maternal conditions and highest qualification levels. Mother's educational level was classified into four categories: 0-9 years, 10 years, 11-12 years and >12 years. Children's mean sweet food intake was categorized as <20%, 20-30%, and >30%. After multiple imputation of missing values, a marginal structural model with stabilized inverse probability weights was used to estimate the direct effect of mothers' education level on children's dental decay experience. RESULTS From 2008 to 2012, complete data on 1720 mother-child dyads were available. Dental caries experience for children was 42.3% over the 5-year period. The controlled direct effect estimates of mother's education on child dental caries were 1.21 (95% CI: 1.01-1.45), 1.03 (95% CI: 0.91-1.18) and 1.07 (95% CI: 0.93-1.22); after multiple imputation of missing values, the effects were 1.21 (95% CI: 1.05-1.39), 1.06 (95% CI: 0.94-1.19) and 1.06 (95% CI: 0.95-1.19), comparing '0-9', '10' and '11-12' years to > 12 years of education. CONCLUSION Mothers' education level had a direct effect on children's dental decay experience that was not mediated by sweet food intake and other risk factors when estimated using a marginal structural model.
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Affiliation(s)
- Xiangqun Ju
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia.
| | - Lisa M Jamieson
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia
| | - Gloria C Mejia
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia.,School of Dental Medicine, East Carolina University, Greenville, NC, USA
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21
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Ishizuka Y, Yoshino K, Takayanagi A, Sugihara N, Maki Y, Kamijyo H. Comparison of the oral health problems and behavior of male daytime-only and night-shift office workers: An Internet survey. J Occup Health 2016; 58:155-62. [PMID: 27010087 PMCID: PMC5356961 DOI: 10.1539/joh.15-0146-oa] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Accepted: 10/06/2015] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVE The aim of this study was to compare the oral health problems and behavior of full-time male daytime-only and night shift office workers. METHODS The participants were recruited by applying screening procedures to a pool of Japanese registrants in an online database. During the period of 20 February 2015 to 11 March 2015, participants were asked to complete a questionnaire about their oral health. A total of 325 daytime-only workers and 351 workers who sometimes worked night shifts, ages 30 to 69, were analyzed in this study. RESULTS Overall, the mean number of teeth of the night shift workers was lower than that of the daytime-only workers (p=0.002). When analyzed by age group, a significant difference was seen in the 50-69 age group (p=0.016). The percentage of night shift workers with decayed teeth was higher than that of the daytime-only workers (p<0.001). The night shift workers were more likely to report gingival bleeding (p=0.015) and stomatitis (p=0.025) than the daytime-only workers. The percentage of night shift workers reporting frequent brushing behavior was lower than that of the daytime-only workers (p=0.040). The independent variables found to correlate significantly with tooth decay were night shift work (OR, 1.79; 95% CI, 1.20-2.67), current smoking habit (OR, 1.66; 95% CI, 1.13-2.46), and BMI of ≥25 (OR, 1.56; 95% CI, 1.02-2.39). CONCLUSIONS These results indicate a relationship between night shift work and oral health problems. Night shift workers may require additional support for oral health maintenance.
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Affiliation(s)
- Yoichi Ishizuka
- Department of Epidemiology and Public Health, Tokyo Dental College
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22
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Ardila CM, Agudelo-Suárez AA. Association between dental pain and caries: a multilevel analysis to evaluate the influence of contextual and individual factors in 34 843 adults. ACTA ACUST UNITED AC 2015; 7:410-416. [DOI: 10.1111/jicd.12168] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Accepted: 05/16/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Carlos Martín Ardila
- Biomedical Stomatology Research Group; Universidad de Antioquia U de A; Medellín Colombia
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23
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Ardila CM, Posada-López A, Agudelo-Suárez AA. A Multilevel Approach on Self-Reported Dental Caries in Subjects of Minority Ethnic Groups: A Cross-Sectional Study of 6440 Adults. J Immigr Minor Health 2015; 18:86-93. [PMID: 25963050 DOI: 10.1007/s10903-015-0217-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Regional contextual factors and dental caries using multilevel modeling related to adults in minority ethnic groups have been scantily explored. The influence of the socioeconomic context on self-reported dental caries (SRDC) in individuals of minority ethnic groups (IEG) in Colombia was studied. Data from the 2007 National Public Health Survey were collected in 34,843 participants of the population. The influence of different factors on SRDC in IEG was investigated with logistic and multilevel regression analyses. A total of 6440 individuals belonged to an ethnic group. Multilevel analysis showed a significant variance in SRDC that was smaller in IEG level than between states. Multilevel multivariate analysis also associated SRDC with increasing age, lower education level, last dental visit >1 year, unmet dental need and low Gross Domestic Product (GDP). Minority ethnic groups were at risk to report higher dental caries, where low GDP was an important variable to be considered.
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Affiliation(s)
- Carlos M Ardila
- Biomedical Stomatology Research Group, Universidad de Antioquia (U de A), Calle 70 No. 52-21, Medellín, Colombia. .,Department of Periodontology, School of Dentistry, Universidad de Antioquia (U de A), Medellín, Colombia.
| | - Adriana Posada-López
- Basic Studies Department, School of Dentistry, Universidad de Antioquia (U de A), Medellín, Colombia
| | - Andrés A Agudelo-Suárez
- Research Department, School of Dentistry, Universidad de Antioquia (U de A), Medellín, Colombia
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