Journal of public health dentistry最新文献_第3页

Key factors associated with oral health services at Federally Qualified Health Centers. 与联邦合格健康中心口腔健康服务相关的关键因素。

Journal of public health dentistry Pub Date : 2025-01-28 DOI: 10.1111/jphd.12659

Jinman Pang, Simona Surdu, Theekshana Fernando, Jean Moore

{"title":"Key factors associated with oral health services at Federally Qualified Health Centers.","authors":"Jinman Pang, Simona Surdu, Theekshana Fernando, Jean Moore","doi":"10.1111/jphd.12659","DOIUrl":"https://doi.org/10.1111/jphd.12659","url":null,"abstract":"Objective: This study aimed to investigate changes in oral health services from 2012 to 2021 and identify factors influencing the number of different types of services directly provided by all Federally Qualified Health Centers (FQHCs).Methods: Data from the 2012-2021 Uniform Data System were analyzed using multilevel mixed-effect negative binomial regression models. These models explored associations between oral health staffing, federal grant revenue, and state Medicaid dental policies for adults, and the number of different types of oral health services provided at FQHCs. Regressions were adjusted for FQHC and state characteristics, and survey year.Results: FQHC visits for any oral health service increased significantly with each additional full-time equivalent (FTE) in all types of oral health staffing, ranging between 0.8% and 13.7% (e.g., IRR = 1.137, 95% CI = 1.126-1.148 for preventive services by dental hygienists/therapists). Preventive dental visits increased significantly by 32% (IRR = 1.320, 95% CI = 1.028-1.694) for every 1% increase in the proportion of capital development grants to the total revenue. Although not statistically significant, FQHCs in states with extensive Medicaid dental coverage had a 2%-7% increase in all types of oral health services except emergency services compared to those in states with emergency-only coverage.Conclusions: This study found that increasing dental staffing, particularly of dental hygienists/therapists, enhances FQHCs' ability to provide preventive services. Capital development grants also positively influence preventive dental care delivery. Expanding Medicaid dental coverage may also increase service utilization, particularly among underserved groups, reducing oral health disparities.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antibiotic Prescription Trends in Dentistry: A Descriptive Study Using Japan's National Database. 牙科抗生素处方趋势：使用日本国家数据库的描述性研究。

Journal of public health dentistry Pub Date : 2025-01-23 DOI: 10.1111/jphd.12663

Kaho Hirayama, Naoki Kanda, Hideki Hashimoto, Hiromasa Yoshimoto, Kazuo Goda, Naohiro Mitsutake, Shuji Hatakeyama

{"title":"Antibiotic Prescription Trends in Dentistry: A Descriptive Study Using Japan's National Database.","authors":"Kaho Hirayama, Naoki Kanda, Hideki Hashimoto, Hiromasa Yoshimoto, Kazuo Goda, Naohiro Mitsutake, Shuji Hatakeyama","doi":"10.1111/jphd.12663","DOIUrl":"https://doi.org/10.1111/jphd.12663","url":null,"abstract":"Objectives: Antibiotic prescription trends in dentistry in Japan remain underexplored. This study aimed to describe these trends and evaluate the impact of the national antimicrobial stewardship program launched in 2016.Methods: Using Japan's national administrative claims database from fiscal year (FY) 2015 to FY 2020, this cross-sectional study comprehensively analyzed trends in antibiotic prescription by dentists. Prescription rates were computed per 1000 inhabitants yearly and standardized to the FY 2015 national population. Changes in prescription rates were evaluated using Poisson regression analysis.Results: In FY 2020, the total number of antibiotic prescriptions was 134.4 per 1000 inhabitants per year, showing a 6% decline over the 6-year period (95% confidence interval, 6%-6%). Third-generation cephalosporins constituted 52.3% of dental antibiotic prescriptions in FY 2020, though the proportion had slightly decreased. In hospitals, prescriptions of third-generation cephalosporins decreased from 64.9% in 2015 to 20.3% in 2020, being replaced by penicillin (from 15.0% to 64.0%). However, in clinics, the magnitude of the change was small (third-generation cephalosporins, 60.5%-53.1%; penicillin, 10.2%-22.2%).Conclusions: Third-generation cephalosporins continue to dominate dental antibiotic prescriptions. The increase in penicillin use was much more pronounced in hospitals than in clinics. Strengthening antimicrobial stewardship, particularly in clinics where the majority of dental care is provided, is crucial.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Who Could Be Targeted for Teledentistry in Japanese Clinics? A Questionnaire Survey of Patients. 日本诊所的远程牙科可能针对哪些人？患者问卷调查。

Journal of public health dentistry Pub Date : 2025-01-23 DOI: 10.1111/jphd.12660

Asuka Takeda, Hideki Fukuda

{"title":"Who Could Be Targeted for Teledentistry in Japanese Clinics? A Questionnaire Survey of Patients.","authors":"Asuka Takeda, Hideki Fukuda","doi":"10.1111/jphd.12660","DOIUrl":"https://doi.org/10.1111/jphd.12660","url":null,"abstract":"Objectives: The COVID-19 pandemic has fostered the use of teledentistry worldwide. However, teledentistry remains underutilized in Japan due to a lack of clarity regarding its target population. This study aimed to determine the current demands of patients of dental clinics in Saitama, Japan; enable dental care professionals to adopt teledentistry; and examine which patients could be targeted for teledentistry.Methods: This cross-sectional study involved a survey of dental patients who visited one of 28 participating dental clinics in September 2020 in Saitama, Japan. The patients were asked about their demographic information, impact of the COVID-19 pandemic, and teledentistry-including future demands (whether they would like to receive teledentistry consultations). Data were analyzed using descriptive statistics and a multiple logistic regression model.Results: Questionnaires were distributed to 1335 patients, 1312 of whom responded (response rate: 98.3%). The analysis included 835 of the 1227 valid responses to the question about the future demand for teledentistry (\"demand\" group: 299 patients; \"unnecessary\" group: 536 patients). The difference in the frequency of dental visits between the \"demand\" and \"unnecessary\" groups was significant (p = 0.04). The multiple logistic regression model identified \"visited dentists only when necessary\" as an independent contributor to the future demand for teledentistry (odds ratio = 1.60, 95% confidence interval = 1.00-2.57).Conclusions: Teledentistry presents an opportunity for dental care for those who do not habitually visit the dental clinic. Further research should explore the type of dental consultation required by infrequent dental patients and how teledentistry can meet these needs.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-Term Impact of Childhood Dental Attendance on Perceived Adult Oral Health: The British Cohort Study. 儿童期看牙医对成人口腔健康的长期影响：英国队列研究。

Journal of public health dentistry Pub Date : 2025-01-11 DOI: 10.1111/jphd.12661

Aina Najwa Mohd Khairuddin, Jing Kang, Jennifer E Gallagher

{"title":"Long-Term Impact of Childhood Dental Attendance on Perceived Adult Oral Health: The British Cohort Study.","authors":"Aina Najwa Mohd Khairuddin, Jing Kang, Jennifer E Gallagher","doi":"10.1111/jphd.12661","DOIUrl":"https://doi.org/10.1111/jphd.12661","url":null,"abstract":"Objective: To evaluate the effect of childhood dental attendance pattern on self-rated oral health in middle adulthood among the British population.Methods: Data from the 1970 British Cohort Study involving participants born in England, Scotland, and Wales were used. Self-rated oral health was assessed at age 46. Childhood dental attendance patterns, derived from follow-up surveys at ages 5, 10, and 16, were classified as 'always', 'sometimes', or 'never' regular. Logistic regression was performed to estimate the effect of childhood dental attendance on adult oral health. Subgroup analyses by education level and oral hygiene practices examined potential variations across these factors.Results: This study analyzed data from 4699 participants. An association was found between childhood dental attendance pattern and self-rated oral health in middle adulthood. The odds of reporting poor oral health were higher among those with 'sometimes' and 'never' regular dental attendance patterns than 'always' regular attenders. However, this association became insignificant after adjusting for covariates. Subgroup analyses revealed that 'sometimes' and 'never' regular attendance patterns were associated with higher odds of reporting poor oral health among participants who brushed less than twice daily and those with lower parental academic qualifications.Conclusion: This study suggests that childhood dental attendance is associated with perceived adult oral health, though this relationship diminished after adjusting for covariates. However, the association persisted among those who brushed less than twice daily and had lower parental academic qualifications. It underscores the importance of both demographic factors and health-related behaviors in determining long-term oral health outcomes.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dietary questions in caries risk assessment and their relationship to caries. 龋齿风险评估中的饮食问题及其与龋齿的关系。

Journal of public health dentistry Pub Date : 2024-10-08 DOI: 10.1111/jphd.12647

Casey Delaney, John Warren, Oscar A Rysavy, Teresa Marshall

{"title":"Dietary questions in caries risk assessment and their relationship to caries.","authors":"Casey Delaney, John Warren, Oscar A Rysavy, Teresa Marshall","doi":"10.1111/jphd.12647","DOIUrl":"https://doi.org/10.1111/jphd.12647","url":null,"abstract":"Objective: This retrospective chart review evaluated the relationship between specific dietary questions used in caries risk assessment and planned restorative treatment among patients attending a dental school's clinic.Methods: Records for 6,218 adult patients attending the University of Iowa College of Dentistry who completed caries risk assessments and comprehensive oral examinations during 2018-2019 were included. The number of planned caries restorative treatments were compared between groups based on responses to specific dietary questions on the caries risk assessment. Analyses included chi-square and Wilcoxon rank-sum tests and logistic regression for factors associated with caries treatments.Results: About 20% of subjects needed caries treatment, and regression analyses found that younger age, having unstructured meals, drinking sugared beverages daily, and drinking them for more than 30 min were significantly (p < 0.01) associated with having caries.Conclusions: Specific and focused questions on dietary practices are strongly associated with caries, and may be useful in improving caries risk assessments.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dental anxiety and oral health in American Indian and Alaska natives. 美国印第安人和阿拉斯加原住民的牙科焦虑和口腔健康。

Journal of public health dentistry Pub Date : 2024-07-02 DOI: 10.1111/jphd.12633

Tamanna Tiwari, Casey D Wright, Lisa J Heaton, Morgan Santoro, Eric P Tranby

{"title":"Dental anxiety and oral health in American Indian and Alaska natives.","authors":"Tamanna Tiwari, Casey D Wright, Lisa J Heaton, Morgan Santoro, Eric P Tranby","doi":"10.1111/jphd.12633","DOIUrl":"https://doi.org/10.1111/jphd.12633","url":null,"abstract":"Objective: American Indian and Alaska native (AI/AN) individuals report distrust of the healthcare system. This study explored associations between having either high levels of dental distrust or high levels of dental care-related fear and anxiety (\"dental anxiety\") and oral health outcomes in AI/AN adults.Methods: The 2022 State of Oral Health Equity in America survey included the Modified Dental Anxiety Scale and asked to what extent respondents agreed with the statement, \"At my last oral health visit, I trusted the oral health provider I saw\", and asked about self-rated oral health and presence of a dental home.Results: AI/AN individuals (N = 564) who reported low dental trust (n = 110) or with high dental anxiety (MDAS≥19; n = 113) reported significantly worse overall and oral health and were significantly less likely to have a dental home (p < 0.05 used for each analysis).Conclusion: Dental distrust and dental anxiety can significantly impact oral health and dental utilization in AI/AN communities and are important intervention targets to improve AI/AN oral health.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0