scholarly journals Factors Associated With Access to Dental Services of Adults With Physical Disabilities in Thailand

2018 ◽  
Vol 10 (8) ◽  
pp. 163 ◽  
Author(s):  
Nithimar Sermsuti-anuwat ◽  
Sathirakorn Pongpanich
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Independent Living ◽  
Physical Disabilities ◽  
Community Dwelling ◽  
Binary Logistic Regression Analysis ◽  
Dental Services ◽  
Cross Sectional ◽  
Factors Associated ◽  
Dental Appointment

OBJECTIVES: To determine factors associated with access to dental services of community-dwelling adults with physical disabilities in Thailand.METHODS: This cross-sectional study was conducted at the Center of Independent Living, community club for individuals with disabilities in Pathum Thani province, Thailand, in February 2018. Individual participants were interviewed by a trained interviewer using a structured questionnaire that consisted of (1) questions on demographic characteristics and (2) adapted questions that were based on the modified Penchansky and Thomas’s dimensions of access (accessibility, availability, acceptability, affordability, accommodation and awareness). Enter method of binary logistic regression analysis was used.RESULTS: We included 198 individuals with physical disabilities. Most participants had not attended dental care services in the previous 12 months (77.3%) and gave negative responses for all questions regarding the dimensions of access. Although we did not observe any statistically significant differences in age and the six dimensions of access between participants who had attended at least one dental appointment and those who had not, in multivariate analysis, we found a statistically significant association indicated that participants who had education < primary were 3.35 times more likely to had not attended at least one dental appointment (p = 0.002).CONCLUSION: Our findings have uncovered factors associated with access to dental services of community-dwelling adults with physical disabilities in Thailand. Individuals with physical disabilities are in need of oral health education programs regarding proper oral health behaviors such as regular dental services attendance, appropriate oral hygiene practices and dental care benefits. 

scholarly journals Regular use of dental services among university students in southern Brazil

2020 ◽  
Vol 54 ◽  
pp. 85
Author(s):  
Mariana Silveira Echeverria ◽  
Alexandre Emidio Ribeiro Silva ◽  
Bernardo Antônio Agostini ◽  
Helena Silveira Schuch ◽  
Flávio Fernando Demarco
Keyword(s):  
Oral Health ◽  
University Students ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Factors Associated ◽  
Economic Class ◽  
Promotion Policies ◽  
Bachelor's Degrees ◽  
Dental Appointment

OBJECTIVE: To verify the prevalence and factors associated with regular use of dental services in university students of the Universidade Federal de Pelotas (UFPel). METHODS: This cross-sectional study interviewed 1,865 students aged 18 years or older, starting bachelor’s degrees in 2017, enrolled in the second academic semester of 2017 and in the first of 2018 in classroom courses at UFPel. We considered regular users those who reported regularly going to the dentist with or without perceived dental problems. To test factors associated with regular use of dental services, demographic, socioeconomic and oral health variables were collected. Statistical analyses were based on Poisson regression models. RESULTS: The prevalence of regular use of dental services was 45.0% (95%CI 42.7–47.3). University students of high economic class (PR = 1.47; 95%CI 0.91–2.36), with last private dental appointment (PR = 1.29; 95%CI 1.03–1.61), positive self-perception of oral health (PR = 2.33; 95%CI 1.79–3.03) and no report of toothache in the last six months (PR = 1.22; 95%CI 1.03–1.45) showed higher prevalence of regular use of dental services. CONCLUSION: The results point to inequalities in the regular use of dental services related to socioeconomic factors and a lower use among university students with worse oral health conditions. These results suggest that public health prevention and promotion policies in higher education institutions must be carried out to ensure quality of life among these young adults.

scholarly journals Predictors of the Demand for Dental Appointments in Primary Health Care: A National Cross-Sectional Study

2021 ◽  
Author(s):  
Estêvão Azevedo Melo ◽  
Livia Fernandes Probst ◽  
Luciane Miranda Guerra ◽  
Elaine Pereira Silva Tagliaferro ◽  
Alessandro Diogo De-Carli ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Dental Services ◽  
Cross Sectional ◽  
Primary Health ◽  
The Individual ◽  
Dental Appointment

Abstract Background Aiming to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide, it is necessary that public dental services act in an integrated manner within the Health System, particularly with the primary care services. However, even inside availability scenarios in health care, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in which care is offered. The aim of the present study was to evaluate the predictors of the demand for dental care in Primary Health Care Units (PHC) with Oral Health Teams (OHTs). Methods The present is a cross-sectional analytical study that used data from the external assessment of the third cycle of the National Program for Improving Access and Quality in Primary Care (PMAQ-AB, Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica), carried out between 2017 and 2018, in Brazil. The final sample consisted of 85,231 patients and 22,475 Oral Health teams (OHTs). The outcome variable was the fact that the user requested a dental appointment at the Health Unit. A multilevel analysis was carried out to verify the association between individual variables (related to users) and contextual variables (related to the OHTs) in relation to the outcome. Results In the final model, of the variables at the individual level, the patient's age over 43 years (OR = 2.03, 95% CI: 1.96–2.10) was the one that had the greatest effect on the outcome. In turn, among the contextual variables related to the teams, the ones with the greatest effect on the outcome were 'oral health teams that assisted no more than a single family health team' (OR = 1.29, 95% CI: 1.23–1.36) or 'those in which the dental form constitutes the user's medical record' (OR = 1.21, 95% CI: 1.15–1.26) were predictors of the demand for a dental appointment in Primary Health Care. Conclusion It can be concluded that individual and contextual issues interfere in the demand for dental care. Oral health planning must consider an active search for patients with profiles that do not favor the spontaneous demand for oral health care, such as being older, male gender and non-white ethnicity. It is also concluded that the oral health teams that worked in line with the Brasil Sorridente guidelines are the teams most often sought after by the users.

scholarly journals Severity of malocclusion in adolescents: populational-based study in the north of Minas Gerais, Brazil

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Marise Fagundes Silveira ◽  
Rafael Silveira Freire ◽  
Marcela Oliveira Nepomuceno ◽  
Andrea Maria Eleutério de Barros Lima Martins ◽  
Luiz Francisco Marcopito
Keyword(s):  
Oral Health ◽  
Orthodontic Treatment ◽  
Population Based ◽  
Cluster Sampling ◽  
Dental Services ◽  
Cross Sectional ◽  
Socioeconomic Condition ◽  
Factors Associated ◽  
The North ◽  
Health Related

ABSTRACT OBJECTIVE To identify the factors associated with severity of malocclusion in a population of adolescents. METHODS In this cross-sectional population-based study, the sample size (n = 761) was calculated considering a prevalence of malocclusion of 50.0%, with a 95% confidence level and a 5.0% precision level. The study adopted correction for the effect of delineation (deff = 2), and a 20.0% increase to offset losses and refusals. Multistage probability cluster sampling was adopted. Trained and calibrated professionals performed the intraoral examinations and interviews in households. The dependent variable (severity of malocclusion) was assessed using the Dental Aesthetic Index (DAI). The independent variables were grouped into five blocks: demographic characteristics, socioeconomic condition, use of dental services, health-related behavior and oral health subjective conditions. The ordinal logistic regression model was used to identify the factors associated with severity of malocclusion. RESULTS We interviewed and examined 736 adolescents (91.5% response rate), 69.9% of whom showed no abnormalities or slight malocclusion. Defined malocclusion was observed in 17.8% of the adolescents, being severe or very severe in 12.6%, with pressing or essential need of orthodontic treatment. The probabilities of greater severity of malocclusion were higher among adolescents who self-reported as black, indigenous, pardo or yellow, with lower per capita income, having harmful oral habits, negative perception of their appearance and perception of social relationship affected by oral health. CONCLUSIONS Severe or very severe malocclusion was more prevalent among socially disadvantaged adolescents, with reported harmful habits and perception of compromised esthetics and social relationships. Given that malocclusion can interfere with the self-esteem of adolescents, it is essential to improve public policy for the inclusion of orthodontic treatment among health care provided to this segment of the population, particularly among those of lower socioeconomic status.

scholarly journals Factors Associated With Periodontal Diseases and Oral Hygiene Status Among Community-Dwelling Adults With Physical Disabilities in Thailand: A Cross-Sectional Study

2019 ◽  
Vol 11 (9) ◽  
pp. 52 ◽  
Author(s):  
Nithimar Sermsuti-anuwat ◽  
Sathirakorn Pongpanich
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Physical Disabilities ◽  
Periodontal Diseases ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Oral Health Behaviors

OBJECTIVE: There is limited evidence concerning oral health among disabled people capable of independently performing oral hygiene practices. This study investigated factors associated with periodontal diseases and oral hygiene status among community-dwelling, working-age Thai adults with physical disabilities. MATERIAL & METHODS: A cross-sectional study was conducted between 1st February to 15th March 2018 at the Community Center for Independent Living, a disability community club located in Pathum Thani province, Thailand. A total of 198 adults with physical disabilities completed self-report questionnaires. Occurrence of bleeding on probing and presence of dental plaque accumulation were obtained through full-mouth periodontal examinations by a trained and calibrated examiner. Univariate and multivariate binary logistic regression were performed. RESULTS: Toothbrushing frequency of less than twice per day was associated with periodontal diseases (OR = 8.25, p = 0.001). Higher levels of sweets consumption (OR = 3.17, p = 0.003) and infrequent toothbrushing (OR = 4.26, p = 0.001) were related to poor oral hygiene. CONCLUSIONS: Participants who performed improper oral health behaviors would suffer from periodontal diseases and poorer oral hygiene status. Although participants are capable of performing daily self-care, their physical limitation is a possible explanation for difficulty in appropriate personal oral hygiene practices, which can lead to a lower quality of oral cleanliness. Therefore, professional oral health education and personal oral hygiene instruction tailor-fit to their specific needs are necessary to increase the quality of toothbrushing practices and proper oral health behaviors among persons with physical disabilities.

Factors associated with self-rated oral health among community-dwelling older Japanese: A cross-sectional study

2014 ◽  
Vol 15 (6) ◽  
pp. 755-761 ◽  
Author(s):  
Yuki Ohara ◽  
Hirohiko Hirano ◽  
Yutaka Watanabe ◽  
Shuichi Obuchi ◽  
Hideyo Yoshida ◽  
...  
Keyword(s):  
Oral Health ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals Everyday experiences of people living with dementia and their carers relating to oral health and dental care

Dementia ◽  
2020 ◽  
pp. 147130122097594
Author(s):  
Sarah A Curtis ◽  
Sasha Scambler ◽  
Jill Manthorpe ◽  
Kritika Samsi ◽  
Yvonne M Rooney ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Community Dwelling ◽  
Research Network ◽  
Dental Services ◽  
Public And Private ◽  
Face To Face ◽  
People With Dementia ◽  
Dementia Research ◽  
Field Notes

Little is known about how community-dwelling people with dementia, as well as their carers, look after their oral health and use dental care. This exploratory study aimed to explore the beliefs, experiences and practices about oral health of people living with dementia and their carers. We used an ethnographic qualitative approach conducting face-to-face interviews at home with people living with dementia and/or carers. Interview data and field notes were analysed thematically using framework methods. We approached volunteers registered with the online UK. Join Dementia Research network from whom a total of 17 participants were recruited in 2018. Five interviews were conducted with carers alone, two with a person living with dementia alone, and five with a carer and person with dementia jointly. Three main themes emerged: oral health is not prioritised; access to dental care is shaped by increasing disability; and the importance of continuity of care. While people living with dementia and their carers may view oral health important once prompted, many reported difficulties in undertaking or assisting with daily self-care and accessing dental services, particularly as dementia progresses. We draw out implications for the organisation and delivery of public and private dental services.

scholarly journals Factors Associated with Accessing Prison Dental Services in Scotland: A Cross-Sectional Study

2019 ◽  
Vol 7 (1) ◽  
pp. 12 ◽  
Author(s):  
Ruth Freeman ◽  
Derek Richards
Keyword(s):  
Regression Analysis ◽  
Oral Health ◽  
Assessment System ◽  
Caries Detection ◽  
Psychosocial Needs ◽  
Dental Services ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Variance Model ◽  
Factors Associated

Background: Prisoners have poorer dental health than non-prison populations. It is known that the prison environment can promote health and thus, policies, including access to dental care, are in place to promote health during imprisonment. Aim: Our aim was to conduct an oral health and psychosocial needs survey to identify the factors associated with accessing prison dental services in Scotland. Methods: A convenience sample of offenders from a male maximum security prison, a women’s prison, and a young offenders’ institution was gathered. A questionnaire examined the demography, prison experience, dental anxiety, oral health-related quality of life, and reported attendance of dental services. A dental examination was conducted using the International Caries Detection and Assessment System to diagnose obvious decay. A hierarchical logistic regression analysis was performed. Results: 342 prisoners participated. When missing data were excluded, the final sample was 259. The regression analysis showed the following: Model 1 characterized the offenders by demography and prison experience, explaining 19% of the variance. Model 2 showed that an offender was 36% more likely to attend dental services for every unit change in the 5-point ranking scale of ‘feeling irritable with people because of teeth, mouth, or dentures’, explaining an additional 7% of the variance. Model 3 explained 35% of the variance, (i.e., an additional 9%) and was adopted as the final model to characterize offenders who access dental services when in prison. An offender who reported accessing prison dental services was 3.28 times more likely to be male. For each increase in the year of an offender’s age, the offender was 5% more likely to access prison dental services. An 11% greater chance of accessing prison dental services for every experience of remand was also found. An offender was 32% more likely to access prison dental services for each increased level of irritability, and there was a 2 times higher likelihood of emergency dental services’ attendance. There was a 19% lower chance of accessing prison dental services for each additional tooth affected by decay and a 13% greater chance of accessing prison dental services for each unit increase in missing teeth. Conclusions: In conclusion, this investigation identified factors associated with access to prison dental services in Scotland. The role of accessibility factors, such as the oral health impact of irritability, appeared to increase perceptions of dental need and promote dental services’ attendance

scholarly journals Barriers and Facilitators of Dental Care in African-American Seniors: A Qualitative Study of Consumers’ Perspective

2020 ◽  
Vol 11 (1) ◽  
pp. 23-33
Author(s):  
Richie Kohli ◽  
Sonya Howk ◽  
Melinda M. Davis
Keyword(s):  
African American ◽  
Oral Health ◽  
Qualitative Study ◽  
Low Income ◽  
Dental Care ◽  
Insurance Coverage ◽  
Barriers And Facilitators ◽  
Dental Services ◽  
Cross Sectional ◽  
Free Care

Objective: To identify African-American seniors’ perceptions of the barriers and facilitators to their dental care. Materials and Methods: In this cross-sectional qualitative study, we conducted in-depth interviews with 16 community-based, self-identified African-American seniors from March 2017 to August 2017 in Oregon. We coded data in ATLAS.ti and used thematic analysis to identify emergent themes within the social ecological framework and a cross-case comparative analysis to explore variation by participant characteristics. Results: Regardless of dental insurance status, cost and perceived urgency of treatment were the primary drivers of participant’s ability and interest in seeking dental care. Participants identified four solutions to improve oral health care in African-American seniors: affordable/free care and vouchers for dental work, better oral health education at a younger age, onsite community dental services, and navigators who can educate patients about insurance and dental providers who see low-income patients. Conclusions: Oral health decisions by African-American seniors were primarily driven by cost and perceived urgency irrespective of insurance coverage. Affordable dental care, early intervention, on-site services, and navigation may help to address key barriers and reduce oral health disparities faced by African-Americans.

scholarly journals Indicators for dental appointment scheduling in primary health care: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Estêvão Azevedo Melo ◽  
Livia Fernandes Probst ◽  
Luciane Miranda Guerra ◽  
Elaine Pereira da Silva Tagliaferro ◽  
Alessandro Diogo De-Carli ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Appointment Scheduling ◽  
Outcome Variable ◽  
Dental Services ◽  
Cross Sectional ◽  
Primary Health ◽  
Dental Appointment ◽  
Dental Appointments

Abstract Background Integrated dental services within the Health System, particularly at primary health care, are crucial to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide. However, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in which care is offered. Therefore, factors associated with dental appointments scheduling can affect positively or negatively the use of dental services. The aim of the present study was to evaluate the indicators for dental appointment scheduling in Primary Health Care (PHC). Methods The present is a cross-sectional analytical study that used data from the external assessment of the third cycle of the National Program for Improving Access and Quality in Primary Care (PMAQ-AB), carried out between 2017 and 2018, in Brazil. The final sample consisted of 85,231 patients and 22,475 Oral Health teams (OHTs). The outcome variable was the fact that the user sought for a dental appointment at the Primary Health Care Unit. A multilevel analysis was carried out to verify the association between individual variables (related to users) and contextual variables (related to the OHTs) in relation to the outcome. Results Only 58.1% of the users interviewed at these Primary Health Care Units seek the available dental care. The variables with the greatest effect on the outcome were the patient’s age up to 42 years old (OR = 2.03, 95% CI: 1.96–2.10), at individual level, and ‘oral health teams that assisted no more than a single family health team (FHT)’ (OR = 1.29, 95% CI: 1.23–1.36) at contextual level. Other variables were also associated with the outcome, but with a smaller effect size. Conclusion In conclusion, users’ age and work process of OHT were indicators for dental appointment scheduling. Our results suggest that when OHT put the National Oral Health Policy guidelines into practice, by assisting only one FHT, the chance for PHC users seeking dental appointments is higher than OHTs that assist more than one FHT. Regarding age, patients aged up to 42 years are more likely to seek an appointment with a dentist.

scholarly journals Factors Associated with the Caregivers’ Desire to Institutionalize Persons with Dementia: A Cross-Sectional Study

2018 ◽  
Vol 46 (5-6) ◽  
pp. 298-309 ◽  
Author(s):  
Sophie Vandepitte ◽  
Koen Putman ◽  
Nele Van Den Noortgate ◽  
Sofie Verhaeghe ◽  
Eric Mormont ◽  
...  
Keyword(s):  
Behavioral Problems ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Respite Care ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services ◽  
Modifiable Factors

Background/Aims: Dementia is one of the main reasons for institutionalization among the elderly. Few studies have explored factors associated with the caregivers’ (CG) desire to institutionalize (DTI) a person with dementia (PWD). The objective of this study is to identify modifiable and non-modifiable psychosocial and sociodemographic factors associated with a caregiver’s DTI. Methods: Cross-sectional data of 355 informal CG of community-dwelling PWD were analyzed. Several characteristics were identified in CG and PWD to be included in a multivariable regression model based on the purposeful selection method. Results: Positively modifiable associated factors were: higher CG burden, being affected by behavioral problems, and respite care use. Positively associated non-modifiable factors were: CG older age, being professionally active, and CG higher educational level. Cohabitation and change of professional situation were negatively associated. Conclusion: Although no causality can be assumed, several practical recommendations can be suggested. First of all, these results reconfirm the importance of multicomponent strategies, especially support aimed at decreasing burden and in learning coping strategies. Also, CG might benefit from information about support options, such as respite care services. Finally, special attention should be given to older and working CG. In the latter, flexible and adaptive working conditions might alleviate burden and therefore reduce the DTI of the PWD.

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