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Alwadi MAM, Baker SR, Owens J. Ethnographic perspectives of mothers and professionals on including children with disabilities in oral health in the Kingdom of Saudi Arabia. Int J Paediatr Dent 2024. [PMID: 38646678 DOI: 10.1111/ipd.13184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 12/15/2023] [Accepted: 02/03/2024] [Indexed: 04/23/2024]
Abstract
BACKGROUND Children with disabilities generally face poorer oral health outcomes compared with their non-disabled peers due to a range of factors including inadequate oral hygiene, infrequent dental visits and systemic barriers in accessing care. AIM This ethnographic study explored the perspectives of caregivers and professionals to identify the ways that children with disabilities are included in oral health. DESIGN A purposive sample of 10 caregivers, all mothers with disabled children aged 9-15 years, five healthcare providers and five educators in Saudi Arabia, participated. Data collection used participant observation and semi-structured in-depth interviews. Data were analysed using reflexive thematic analysis. RESULTS The findings suggest that mothers lacked a supportive environment to develop their skills and knowledge about oral health care, preventing them from including their children in oral health. Inaccessible services added to the exclusion of both mothers and children. Some dental professionals exhibited poor communication skills and discriminatory attitudes towards the children and problematising mothers. Educators tended to discuss disabled children in terms of inability, displaying a deficit approach to impairment. CONCLUSIONS The evidence suggests the exclusion of mothers from oral health. This has an impact on how they enable their children. Recommendations include adopting a social model of disability in dental education and policies in Saudi Arabia to address inequalities. Provision of support, education and focusing on societal barriers moves towards inclusion rather than conceptualising disability as an individual problem.
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Affiliation(s)
- Maram Ali M Alwadi
- Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
- Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Sarah R Baker
- Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Janine Owens
- Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
- NIHR Applied Research Collaborative Greater Manchester (NIHR ARC GM), University of Manchester, Manchester, UK
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Vellappally S, Naik S, Thomas RP, Alsadon O, Alayadi H, Hashem M, Alwadi MAM, Thomas NG, Ali HM, Alsarani MM, Anil S. Knowledge of the monkeypox 2022 outbreak among dental hygienists and students in Saudi Arabia: A cross-sectional study. Int J Dent Hyg 2024; 22:187-193. [PMID: 37722074 DOI: 10.1111/idh.12744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 04/26/2023] [Accepted: 08/06/2023] [Indexed: 09/20/2023]
Abstract
OBJECTIVE This study aimed to assess the knowledge of monkeypox infection among dental hygiene professionals and students in Saudi Arabia. METHODS A cross-sectional study was conducted among a convenience sample of dental hygiene professionals (n = 259). The questionnaire was developed based on previous literature, and descriptive analysis and a Chi-square test were performed. RESULTS A total of 159 dental hygienists responded to the questionnaire. Results indicated that only 1.7% had good knowledge, 7.7% had moderate knowledge and 90.6% had low knowledge of the monkeypox outbreak. The mean knowledge scores varied among dental hygiene students, practitioners and faculty members. Significant group differences were observed for some questions (p < 0.05). CONCLUSION Our study concludes that dental hygienists had moderate to low level of knowledge of the monkeypox infection and its implications for oral health and patient care, indicating a need for more education on the subject.
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Affiliation(s)
- Sajith Vellappally
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Sachin Naik
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Rohit Philip Thomas
- Institute of Diagnostic and Interventional Radiology, Klinikum Oldenburg University Hospital, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
| | - Omar Alsadon
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Haya Alayadi
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Mohamed Hashem
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Maram Ali M Alwadi
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Nebu George Thomas
- Department of Periodontology, Pushpagiri College of Dental Sciences, Thiruvalla, India
| | | | - Majed M Alsarani
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Sukumaran Anil
- Department of Dentistry, Oral Health Institute, Hamad Medical Cooperation, Doha, Qatar
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Sarhan MM, Alwadi MAM. A qualitative study of dental internships in Saudi Arabia: moving beyond perceptions to the reality of the practices of dental interns. BMC Med Educ 2023; 23:826. [PMID: 37924041 PMCID: PMC10623790 DOI: 10.1186/s12909-023-04802-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 10/23/2023] [Indexed: 11/06/2023]
Abstract
BACKGROUND Dental internships are a vital way for recent graduates of undergraduate dentistry courses to bridge the gap between study and clinical practice. Interns' perceptions of dental internships have been explored in certain studies but the reality of the dental internship and dental interns' practical performance has not been examined. Therefore, this study aims to explore the reality of the dental internship as a transitional stage after completion of an undergraduate course in dentistry. METHODS This qualitative research recruited 23 dental interns from Saudi Arabia's Riyadh Province. To explore the reality of dental internships, the research relied on a performative knowledge approach to examine interns' practices and performance. Diaries and semi-structured interviews conducted virtually were used to gather data across three months. The data was then subject to thematic analysis that applied an inductive strategy. The data analysis's credibility and trustworthiness were verified using triangulation techniques, an audit trail and member-checking. RESULTS Five key themes concerning dental interns' practices were identified in this research: exploration, addressing knowledge gaps, responsibilities, decision-making and social connections. The most significant findings reveal that dental internships go beyond clinical work to include certain personal and social aspects that dental interns undertake during their internships. CONCLUSION The findings of this research indicate that more real-world, practical knowledge should be integrated into the curricula of undergraduate dentistry programmes. In sum, this work highlights the need for holistic dental education that encompasses not only the clinical development of interns and students but also other elements such as their personal and social growth. Moreover, this research reveals that a performative knowledge approach can help researchers to identify significant findings regarding the practical experiences of dental interns. This study has implications for dentistry and any other medical speciality education programme that involves an internship.
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Affiliation(s)
- Mohammed Mahmoud Sarhan
- Department of Preventive Dental Sciences, College of Dentistry, Taibah University, 42353, Al- Madinah Al- Munawwarah, Saudi Arabia
| | - Maram Ali M Alwadi
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, P.O. BOX 145111, 4545, Riyadh, Saudi Arabia.
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Vaddamanu SK, Alhamoudi FH, Binduhayyim RIH, AlJameel AH, Alwadi MAM, Di Blasio M, Cicciù M, Minervini G. Assessment of hearing performance of dental technicians due to the professional noise exposure. BMC Oral Health 2023; 23:685. [PMID: 37737170 PMCID: PMC10515415 DOI: 10.1186/s12903-023-03392-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 09/06/2023] [Indexed: 09/23/2023] Open
Abstract
BACKGROUND Some of the noise-intensive processes in dental laboratories include the finishing of crowns, bridges, and removable partial dentures; blowing out workpieces with steam and compressed air; and deflating casting rings. High sound pressure levels are also present in dental vibrators, polishing equipment, and sandblasters. The aim of this study was to Evaluation of the effect of noise production in dental technology laboratory on dental technician hearing capacity. METHODS For this cross-sectional study, a total of 120 dental technicians were chosen. Otoscopic evaluation and the Weber test were used to establish if they had sensorineural or transmission hearing loss at 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz, respectively. Then an OAER (objective auditory evoked response) and PTA (clinical aurimeter) test were administered (Neurosoft, Russia). The whole procedure was carried out by an audiologist and an ENT specialist. RESULTS The PTA results showed that the patient had mild hearing impairment overall, with the loss being more severe in the left ear than in the right. The OAE test results revealed that in-ear of the left side, 84.5% of subjects passed and 15.5% of subjects struggled and were referred to an ear specialist, whereas in the right ear, 82.7% of subjects passed and 17.3% struggled and were referred to an ear specialist. According to this study, in a right-handed study participant, the ear on the left side is more vulnerable than the right side. Differences in the mean hearing threshold at 4000 and 6000 Hz in the left ear were statistically significant in the groups of workers with eleven to fifteen years of practical experience and twenty-one to twenty-five years of practical experience, respectively (Minervini, et al. J Clin Med 12:2652, 2023). CONCLUSIONS A statistically meaningful threshold shift from 4000 to 6000 Hz is observed as the working experience grows, and this is suggestive of sensorineural hearing impairment brought on by the noisy dental environment.
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Affiliation(s)
- Sunil Kumar Vaddamanu
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, 61421, Abha, Saudi Arabia.
| | - Fahad Hussain Alhamoudi
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, 61421, Abha, Saudi Arabia
| | - Rayan Ibrahim H Binduhayyim
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, 61421, Abha, Saudi Arabia
| | - AlBandary Hassan AlJameel
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, 11451, Riyadh, Saudi Arabia
| | - Maram Ali M Alwadi
- Dental Health Department, College of Applied Medical Sciences, King Saud University, 11451, Riyadh, Saudi Arabia
| | - Marco Di Blasio
- Department of Medicine and Surgery, University Center of Dentistry,, University of Parma, 43126, Parma, Italy.
| | - Marco Cicciù
- Department of Biomedical and Surgical and Biomedical Sciences, Catania University, 95123, Catania, Italy
| | - Giuseppe Minervini
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, 80138, Naples, Italy.
- Saveetha Dental College & Hospitals Saveetha Institute of Medical & Technical Sciences, Saveetha University, Chennai, India.
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Alwadi MAM, Sidhu A, Khaled MB, Aboul-Enein BH. Mastic (Pistacia lentiscus) gum and oral health: a state-of-the-art review of the literature. J Nat Med 2023; 77:430-445. [PMID: 37147480 DOI: 10.1007/s11418-023-01704-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 04/27/2023] [Indexed: 05/07/2023]
Abstract
The aim of this state-of-the-art review is to provide a comprehensive overview of the various therapeutic effects of Mastic (Pistacia lentiscus) gum on oral health. The search of the literature was conducted across thirteen databases for relevant publications published through May 2022 in English, Arabic, or Greek using a combination of keywords and phrases. Out of 246 papers, the search procedure identified 14 papers for inclusion. Mastic gum displayed antibacterial and antimicrobial properties and inhibited plaque accumulation, constituting a beneficial adjuvant in caries prevention. In the treatment and prevention of periodontal diseases, Pistacia lentiscus essential oil provided effective antibacterial activity against a variety of periodontal bacteria as well as anti-inflammatory properties. For oral cancer, several clinical trials revealed interesting results against cell proliferation, induction of apoptosis, and regulation of intracellular signaling pathways. This indicates the potential of Mastic gum to serve as a preventive and therapeutic agent for oral mucosa inflammation and oral cancer. No notable toxic or side effects were reported in the clinical trials reviewed. This review highlights the various beneficial effects of Mastic gum in the prevention and potential treatment of oral diseases. Further research targeting Pistacia lentiscus products is required in order to validate and utilize these products to prevent and to treat oral health diseases.
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Affiliation(s)
- Maram Ali M Alwadi
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Amrita Sidhu
- School of Public Health, Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA
| | - Méghit Boumédiène Khaled
- Department of Biology, Faculty of Life and Natural Science, Lab-NuPABS (Laboratoire de Nutrition, Pathologie, Agro-biotechnologie et Santé), Centre de recherche, route de Mascara, Djillali Liabes University, Sidi Bel Abbès, Algeria
| | - Basil H Aboul-Enein
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
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Alhamoudi FH, Aldosari LIN, Alshadidi AAF, Hassan SAB, Alwadi MAM, Vaddamanu SK, Cicciù M, Minervini G. An Investigation of the Fracture Loads Involved in the Framework of Removable Partial Dentures Using Two Types of All-Ceramic Restorations. Biomimetics (Basel) 2023; 8:biomimetics8010113. [PMID: 36975343 PMCID: PMC10046878 DOI: 10.3390/biomimetics8010113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 02/21/2023] [Accepted: 03/06/2023] [Indexed: 03/12/2023] Open
Abstract
Retention and support are needed for removable partial denture stability. The stability can be achieved by clasps, occlusal and cingulum rests on healthy abutment teeth. However, implants or crowns can be used to support the removable partial denture instated on unhealthy abutment teeth. This study was conducted to investigate the fracture strength of two types of all-ceramic restorations used as abutments for the removable partial denture framework. The crowns were manufactured with two types of ceramic materials: zirconia and IPS e.max Press ceramics. The metal alloy (cobalt-chrome) was cast to form the removable partial denture framework. A universal testing machine was used to evaluate the fracture strength of both ceramic crown materials. The results presented no fractures in all-ceramic crowns, but deformation of the partial denture frameworks occurred. With the limitation of this study, it can be concluded that zirconia and IPS e.max Press ceramic can be used as abutments to provide adequate support to the removable partial denture.
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Affiliation(s)
- Fahad Hussain Alhamoudi
- Dental Technology Department, College of Applied Medical Science, King Khalid University, Abha 61421, Saudi Arabia
- Correspondence: (F.H.A.); (S.K.V.); (G.M.)
| | - Lujain Ibrahim N. Aldosari
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Abdulkhaliq Ali F. Alshadidi
- Dental Technology Department, College of Applied Medical Science, King Khalid University, Abha 61421, Saudi Arabia
| | - Saeed Awod Bin Hassan
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Maram Ali M. Alwadi
- Dental Health Department, College of Applied Medical Science, King Saud University, Riyadh 11451, Saudi Arabia
| | - Sunil Kumar Vaddamanu
- Dental Technology Department, College of Applied Medical Science, King Khalid University, Abha 61421, Saudi Arabia
- Correspondence: (F.H.A.); (S.K.V.); (G.M.)
| | - Marco Cicciù
- Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy
| | - Giuseppe Minervini
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, 80121 Naples, Italy
- Correspondence: (F.H.A.); (S.K.V.); (G.M.)
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Shivkumar S, Mehta V, Vaddamanu SK, Shetty UA, Alhamoudi FH, Alwadi MAM, Aldosari LIN, Alshadidi AAF, Minervini G. Surgical Protocols before and after COVID-19-A Narrative Review. Vaccines (Basel) 2023; 11:vaccines11020439. [PMID: 36851316 PMCID: PMC9963090 DOI: 10.3390/vaccines11020439] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 02/11/2023] [Accepted: 02/13/2023] [Indexed: 02/17/2023] Open
Abstract
The COVID-19 epidemic has affected not only people's daily lives but also the working methods of clinicians, surgical procedures, open/minimally invasive procedures, operating room management, patient and healthcare worker safety, education and training. The main objective of this study was to review selected articles and determine the changes in the general surgery protocols/procedures before and after the emergence of the COVID-19 pandemic. The literature was carried out in PubMed-Medline, Cochrane Library, Embase, Scopus and Google Scholar. The terms utilised for the searches were "SARS-CoV-2", "Surgery", "COVID-19", "Surgical protocol", "Surgical recommendations" and "before and after". A total of 236 studies were identified, out of which 41 studies were included for data extraction. Significant changes in all the articles were observed with respect to the surgeries done before, during and after the COVID-19 pandemic. Specifically, the number of elective surgeries were considerably fewer in comparison to the pre-pandemic period. Since the COVID-19 pandemic started, hospitals all throughout the world have conducted significantly fewer procedures, particularly elective/non-urgent surgeries.
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Affiliation(s)
- Sahana Shivkumar
- Department of Public Health Dentistry, Peoples College of Dental Sciences & Research Centre, People University, Bhopal 462037, India
| | - Vini Mehta
- Department of Public Health Dentistry, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune 411018, India
- Correspondence:
| | - Sunil Kumar Vaddamanu
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha 62529, Saudi Arabia
| | - Urvashi A. Shetty
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, AB Shetty Memorial Institute of Dental Sciences, NITTE (Deemed to Be University), Mangalore 575018, India
| | - Fahad Hussain Alhamoudi
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha 62529, Saudi Arabia
| | - Maram Ali M. Alwadi
- Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia
| | | | - Abdulkhaliq Ali F. Alshadidi
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha 62529, Saudi Arabia
| | - Giuseppe Minervini
- Multidisciplinary Department of Medical–Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80138 Naples, Italy
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Alwadi MAM, Baker SR, Owens J. Oral health experiences and perceptions of children with disabilities in the Kingdom of Saudi Arabia. Int J Paediatr Dent 2022; 32:856-864. [PMID: 35255159 PMCID: PMC9790449 DOI: 10.1111/ipd.12962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 01/24/2022] [Accepted: 02/28/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND The clinical focus on oral health means there is a scarcity of evidence from the perspectives of children with disabilities because of the continuing exclusion of their views from oral health research. This study takes a rights-based approach, aiming to give disabled children a voice by exploring their oral health perspectives and experiences. In order to do this, innovative and inclusive methods are needed. AIM The aim was to include the voices of children with disabilities by representing their perspectives and experiences of oral health. DESIGN An ethnographic study employed a purposive sample of 10 children between the ages of 9 and 15 years with a range of intellectual disabilities and physical impairments attending special centres in Riyadh, Saudi Arabia. All children in the sample were female. Pluralistic methods enabled the inclusion of children in the research. Thematic analysis was used to analyse the data. RESULTS The study describes different inclusive methods to enable children's voices on oral health. Main themes were children's knowledge, and their oral health practices and experiences of visiting dental clinics. Children also described the physical barriers they experienced and their positive and negative feelings about oral health. CONCLUSIONS The study highlights that including children with disabilities in oral health research is possible, but that researchers need to be creative and be able to work in tandem with children. One goal for dental research is to include all children as active participants, working with them as collaborators. This would help transform services and reduce children's oral health inequalities.
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Affiliation(s)
- Maram Ali M Alwadi
- Academic Unit of Oral HealthDentistry and SocietySchool of Clinical DentistryUniversity of SheffieldSheffieldUnited Kingdom,Department of Dental HealthCollege of Applied Medical SciencesKing Saud UniversityRiyadhSaudi Arabia
| | - Sarah R Baker
- Academic Unit of Oral HealthDentistry and SocietySchool of Clinical DentistryUniversity of SheffieldSheffieldUnited Kingdom
| | - Janine Owens
- Academic Unit of Oral HealthDentistry and SocietySchool of Clinical DentistryUniversity of SheffieldSheffieldUnited Kingdom,NIHR Applied Research Collaborative Greater Manchester (NIHR ARC GM)Faculty of BiologyDivision of Nursing, Midwifery and Social WorkSchool of Health Sciences, Medicine and HealthThe University of ManchesterManchesterUnited Kingdom
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Abstract
OBJECTIVES The aim of this study was to test the association of current contextual income inequality, contextual income inequality experienced during childhood, and individual factors with oral-health-related quality of life (OHRQoL) in adolescents. METHODS Individual data of 3,854 adolescents aged 15-19 years from the Brazilian Oral Health Survey (SB Brasil Project) nested within 27 cities and contextual income inequality were analysed. OHRQoL was assessed using the Oral Impacts on Daily Performance (OIDP) questionnaire. The individual variables were demographic characteristics, socio-economic factors, and oral clinical measures. The Gini Index was used to evaluate city-level income inequality in 2003 (during childhood) and in 2010 (current) according to the tertiles of distribution. Multi-level Poisson regression was used to test the association of contextual income inequality and individual characteristics with OIDP extent according to the WHO framework on social determinants of health. RESULTS The prevalence of OIDP was 34.5%. In the adjusted analysis, adolescents living in the cities with high-level income inequality during childhood were 1.75 times more likely (95% confidence interval 1.23-2.48) to have a higher mean of OIDP extent. Current income inequality was not associated with OIDP extent in adolescents. CONCLUSIONS Contextual income inequality during childhood was a structural determinant of OHRQoL among Brazilian adolescents after adjustment for individual demographic characteristics, socio-economic factors and oral clinical measures. Reducing social inequalities through inter-sectoral actions should be on the political agenda to improve adolescents' oral health.
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Affiliation(s)
- Maram Ali M Alwadi
- Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.,Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Mario Vianna Vettore
- Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
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Alwadi MAM, Vettore MV. Are school and home environmental characteristics associated with oral health-related quality of life in Brazilian adolescents and young adults? Community Dent Oral Epidemiol 2017; 45:356-364. [DOI: 10.1111/cdoe.12298] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2016] [Accepted: 02/26/2017] [Indexed: 12/16/2022]
Affiliation(s)
- Maram Ali M. Alwadi
- Unit of Dental Public Health; School of Clinical Dentistry; University of Sheffield; Sheffield UK
- Department of Dental Health; College of Applied Medical Sciences; King Saud University; Riyadh Saudi Arabia
| | - Mario Vianna Vettore
- Unit of Dental Public Health; School of Clinical Dentistry; University of Sheffield; Sheffield UK
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