scholarly journals Use of oral health care services in the United States: unequal, inequitable—a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiangqun Ju ◽  
Gloria C. Mejia ◽  
Qiang Wu ◽  
Huabin Luo ◽  
Lisa M. Jamieson
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Services ◽  
The United States ◽  
Oral Health Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Index Of Inequality ◽  
Concentration Curves

Abstract Background Social determinants drive disparities in dental visiting. Disparities can be measured simply by comparing outcomes between groups (inequality) but can also consider concepts of social justice or fairness (inequity). This study aimed to assess differences in dental visiting in the United States in terms of both social inequality and inequity. Methods Data were obtained from a cross-sectional study—the National Health and Nutrition Examination Survey (NHANES) 2015–2016, and participants were US adults aged 30+ years. The outcome of interest, use of oral health care services, was measured in terms of dental visiting in the past 12 months. Disparity was operationalized through education and income. Other characteristics included age, gender, race/ethnicity, main language, country of birth, citizenship and oral health status. To characterize existing inequality in dental service use, we examined bivariate relationships using indices of inequality: the absolute and relative concentration index (ACI and RCI), the slope index of inequality (SII) and relative index of inequality (RII) and through concentration curves (CC). Indirect standardization with a non-linear model was used to measure inequity. Results A total of 4745 US adults were included. Bivariate analysis showed a gradient by both education and income in dental visiting, with a higher proportion (> 60%) of those with lower educational attainment /lower income having not visited a dentist. The concentration curves showed pro-higher education and income inequality. All measures of absolute and relative indices were negative, indicating that from lower to higher socioeconomic position (education and income), the prevalence of no dental visiting decreased: ACI and RCI estimates were approximately 8% and 20%, while SII and RII estimates were 50% and 30%. After need-standardization, the group with the highest educational level had nearly 2.5 times- and the highest income had near three times less probability of not having a dental visit in the past 12 months than those with the lowest education and income, respectively. Conclusion The findings indicate that use of oral health care is threatened by existing social inequalities and inequities, disproportionately burdening disadvantaged populations. Efforts to reduce both oral health inequalities and inequities must start with action in the social, economic and policy spheres.

scholarly journals Barriers To Utilization Of Oral Health Care Services Among Antenatal Mothers In Kuantan, Pahang

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Zurainie Abllah ◽  
Karimah Hanim Abdul Aziz ◽  
Nurjasmine Aida Jamani
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Services ◽  
Dental Treatment ◽  
Dental Pain ◽  
Oral Health Care ◽  
Cross Sectional Study ◽  
Hormonal Changes ◽  
Cross Sectional ◽  
Care Services

Introduction: During pregnancy, increased acidity in the mouth increases the risk of antenatal mother to get dental caries. It is worsen if antenatal mother has morning sickness like vomiting during pregnancy. It can aggravate the problem by exposing the teeth to more gastric acid. In addition, antenatal mothers have hormonal changes that they are more susceptible to periodontal problems. Therefore, it is important for antenatal mother to get dental treatment and use oral health service. This study aim is to describe barriers to utilisation of oral health care services among antenatal mothers attending the Klinik Kesihatan Ibu dan Anak around Kuantan. Materials and Methods: A cross sectional study which was conducted among purposely selected 296 antenatal mothers aged 18-45 years from Kuantan, Pahang in 18 months duration. Study used validated selfadministered questionnaire to obtain information on the variables of interest. Results: Common barriers to utilization of services among antenatal mothers are fear to dental pain (45.6%), time constraints- busy at workplace (36.5%) and feeling of not having any dental problems (36.1%). Meanwhile the least barrier to oral health care services among antenatal mothers is attitude of the dentist (0.7%), followed by attitude of the staff (1.4%) and condition of treatment room (1.7%) Conclusion(s): Fear of dental pain is the main barrier to utilization of service among antenatal mothers and dissatisfaction of the service provided is the least barrier among other factors.

scholarly journals Correlates of Health Literacy Among Polish Immigrants With Chronic Health Conditions: Preliminary Results

2019 ◽  
Vol 5 ◽  
pp. 233372141989477
Author(s):  
Magdalena Leszko ◽  
Celina Timoszyk-Tomczak
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Services ◽  
Legal Status ◽  
Preventive Treatment ◽  
The United States ◽  
Cross Sectional Study ◽  
Functional Health ◽  
Cross Sectional ◽  
Care Services

The rapid increase in immigration to the United States in the past decades has resulted in an influx of individuals who have to familiarize themselves with a completely new health care system and practices, often in a new language. The purpose of this study was to assess health literacy and investigate its correlates among older U.S. Polish immigrants living in the Greater Chicago area. We conducted a cross-sectional study on 60 older adults (24 men, 36 women; mean age = 71.1 years) who completed the Short Test of Functional Health Literacy (S-TOFHLA) and a demographic survey. Scores on S-TOFHLA were lower among older and less-educated immigrants. Undocumented immigrants reported using health care services less frequently than those with legal status. These results confirm the findings of previous studies that older age and fewer years of education are associated with inadequate health literacy. Being familiar with at least the basic information about one’s condition will help patients to better understand a diagnosis, manage their symptoms, and improve any preventive treatment. The findings emphasize the importance of health education among older Polish immigrants. More research employing diverse groups of immigrants is needed to better understand the factors associated with health literacy.

scholarly journals Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Anna L. Suominen ◽  
Sari Helminen ◽  
Satu Lahti ◽  
Miira M. Vehkalahti ◽  
Matti Knuuttila ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Services ◽  
Oral Health Care ◽  
Cross Sectional ◽  
Care Services ◽  
The Cross

Oral health care services in Europe

2001 ◽  
Vol 9 (2) ◽  
pp. 112-121 ◽  
Author(s):  
Dorthe Holst ◽  
Aubrey Sheiham ◽  
Poul Erik Petersen
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Services ◽  
Oral Health Care ◽  
Care Services

scholarly journals Cross-sectional study of oral health care service, oral health beliefs and oral health care education of caregivers in nursing homes

2022 ◽  
Vol 43 ◽  
pp. 138-145
Author(s):  
Adalheidur Svana Sigurdardottir ◽  
Olof Gudny Geirsdottir ◽  
Alfons Ramel ◽  
Inga Bergmann Arnadottir
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Beliefs ◽  
Care Service ◽  
Health Care Service ◽  
Oral Health Care ◽  
Cross Sectional Study ◽  
Health Care Education ◽  
Cross Sectional ◽  
Oral Health Beliefs

scholarly journals Pengetahuan, Sikap dan Keterampilan Perawat tentang Oral Care pada Pasien Tidak Sadar

2020 ◽  
Vol 11 (2) ◽  
pp. 133
Author(s):  
Endah Fitriasari ◽  
Elly L. Sjattar ◽  
Kusrini S. Kadar
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Oral Care ◽  
Oral Health Care ◽  
Google Scholar ◽  
Cross Sectional ◽  
Care Services ◽  
Randomized Intervention ◽  
Intervention Trials ◽  
Unconscious Patients

Background: Providing oral care for adults who are hospitalized with dependency is a nursing responsibility and is an important component of providing nursing care services, as an effort to maintain general health. Objective: To observe nurses' knowledge, attitudes and skills about oral care in unconscious patients. Methods: Using an database to search for articles from journals that had been published through PubMed, Google Scholar, and Proquest. Results: Six articles that discussed oral health care knowledge, attitudes and skills were included in the review. There were three articles with cross-sectional designs and one article each for descriptive, non-randomized intervention trials and mixed methods. Conclusion: Efforts to renew knowledge, attitudes and improve oral health care skills can be done through training or through oral health programs. Keywords: knowledge; attitudes; nurse skills; oral care; unconscious patients ABSTRAK Latar Belakang: Memberikan oral care untuk orang dewasa yang dirawat di rumah sakit dengan ketergantungan adalah tanggung jawab keperawatan dan merupakan komponen penting dari pemberiaan layanan asuhan keperawatan, sebagai upaya menjaga kesehatan secara umum. Tujuan: Untuk melihat pengetahuan, sikap dan keterampilan perawat tentang oral care pada pasien tidak sadar. Metode: Menggunakan basis data elektronik dalam mencari artikel dari jurnal yang telah dipublikasikan melalui PubMed, Google scholar, dan Proquest. Hasil: Enam artikel yang membahas tentang pengetahuan, sikap dan keterampilan perawatan kesehatan mulut dimasukkan dalam tinjauan. Terdapat tiga artikel dengan desain cross- sectional serta masing- masing satu artikel untuk deskriptif, non-randomized intervention trial dan mixed method. Kesimpulan: Upaya memperbaharui pengetahuan, sikap dan meningkatkan keterampilan perawatan kesehatan mulut dapat dilakukan dengan pelatihan ataupun melalui program kesehatan mulut. Kata kunci: pengetahuan; sikap; keterampilan perawat; oral care; pasien tidak sadar

Sign in / Sign up

Export Citation Format

Share Document