Community dental health最新文献_第6页

Determinants of Early Childhood Caries and their interactions: A Structural Equation Modelling approach. 儿童早期龋齿的决定因素及其相互作用:结构方程建模方法。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00017Gunasinghe06

K A M M Gunasinghe, M S D Wijesinghe, N C Ratnayake

{"title":"Determinants of Early Childhood Caries and their interactions: A Structural Equation Modelling approach.","authors":"K A M M Gunasinghe, M S D Wijesinghe, N C Ratnayake","doi":"10.1922/CDH_00017Gunasinghe06","DOIUrl":"10.1922/CDH_00017Gunasinghe06","url":null,"abstract":"Objective: Early Childhood Caries (ECC) has been common among preschoolers in Sri Lanka over decades. A broad spectrum of determinants that act upon different levels is responsible for its development. Therefore, the relationships among these determinants should be studied extensively to control ECC.Design: Descriptive cross-sectional study with multistage cluster sampling.Setting: Registered preschools in Gampaha District.Participants: A total of 1038 three to four-year-olds and their mothers.Main outcome measures: Direct, indirect, and total effects of the determinants of ECC in structural equation models.Results: Sweet consumption had direct effects from permissive parenting (β=0.26, p=0.00) and the sweet consumption behaviour of the family (β=0.17, p=0.01). Oral hygiene behaviours had direct effects from permissive parenting (β=-0.46, p=0.00) and maternal oral health related self-efficacy (β=0.23, p=0.00). The dental attendance pattern had total effects from knowledge (β=0.18, p=0.00) and permissive parenting (β=-0.16, p=0.00).Conclusions: Parenting style, family sweet consumption behaviour and maternal oral health related self-efficacy were the most influential second-line determinants that affected oral health behaviours: sweet consumption, oral hygiene, and dental attendance pattern for the development of ECC.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"227-232"},"PeriodicalIF":1.7,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10288528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating a Causal Relationship Between Diabetes Mellitus and Oropharyngeal Cancer: A Mendelian Randomization Study. 调查糖尿病和口咽癌之间的因果关系:一项孟德尔随机研究。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00025Huang09

Y Huang, L Jiang, J Liu, Y Xu, F Mo, J Su, R Tao

{"title":"Investigating a Causal Relationship Between Diabetes Mellitus and Oropharyngeal Cancer: A Mendelian Randomization Study.","authors":"Y Huang, L Jiang, J Liu, Y Xu, F Mo, J Su, R Tao","doi":"10.1922/CDH_00025Huang09","DOIUrl":"10.1922/CDH_00025Huang09","url":null,"abstract":"Objective: Previous observational studies reported an association of diabetes mellitus (DM) with oropharyngeal cancer (OPC), however, the potential causality of the association between them remains unclear.Methods: To explore this causal relationship in individuals of European descent, a two-sample Mendelian randomization (MR) study was conducted. A genome-wide association study (GWAS) of DM was used to represent the exposure factor (T1DM: n = 24,840; T2DM: n = 215,654), and GWAS of OPC represented the outcome (n = 3,448).Results: Forty-one single nucleotide polymorphisms (SNPs) related to T1DM and fifty-four SNPs related to T2DM were identified as effective instrumental variables (IVs) in the two-sample MR analyses. In IVW estimates, neither T1DM nor T2DM significantly contributed to an increased risk of OPC [T1DM: OR 1.0322 (95% CI 0.9718, 1.0963), P = 0.3033; T2DM: OR 0.9998 (95% CI 0.9995, 1.0002), P = 0.2858]. Four other regression models produced similar results. MR-Egger regression results [Cochran's Q statistic was 47.1544 (P = 0.1466) in T1DM, and 35.5084 (P = 0.9512) in T2DM] suggested no horizontal pleiotropy between IVs and outcomes.Conclusion: Our findings suggest little evidence to support the genetic role of diabetes mellitus in OPC development in the European population.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"212-220"},"PeriodicalIF":1.7,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138290564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modelling a Consultant Workforce for the United Kingdom: needs-based planning for Dental Public Health. 英国顾问劳动力建模：基于需求的牙科公共卫生规划。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00045Gallagher09

J E Gallagher, M Donaldson, A Karki, R Keat, C A Yeung, W Roberts, S Birch, S Listl, R Witton

{"title":"Modelling a Consultant Workforce for the United Kingdom: needs-based planning for Dental Public Health.","authors":"J E Gallagher, M Donaldson, A Karki, R Keat, C A Yeung, W Roberts, S Birch, S Listl, R Witton","doi":"10.1922/CDH_00045Gallagher09","DOIUrl":"10.1922/CDH_00045Gallagher09","url":null,"abstract":"Objective: To develop a needs-based workforce planning model to explore specialist workforce capacity and capability for the effective, efficient, and safe provision of services in the United Kingdom (UK); and test the model using Dental Public Health (DPH).Basic research design: Data from a national workforce survey, national audit, and specialty workshops in 2020 and 2021 set the parameters for a safe effective DPH workforce. A working group drawing on external expertise, developed a conceptual workforce model which informed the mathematical modelling, taking a Markovian approach. The latter enabled the consideration of possible scenarios relating to workforce development. It involved exploration of capacity within each career stage in DPH across a time horizon of 15 years. Workforce capacity requirements were calculated, informed by past principles.Results: Currently an estimated 100 whole time equivalent (WTE) specialists are required to provide a realistic basic capacity nationally for DPH across the UK given the range of organisations, population growth, complexity and diversity of specialty roles. In February 2022 the specialty had 53.55 WTE academic/service consultants, thus a significant gap. The modelling evidence suggests a reduction in DPH specialist capacity towards a steady state in line with the current rate of training, recruitment and retention. The scenario involving increasing training numbers and drawing on other sources of public health trained dentists whilst retaining expertise within DPH has the potential to build workforce capacity.Conclusions: Current capacity is below basic requirements and approaching 'steady state'. Retention and innovative capacity building are required to secure and safeguard the provision of specialist DPH services to meet the needs of the UK health and care systems.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"233-241"},"PeriodicalIF":1.7,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41182232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations and discrepancies between global self-ratings of oral health and general health: a Bayesian approach. 全球口腔健康自我评价与一般健康之间的关联和差异:贝叶斯方法。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00215Soares07

G H Soares, B L Santos, M G H Biazevic, E Michel-Crosato, F L Mialhe

{"title":"Associations and discrepancies between global self-ratings of oral health and general health: a Bayesian approach.","authors":"G H Soares, B L Santos, M G H Biazevic, E Michel-Crosato, F L Mialhe","doi":"10.1922/CDH_00215Soares07","DOIUrl":"10.1922/CDH_00215Soares07","url":null,"abstract":"Objective: To estimate the discrepancies between global ratings of oral health and general health and investigate the factors associated with self-rated oral health (SROH) and self-rated general health (SRGH).Methods: Data were collected from 502 participants aged 18 to 81 years. A structured questionnaire was used to obtain data regarding sociodemographic characteristics and self-reported conditions. Global self-ratings of oral health and general health were the main outcomes. Discrepancies between self-ratings of oral health and general health were stratified by independent variables. Bayesian ordinal logistic regression models were fitted to estimate the posterior distributions of parameters and 95% credible intervals (95% CrI).Results: The proportion of participants who rated their oral health worse than general health was 28.6% (95% CrI: 24.7-32.3). Negative discrepancies between SROH and SRGH were associated with being men, reporting gingivitis, and lower income. Sex (95% CrI: 1.12-2.25) impacted only on SRGH. Income (SROH - 95% CrI: 1.52-6.40; SRGH - 95% CrI: 1.08-4.56), tertiary education (SROH - 95% CrI: 1.13-2.53; SRGH - 95% CrI: 1.01-2.32), self-reported missing teeth (SROH - 95% CrI: 1.57-3.46; SRGH - 95% CrI: 2.21-4.92), self-reported gingivitis (SROH - 95% CrI: 1.10-2.40; SRGH - 95% CrI: 1.71-3.82), and self-reported chronic health problem (SROH - 95% CrI: 1.38-3.08; SRGH - 95% CrI: 1.61-3.59) impacted on both outcomes.Conclusions: Substantial discrepancies between self-rated oral health and self-rated general health were found and were associated with being male, reporting gingivitis, and having lower income.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"205-211"},"PeriodicalIF":1.7,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oral Health Advice for Looked-After-Children: A pilot care pathway in Buckinghamshire, UK. 口腔健康建议照顾儿童:试点护理途径在白金汉郡，英国。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00048Sinclair06

E Sinclair, E Verykaki, K Kerr, J John

{"title":"Oral Health Advice for Looked-After-Children: A pilot care pathway in Buckinghamshire, UK.","authors":"E Sinclair, E Verykaki, K Kerr, J John","doi":"10.1922/CDH_00048Sinclair06","DOIUrl":"10.1922/CDH_00048Sinclair06","url":null,"abstract":"Introduction: Looked-After-Children (LAC) frequently are more likely to have untreated dental caries, periodontal diseases or dental trauma (McMahon et al., 2018). The COVID-19 pandemic reduced the availability of dental appointments, including for LAC. This initiative piloted the inclusion of a dental pathway into the existing LAC care pathway in Buckinghamshire. The key principle was providing oral health messaging around maintaining good oral health and preventing disease in these children by training those involved with their care.Methods: A working group was convened, which included dental public health, clinical and training expertise. A care pathway was developed with resources drawn from existing programmes including mini Mouth Care Matters (mMCM). The care pathways were designed to identify children who needed care urgently due to pain or discomfort, signpost them to the relevant/most appropriate providers and provide oral health improvement advice for everyone. Local partners were engaged to ensure that the processes and training were appropriate. A pilot training session was then carried out for a range of staff engaged in the care of LAC within Buckinghamshire.Results: The pilot dental pathway, launched in March 2022, initiative was welcomed by all stakeholders, including dental commissioners. The pilot training session received positive feedback from participants, with requests for more sessions. Training sessions were subsequently translated into video sessions, accessible when needed, for new staff or as refresher sessions.Conclusion: There are opportunities to reduce future inequalities for these children by inculcating positive behaviours early in their care journey. This will reduce their need for care. Identifying and implementing the most appropriate initiatives requires collaboration and commitment from all stakeholders.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"199-204"},"PeriodicalIF":1.7,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10161815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Marginalization and tooth loss in older Mexican adults. 墨西哥老年人的边缘化和牙齿脱落。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00099GarciaPerez06

A Garcia Perez, K G Rodríguez González, J A Rodríguez Chávez, L B Velázquez-Olmedo

{"title":"Marginalization and tooth loss in older Mexican adults.","authors":"A Garcia Perez, K G Rodríguez González, J A Rodríguez Chávez, L B Velázquez-Olmedo","doi":"10.1922/CDH_00099GarciaPerez06","DOIUrl":"10.1922/CDH_00099GarciaPerez06","url":null,"abstract":"Objective: To examine the association between the level of marginalization and tooth loss in adults aged ≥50 years in Mexico.Methods: A retrospective cross‑sectional study was conducted on 2098 adults selected from communities presenting both high and medium levels of marginalization, with data obtained from the annual reports of the Epidemiological Surveillance System of Oral Pathologies 2019-2022. Analysis considered sociodemographic characteristics such as sex, age, and years of education. The prevalence of tooth loss was determined using the Decayed, Missing and Filled teeth (DMFT) index. Negative binomial regression was used to estimate rate ratio (RR) and 95% confidence intervals (CIs), using the presence of lost teeth as an outcome.Results: Most (62.4%) participants had lost at least one tooth, of whom 60.3% had a medium level of marginalization, 28.8% a high level, and 10.9% a very high level. More adults who lived in high or very high marginalization communities had lost teeth [RR=1.19 (95% CI 1.08 - 1.30)] than those living in communities with a medium level of marginalization. More males [RR=1.19 (95% CI 1.09 - 1.31)], adults ≥70 years [RR=1.77 (95% CI 1.57 - 1.99)], people who were illiterate [RR=1.60 (95% CI 1.35 - 1.88)] or who had poor oral hygiene [RR=1.26 (95% CI 1.15 - 1.38)] had also lost teeth.Conclusion: High and very high marginalization was associated with tooth loss in adults ≥50 years in Mexico. Effective oral health strategies are required to prevent tooth loss, as are interventions to improve access to and quality of dental services for marginalized communities.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"242-247"},"PeriodicalIF":1.7,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BASCD at 50. BASCD在50。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00098French03

A D French

引用次数: 0

Risk factors for oral frailty among community-dwelling pre-frail older adults in Japan: A cross-sectional analysis. 日本社区居住的体弱前老年人口腔虚弱的危险因素:一项横断面分析。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00030Miku06

M Izutsu, K Hirayama, Y Su, M Yuki

{"title":"Risk factors for oral frailty among community-dwelling pre-frail older adults in Japan: A cross-sectional analysis.","authors":"M Izutsu, K Hirayama, Y Su, M Yuki","doi":"10.1922/CDH_00030Miku06","DOIUrl":"10.1922/CDH_00030Miku06","url":null,"abstract":"Objectives: Oral frailty is a well-established risk factor for frailty and plays a significant role in progression to frailty. However, the association between oral frailty and pre-frailty in elderly individuals remains unclear. This cross-sectional study aimed to clarify the characteristics and risk factors of pre-frailty in elderly individuals with oral frailty.Methods: A total of 377 elderly individuals participated. Oral examinations comprised simple and non-invasive measures of chewing function, self-reported swallowing function, and oral moisture. The frailty screening index was used to assess frailty phenotypes.Results: The overall prevalence of pre-frailty was 63.1%, after excluding 40 frail and 99 robust individuals. The mean age of the pre-frail participants was 76.6 ± 5.8 years; 70.6% were women. 10.5% of the pre-frail elderly participants had oral frailty. In multivariate analysis diabetes mellitus, history of cancer, denture wearing, and malnutrition were independently associated with oral frailty among pre-frail elderly individuals (adjusted odds ratio (OR) 3.8, 95% confidence interval (CI) 1.06-13.54; OR 4.5, CI 1.32-15.36; OR 8.8, CI 1.76-43.78; and OR 3.6, CI 1.30-9.67; respectively).Conclusions: The prevalence of oral frailty was low among community-dwelling pre-frail elderly individuals. Early interventions involving oral, nutritional, and disease management may prevent or improve oral frailty in pre-frail elderly individuals and may prevent progression to frailty. Further studies are required to elucidate the underlying mechanisms.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"221-226"},"PeriodicalIF":1.7,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138290566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mini-publics in dental public health policymaking. 牙科公共卫生政策制定中的微型公众。

IF 1.7 4区医学

Community dental health Pub Date : 2023-11-30 DOI: 10.1922/CDH_00077Lowery04

G Lowery

引用次数: 0

Application of the Life Grid in Oral Health Research: A Scoping Review. 生命网格在口腔健康研究中的应用综述

IF 1.7 4区医学

Community dental health Pub Date : 2023-08-31 DOI: 10.1922/CDH_00088Salehi08

M Mahdi Salehi, T Maragha, M Brondani

{"title":"Application of the Life Grid in Oral Health Research: A Scoping Review.","authors":"M Mahdi Salehi, T Maragha, M Brondani","doi":"10.1922/CDH_00088Salehi08","DOIUrl":"https://doi.org/10.1922/CDH_00088Salehi08","url":null,"abstract":"Aim: The life grid is a retrospective interview-based tool used to enhance recall of past events. This scoping review examines the use of the life grid in oral health research and its applications.Methods: Using the Joanna Briggs Institute framework, Medline (Ovid), CINAHL, PsycInfo, ERIC, MedEdPortal, Web of Science Core Collection, ProQuest, and Google Scholar were searched with \"life grid\" and \"oral\" as initial keywords. Then, two reviewers screened the records independently. Studies published until April 21, 2022, were added, regardless of language. Data were summarised narratively and in a comprehensive table focused on seven main areas.Results: A total of 22 studies were included from 724 initially identified records. The life grid was used in different forms, in various qualitative, longitudinal, and cross-sectional studies with participants of different ages. Eight studies used the life grid at the beginning of the interview, four during the process, and one at the end. The ability to reduce recall bias, increase data reliability, establish rapport with participants, and ensure information accuracy were among the most commonly cited benefits of using the life grid in oral health research, particularly in oral cancer research.Conclusions: The life grid is a flexible tool used in a variety of structures and applications in oral health research. Positive impacts have been reported by both researchers and participants. This review highlights the potential of the life grid as a data collection and interview tool in oral health research and dental education.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":"40 3","pages":"187-194"},"PeriodicalIF":1.7,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10499230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0