THE IMPACT OF COMPREHENSIVE HEALTH IMPROVEMENT ON COLLEGE STUDENTS BY MEANS OF EDUCATION AND ORAL HEALTH CARE

Author(s):  
Guadalupe Capetillo ◽  
Evelyn Torres ◽  
Silvia Flores ◽  
Leticia Tiburcio ◽  
Fabiola Leyva ◽  
...  
Author(s):  
Guadalupe R. Capetillo Hernández ◽  
Evelyn Torres ◽  
Leticia Tiburcio Morteo ◽  
Rosa Elena Ochoa ◽  
Rocio Ojeda ◽  
...  

2019 ◽  
Vol 5 (2) ◽  
pp. 146-155 ◽  
Author(s):  
B.D. Meyer ◽  
R. Wang ◽  
M.J. Steiner ◽  
J.S. Preisser

Background: Despite early evidence touting the effectiveness of physician-provided oral health services (POHS), recent evidence suggests these services might have little impact on caries-related outcomes in children. General anesthesia (GA) is often used to treat early childhood caries and may be considered the most extreme utilization outcome. We sought to assess the impact of POHS utilization on dental GA utilization and expenditures. Methods: We used the Medicaid claims of a birth cohort of children born in 2008 in North Carolina ( N = 32,558) to determine the impact of POHS on dental utilization and expenditures under GA for individual children. Children were followed until their eighth birthday. We analyzed the association of the number of prior POHS visits with visit-specific outcomes of dental treatment under GA using population-averaged models fit with generalized estimating equations with exchangeable working correlation structure. Results: Children with 2 or more previous POHS visits had reduced odds of GA (odds ratio [OR] = 0.93; confidence interval [CI], 0.87–0.99; P = 0.029) and expenditures ($114; CI,−$152.61 to −$75.19; P < 0.001) compared to those without physician-provided oral health visits, adjusting for age, sex, race/ethnicity, and geographic residence. Dental expenditures did not differ between POHS and non-POHS subjects at non-GA visits. Conclusions: POHS decreased the odds of having dental GA treatment and dental expenditures at GA visits. The role of physicians in oral health care can reduce the impact on the most severe outcome—treatment under general anesthesia. Knowledge Transfer Statement: The results of this study have important financial implications for state Medicaid programs and disease management programs trying to mitigate the costs of treating early childhood caries under general anesthesia. Children who receive physician oral health care are less likely to use and more likely to save money on general anesthesia to complete dental treatment.


2019 ◽  
Vol 43 (4) ◽  
pp. 217
Author(s):  
Jung Won Yun ◽  
Yu Hee Lee ◽  
Kyeung Ae Jang ◽  
Jung Hwa Lee

Author(s):  
Dominique Como ◽  
Leah Stein Duker ◽  
José Polido ◽  
Sharon Cermak

Oral health is an important yet often neglected component of overall health, linked to heart disease, stroke, and diabetic complications. Disparities exist for many groups, including racial and ethnic minorities such as African Americans. The purpose of this study was to examine the potential factors that perpetuate oral health care disparities in African American children in the United States. A systematic search of three literature databases produced 795 articles; 23 articles were included in the final review. Articles were analyzed using a template coding approach based on the social ecological model. The review identified structural, sociocultural, and familial factors that impact the ability of African Americans to utilize oral care services, highlighting the importance of the parent/caregiver role and the patient–provider relationship; policy-level processes that impact access to quality care; the value of autonomy in treatment and prevention options; and the impact of sociocultural factors on food choices (e.g., food deserts, gestures of affection). In conclusion, oral health care remains an underutilized service by African American children, despite increasing access to oral care secondary to improvements in insurance coverage and community-based programs.


2021 ◽  
Author(s):  
Saroj Prasad Deo ◽  
Dharanidhar Baral

Abstract Background COVID-19 (COrona VIrus Disease-19) outbreak is an alarming situation for all health care workers. Dental and oral health care workers (DOCHWs) are invariably at a higher risk of getting infected or transmitting disease due to the nature and duration of work. The objective is to determine the effect of the COVID-19 pandemic on Nepalese dental and oral health care workers and their practices. Methods A cross-sectional observational, online survey was designed and conducted via Google form from 24 June 2020 to 13 July 2020 among DOHCWs of Nepal. The study tool developed after reviewing pertinent literature and international guidelines. Results A total of 51.9% were aged 20 to 29 years, 61.7% were male, 52.6% were single; 92.5% had no morbidity. Of the respondents, majority 60.2% of DOCHWs were working in routine duties on the COVID-19 crisis. They reduced their current practice to before the pandemic; 48.2 % of them working less than 20 hours per week, while only 10.5 % of them working more than 40 hours per week. Moreover, 73.7% performed only selective or lesser procedure; 18% closed dental practices / stayed home; only 1.5% worked more; 6.8% shifted practice to online (teledentistry). The majority of the respondents restricted their activity to an emergency (21%) and urgent procedures (22.7%). A considerable proportion of participants reported symptoms of depression (21.9%), anxiety (24.2%), and distress (8.4%). Bivariate analysis showed a statistically significant level of satisfaction with logistic support provided by the administrative agency in the different workplace (oral health service centre) with relation to the availability of masks other than N95, N99 (p = 0.04), availability of PPEs (p = 0.06) and facility of cleaning area (p = 0.01). Conclusion The impact of the COVID-19 pandemic among DOHCWs is widespread and adversely affect the personal, professional and academic lives of DOHCWs of Nepal. The participants reported experiencing psychological burden, precipitated by financial burden and worries about an uncertain future.


2014 ◽  
Vol 43 (2) ◽  
pp. 124-130
Author(s):  
Elizandra de Queiroz Venancio ◽  
Elza Maria de Queiroz Venancio de Paula ◽  
Cássia Barbosa Reis

Introduction: With the reorganization of oral health policy in 2004, the community health agent is regarded as a facilitator of oral health practices in her area. Objective: To identify knowledge and practice of community health agents in oral health care. Material and method: This is a qualitative study, based on the theory of social representations, and the data were collected through semi-structured interviews, using the collective subject discourse as the technique of tabulation and analysis of data. The sample consisted of 11 interviews, delimited by saturation. Data collection was conducted during the period April-June 2010, in Dourados, Mato Grosso do Sul. Result: The results indicate that respondents understand what oral health is, realize the impact of oral health on overall health, guide the community regarding oral health carein their work practices, operate and provide care in the basic health unit, but have not been trained to act as instructors. Conclusion: The community health workers have knowledge of common sense oral health, acquired through their own life experiences and observation of the world, but show some uncertainty due to lack of training.This points to the need for investment in ongoing education for these professionals so that they can continuously assist the population in the process of empowerment of knowledge about health.


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