Dental Services Use and Barriers to Dental Care for Individuals with Autism Spectrum Disorder in Jordan: Case-Control Study

2019 ◽  
Author(s):  
SABHA ALSHATRAT ◽  
Isra ALBakri ◽  
Wael ALOmari
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Case Control Study ◽  
Autism Spectrum ◽  
Case Control ◽  
Oral Diseases ◽  
Dental Services ◽  
Dental Staff ◽  
Significant Difference ◽  
Control Study

Abstract Background Oral health is acknowledged as an integral component of general health and plays an essential role in establishing a desired level of quality of life. Individuals with disabilities are at a higher risk for oral diseases due to underlying congenital anomalies and inability to receive the needed care to maintain oral health . Regular dental care is essential to maintaining optimal oral health. However, to date, there are no studies conducted in Jordan addressing the dental challenges and barriers to oral care faced by individuals with autism. The objectives of this study were to examine the use of dental services for individuals with autism and identify barriers that affect their access to dental care in comparison with healthy individuals in Jordan.Methods A case-control study was conducted. Participants included 296 Caregivers of individuals with autism and healthy developing individuals who completed a self-designed questionnaire that assessed access and barriers to dental services.Results The majority of the participants in the current study in both the control and the ASD groups have visited the dentist within the last year prior to completing the present survey. The main reason for visiting dental services was toothache (43%) while the least was routine checkup (11.6%) with significant difference ( P <0.05) between the groups. Barriers like; embarrassment (43.5%), lack of specialized dental staff (28.6%), lack of knowledge of how to treat disabled dental patients (26.6%), and inadequate facilities (34%) were significantly (P<0.05) higher among patients with ASD than the control.Conclusion Knowing and understanding the barriers for accessing dental care might improve overall health for individuals with autism. Furthermore, recognizing the challenges to accessing dental care for this population might help the oral health professionals to minimize these difficulties.

scholarly journals Dental Service Utilization and Barriers to Dental Care for Individuals with Autism Spectrum Disorder in Jordan: A Case-Control Study

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sabha Mahmoud Alshatrat ◽  
Isra Abdelkarim Al-Bakri ◽  
Wael Mousa Al-Omari
Keyword(s):  
Autism Spectrum Disorder ◽  
Oral Health ◽  
Dental Care ◽  
Case Control Study ◽  
Autism Spectrum ◽  
Case Control ◽  
Spectrum Disorder ◽  
Dental Services ◽  
Individuals With Disabilities ◽  
Control Study

Individuals with disabilities are at higher risk for oral diseases such as caries and periodontal disease. Therefore, regular dental care is essential to maintain oral health. However, individuals with disabilities encounter difficulties in accessing dental care. The challenges and barriers to oral care faced by individuals with autism spectrum disorder (ASD) have not been addressed in Jordan. The aim of this study was to examine the use of dental services in individuals with ASD in Jordan and identify barriers that affect their access to dental care in comparison with individuals without ASD. A case-control study was carried out among 296 parents/caregivers of individuals with ASD and individuals without ASD, which involved completion of a self-designed questionnaire. The majority of the participants in both groups had visited the dentist in the year preceding completion of the questionnaire. The main reason for visiting dental services was toothache (43%), and the least common reason was routine checkup (11.6%), with a significant difference (P<0.05) observed between the two groups. Barriers including embarrassment (43.5%), a lack of specialized dental staff (28.6%), a lack of knowledge of how to treat people with disabilities (26.6%), and inadequate facilities (34%) were significantly (P<0.05) more likely to be reported by individuals with ASD than the controls. In conclusion, knowing and understanding the barriers to accessing dental care could improve overall health for individuals with ASD. Furthermore, recognizing the challenges in accessing dental care for this population could help oral health professionals to minimize these difficulties.

scholarly journals Oral health knowledge and dental behavior among individuals with autism in Jordan: a case–control study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sabha Mahmoud Alshatrat ◽  
Isra Abdelkarim Al-Bakri ◽  
Wael Mousa Al-Omari ◽  
Noor Abdullah Al Mortadi
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Health Knowledge ◽  
Case Control Study ◽  
Autism Spectrum ◽  
Case Control ◽  
Oral Health Knowledge ◽  
Significant Difference ◽  
Control Study

Abstract Background Oral care is acknowledged as an integral component of general health and plays an essential role in establishing the desired level of quality of life for individuals with autism spectrum disorder (ASD). Purpose To investigate oral health knowledge and dental behaviors in individuals with ASD in comparison with individuals without ASD in Jordan. Methods A case–control study was carried out among 296 caregivers of individuals with ASD (n = 147) and control (n = 149) groups. A closed ended, validated self-designed questionnaire was distributed. The questionnaire included questions addressing participant’s oral health knowledge and behaviour. Data were analyzed using SPSS® software Version 22 with a 0.05 level of significance. A Chi-square test and contingency-table analysis were performed. Results Individuals with ASD in Jordan were significantly less knowledgeable about different oral health aspects than individuals without ASD (p < 0.05). Fewer individuals in the ASD group brushed their teeth once or twice daily (89%), compared to the control group (93%). Only 15% of the ASD participants could brush their teeth without help. The use of fluoridated toothpaste and the frequency of using mouth rinse demonstrated a significant difference between groups (p < 0.05). Conclusion ASD individuals in Jordan suffer from a significant lack of oral knowledge comparing to their controls, leading to a misunderstanding of the basic and highly important dental health aspects. Indicating that the knowledge was not enough to influence their dental behaviors. Children with ASD and their families should receive appropriate education in special need oral health care given by oral health professionals to reduce the risk of having dental problems and oral disease and enhance their quality of life.

Oral health among preschool children with autism spectrum disorders: A case-control study

Autism ◽  
2014 ◽  
Vol 19 (6) ◽  
pp. 746-751 ◽  
Author(s):  
Rennan Y Du ◽  
Cynthia KY Yiu ◽  
Nigel M King ◽  
Virginia CN Wong ◽  
Colman PJ McGrath
Keyword(s):  
Autism Spectrum Disorders ◽  
Preschool Children ◽  
Oral Health ◽  
Case Control Study ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Case Control ◽  
Spectrum Disorders ◽  
Control Study

scholarly journals Oral Health Knowledge, Behaviour, and Access to Dental Care in Visually Impaired Individuals in Jordan: A Case-Control Study

2021 ◽  
Vol 15 (1) ◽  
pp. 33-40
Author(s):  
Sabha Alshatrat ◽  
Isra AL Bakri ◽  
Wael AL Omari ◽  
Abedelmalek Tabnjh
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Visually Impaired ◽  
Health Knowledge ◽  
Case Control Study ◽  
Vision Impairment ◽  
Dental Services ◽  
Oral Health Knowledge ◽  
Access To Dental Care ◽  
Control Study

Aim: The study aimed to assess oral health knowledge, dental behaviors, and use of dental services in individuals with vision impairment in Jordan and identify barriers that affect their access to dental care in comparison with individuals without vision impairment. Materials and Methods: A case-control study was carried out among 399 parents/caregivers of individuals with vision impairment and individuals without vision impairment, which involved the completion of a self-designed questionnaire. A closed-ended, validated self-designed questionnaire was distributed. The questionnaire included questions addressing participants’ oral health knowledge, oral health behaviour, dental service use and barriers to accessing dental care. Data were analyzed using SPSS® software Version 22 with a 0.05 level of significance. A Chi-square test and contingency-table analysis were performed on the data. Results: Individuals with vision impairment in Jordan were significantly less knowledgeable about different oral health aspects than sighted counterparts. In addition, individuals with vision impairment used toothbrush, dental floss, and mouth rinse less frequently. They also visited dentists less regularly and mostly when only feeling pain. Limited access to dental services was observed among individuals with vision impairment compared to sighted individuals. Barriers, including embarrassment (22%), lack of knowledge of how to treat people with disabilities among dentists (12.5%), and inadequate facilities (13.7%), were significantly (P<0.05) more likely to be reported by visually impaired participants than the controls. Conclusion: Visually impaired individuals and their families should be given appropriate education about oral health care by oral health professionals to reduce the risk of having dental problems and oral disease and enhance their quality of life. Furthermore, recognizing the challenges in accessing dental care for this population could help oral health professionals to minimize these difficulties.

Risk factors associated with subacromial pain in young athletes: A case control study

2021 ◽  
pp. 1-9
Author(s):  
Zoran Z. Sarcevic ◽  
Andreja P. Tepavcevic
Keyword(s):  
Logistic Regression ◽  
Case Control Study ◽  
Case Control ◽  
Sternoclavicular Joint ◽  
Pectoralis Major ◽  
Young Athletes ◽  
Serratus Anterior ◽  
Significant Difference ◽  
Lower Trapezius ◽  
Control Study

BACKGROUND: Subacromial pain (SAP) is a common complaint of young athletes, independently of the sport engaged. The prevalence of SAP in some sports is up to 50%. OBJECTIVE: The study was aimed to investigate some new factors possibly associated to subacromial pain in young athletes. The factors considered were the grade of tightness of the clavicular portion of the pectoralis major, dysfunction of the sternoclavicular joint, and serratus anterior and lower trapezius strength. METHODS: This case-control study included 82 young athletes 9–15 years, 41 with the symptoms of SAP and 41 controls. All participants self-reported whether they had subacromial pain. In addition, Hawkins–Kennedy Test was performed to all the participants to evaluate the subacromial pressure. Main outcome measures were the grade of tightness of the clavicular portion of the pectoralis major, dysfunction of the sternoclavicular joint, and serratus anterior and lower trapezius strength. The grade of tightness of the clavicular portion of the pectoralis major and the dysfunction of the sternoclavicular joint were measured with an inclinometer. Serratus anterior and lower trapezius strength were measured by a handheld dynamometer with external belt-fixation. The data were analyzed using t-test for independent samples, Mann-Whitney U test, contingency coefficients and a stepwise binary logistic regression. RESULTS: Significant statistical difference was observed in the grade of tightness of the clavicular portion of the pectoralis major and in the variable representing the physiological functioning of the sternoclavicular joint, between the cases and the controls. There was no significant difference in serratus anterior and lower trapezius strength between the cases and the controls. Logistic regression analysis showed that the variable representing the physiological functioning of the sternoclavicular joint and the grade of shortening of the clavicular portion of the pectoralis major were good predictors for presence of SAP. CONCLUSIONS: A strong association was determined between subacromial pain in young athletes, clavicular portion of pectoralis major tightness and the dysfunction of the sternoclavicular joint.

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