scholarly journals Inequalities in the dental health needs and access to dental services among looked after children in Scotland: a population data linkage study

2017 ◽  
Vol 103 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Alex D McMahon ◽  
Lawrie Elliott ◽  
Lorna MD Macpherson ◽  
Katharine H Sharpe ◽  
Graham Connelly ◽  
...  
Keyword(s):  
Data Linkage ◽  
Dental Treatment ◽  
Dental Health ◽  
Population Data ◽  
Linkage Study ◽  
Health Needs ◽  
Treatment Needs ◽  
Dental Services ◽  
Children And Young People ◽  
Looked After Children

BackgroundThere is limited evidence on the health needs and service access among children and young people who are looked after by the state. The aim of this study was to compare dental treatment needs and access to dental services (as an exemplar of wider health and well-being concerns) among children and young people who are looked after with the general child population.MethodsPopulation data linkage study utilising national datasets of social work referrals for ‘looked after’ placements, the Scottish census of children in local authority schools, and national health service’s dental health and service datasets.Results633 204 children in publicly funded schools in Scotland during the academic year 2011/2012, of whom 10 927 (1.7%) were known to be looked after during that or a previous year (from 2007–2008). The children in the looked after children (LAC) group were more likely to have urgent dental treatment need at 5 years of age: 23%vs10% (n=209/16533), adjusted (for age, sex and area socioeconomic deprivation) OR 2.65 (95% CI 2.30 to 3.05); were less likely to attend a dentist regularly: 51%vs63% (n=5519/388934), 0.55 (0.53 to 0.58) and more likely to have teeth extracted under general anaesthesia: 9%vs5% (n=967/30253), 1.91 (1.78 to 2.04).ConclusionsLAC are more likely to have dental treatment needs and less likely to access dental services even when accounting for sociodemographic factors. Greater efforts are required to integrate child social and healthcare for LAC and to develop preventive care pathways on entering and throughout their time in the care system.

scholarly journals Healthcare use and costs in the last year of life: a national population data linkage study

2021 ◽  
pp. bmjspcare-2020-002708
Author(s):  
Katharina Diernberger ◽  
Xhyljeta Luta ◽  
Joanna Bowden ◽  
Marie Fallon ◽  
Joanne Droney ◽  
...  
Keyword(s):  
End Of Life ◽  
Secondary Care ◽  
Urban Areas ◽  
Data Linkage ◽  
Hospital Admissions ◽  
Community Support ◽  
Population Data ◽  
Linkage Study ◽  
Healthcare Use ◽  
Admission Rates

BackgroundPeople who are nearing the end of life are high users of healthcare. The cost to providers is high and the value of care is uncertain.ObjectivesTo describe the pattern, trajectory and drivers of secondary care use and cost by people in Scotland in their last year of life.MethodsRetrospective whole-population secondary care administrative data linkage study of Scottish decedents of 60 years and over between 2012 and 2017 (N=274 048).ResultsSecondary care use was high in the last year of life with a sharp rise in inpatient admissions in the last 3 months. The mean cost was £10 000. Cause of death was associated with differing patterns of healthcare use: dying of cancer was preceded by the greatest number of hospital admissions and dementia the least. Greater age was associated with lower admission rates and cost. There was higher resource use in the urban areas. No difference was observed by deprivation.ConclusionsHospitalisation near the end of life was least frequent for older people and those living rurally, although length of stay for both groups, when they were admitted, was longer. Research is required to understand if variation in hospitalisation is due to variation in the quantity or quality of end-of-life care available, varying community support, patient preferences or an inevitable consequence of disease-specific needs.

Indigenous and non‐Indigenous Australian children hospitalised for burn injuries: a population data linkage study

2017 ◽  
Vol 206 (9) ◽  
pp. 392-397 ◽  
Author(s):  
Holger Möller ◽  
Lara Harvey ◽  
Kathleen Falster ◽  
Rebecca Ivers ◽  
Kathleen F Clapham ◽  
...  
Keyword(s):  
Data Linkage ◽  
Population Data ◽  
Linkage Study ◽  
Burn Injuries ◽  
Indigenous Australian

HEMOFILIJA A IR B SERGANČIŲ LIETUVOS VAIKŲ BURNOS SVEIKATA IR JĄ LEMIANTYS VEIKSNIAI

2015 ◽  
Vol 25 (1) ◽  
pp. 66-71
Author(s):  
Rūta Žaliūnienė ◽  
Jolanta Aleksejūnienė ◽  
Vilma Brukienė ◽  
Vytautė Pečiulienė
Keyword(s):  
Dietary Habits ◽  
Dental Treatment ◽  
Dental Health ◽  
Economic Status ◽  
Study Groups ◽  
Salivary Flow ◽  
Caries Experience ◽  
Healthy Children ◽  
Treatment Needs ◽  
Increased Risk

Patients with haemophilia often face difficulties in accessing primary dental care: they are at increased risk of spontaneous gum bleeding and significant bleeding from invasive dental procedures. Other of the known barriers is lack of confidence in the ability of dentists to manage patients with haemophilia. The aim of this study was to examine the dental health and its determinants in Lithuanian children with haemophilia and to compare these findings to the general population. Materials and methods. Two study groups were formed: a group of cases, children with haemophilia aged between 4-17 years and a group of controls, randomly selected healthy subjects matched for gender, age and place of residense. The Quantitative Plaque Percent Index (P% index), caries related microflora, stimulated salivary flow rate and buffer capacity, dmf(t), DMF(t) scores were calculated and analyzed. Dietary habits, frequency of tooth brushing, educational and economic level of the parents and type of haemophilia were determined by a questionnaire. Results. Data were collected from 57 children among which 27 were children with haemophilia and 30 healthy controls. Children with haemophilia had lower overall caries experience and less unmet dental treatment needs in deciduous dentitions as compared to their healthy counterparts, but were no differences between the study groups in permanent dentitions. Higher bacteriological counts were found in controls than in study group. Healthy children were from higher socio-economic status families than children with haemophilia. Conclusions. Better dental health was observed in children with haemophilia in deciduos teeth as compared to healthy children. In permanent dentitions overall caries experience and unmet dental treatment needs did not differ between cases and controls.

scholarly journals Socioeconomic and family influences on dental treatment needs among Brazilian underprivileged schoolchildren participating in a dental health program

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Cristina Martins Lisboa ◽  
Janice Simpson de Paula ◽  
Glaucia Maria Bovi Ambrosano ◽  
Antonio Carlos Pereira ◽  
Marcelo de Castro Meneghim ◽  
...  
Keyword(s):  
Health Program ◽  
Dental Treatment ◽  
Dental Health ◽  
Family Influences ◽  
Treatment Needs

scholarly journals Epidemiology of Dental Caries among Adults in a Rural Area in India

2012 ◽  
Vol 13 (3) ◽  
pp. 382-388 ◽  
Author(s):  
Ami M Maru ◽  
Sena Narendran
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Rural Area ◽  
General Health ◽  
Dental Treatment ◽  
Dental Health ◽  
Oral Health Status ◽  
Caries Experience ◽  
Structured Interviews ◽  
Treatment Needs

ABSTRACT Background Data on epidemiology of dental caries of adults in rural India appear to be sparse. Objective The purpose of the study was to assess the oral health status and dental treatment needs of a rural Indian population. Materials and methods The study population consisted of 189 volunteer subjects with a mean age of 34.9 ± 14.2 years and 54% males. Decayed, missing due to caries and filled teeth (DMFT) and tooth surfaces (DMFS) assessed the dental caries experience. Structured interviews collected data on perception of health including oral health, oral hygiene practices and snacking habits. Results While only 38.1% perceived themselves to be in good or very good dental health, nearly 85% felt the same about general health. The most common sugar exposure was sweetened tea; 75% consumed the beverage at least once a day. More than 80% of the subjects had untreated caries with mean DMFT and DMFS scores of 5.1 ± 3.9 and 13.8 ± 17.8, which lacked any gender differences. Dental treatment needs ranged from 16.9% two-surface fillings to 60.8% one-surface fillings; 23.8% crowns or bridges and 37.6% extractions. Those who perceived themselves to be in better oral health had significantly lower DMFT (4.0 ± 3.2 vs 5.9 ± 4.1) and DMFS (8.4 ± 11.7 vs 17.1 ± 20.0) scores (p < 0.05). A similar trend was observed between perception of general health and DMFT (4.8 ± 3.4 vs 7.0 ± 5.6) and DMFS (11.9 ± 13.7 vs 24.1 ± 30.7) scores. Conclusion Results indicate high levels of dental caries as well as dental treatment needs among the study participants. How to cite this article Maru AM, Narendran S. Epidemiology of Dental Caries among Adults in a Rural Area in India. J Contemp Dent Pract 2012;13(3):382-388.

scholarly journals The Saudi Infection Control Guidance for Re-opening Dental Services in Governmental and Private Sectors During Coronavirus Disease-2019 Pandemic

2021 ◽  
Vol 15 (1) ◽  
pp. 64-70
Author(s):  
Ali AlAhdal ◽  
Haila Al-Huraishi ◽  
Ahmad Almalag ◽  
Adel Alrusayes ◽  
Saud M Orfali
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Infection Control ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Dental Treatment ◽  
Dental Health ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Dental Services ◽  
And Control

Objective: Novel newly discovered coronavirus, also known as severe acute respiratory syndrome coronavirus-2, is a recently emerging virus that has been rapidly spreading globally since December 2019. Due to the vicinity inoro-dental treatment and aerosol production, people inside the dental office are at high risk of being infected with severe acute respiratory syndrome coronavirus-2. This guideline aims to protect the dental health-care workers during their plans to re-open and increasingly continue their routine services until further notice from their governing body. Methods: A panel of experts in dentistry and infection prevention and control reviewed the local and global research and guidelines related to infection prevention and control during coronavirus disease-2019, along with the re-opening guidance provided by different entities. Results: Such a document might either be adopted or adapted to any regional and international organization that wishes to use a revised professional guideline in infection prevention and control dental services. Conclusion: A careful re-opening plan should be developed and implemented, including strict infection control measures before resuming the dental practice.

scholarly journals 838Thriving in adversity: positive child development despite early disadvantage in a whole-of-population data linkage study

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Catherine Chittleborough ◽  
Thomas Brown ◽  
Helena Schuch ◽  
Anna Kalamkarian ◽  
Rhiannon Pilkington ◽  
...  
Keyword(s):  
Child Development ◽  
Child Protection ◽  
Latent Class ◽  
Data Linkage ◽  
Population Data ◽  
Linkage Study ◽  
First Year ◽  
Early Adversity ◽  
Negative Effects ◽  
Latent Class Analyses

Abstract Background Experiencing socioeconomic disadvantage, poor health, or child maltreatment in early life has negative effects on child development. However, we know little about children who have good developmental outcomes despite experiencing adversity. Methods This study used de-identified, linked government administrative data from the South Australian Early Childhood Data Project: specifically Australian Early Development Census (AEDC) data for all South Australian born children in their first year of school in 2009, 2012 and 2015 (n = 47,179) and their corresponding birth, perinatal, school enrolment, hospital admission, emergency department presentation, public housing and child protection data. Latent class analyses constructed multidimensional measures of socioeconomic, health, and maltreatment adversities experienced from birth to age 5. Results Overall, 49.8% (95% CI 49.2-50.4) of children were on track on all five AEDC domains, but this ranged from 53.7% among children who did not experience high levels of adversity to 13.5% among children with high levels of all three adversities. Conclusions Among children who experienced high levels of two or three early adversity types, approximately 1 in 5 were developmentally on track. Understanding characteristics of these children who thrive, against the odds, will help identify intervention opportunities to improve child development. Key messages Compared with children who did not experience high levels of adversity, each additional adversity reduced the likelihood of being developmentally on track by approximately 10% to 15%. Children experiencing socioeconomic or maltreatment adversity were less likely to be developmentally on track than children experiencing health adversity.

Sign in / Sign up

Export Citation Format

Share Document