Disparities in dental health of rural Australians: hospitalisation rates and utilisation of public dental services in three communities in North Queensland

Carlisle, Karen; Larkins, Sarah; Croker, Felicity

doi:10.22605/rrh3807

Cited by 18 publications

(21 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This highlights the importance of identifying other pathways, such as greater likelihood of having a history of negative social experiences, that may lead to increased anxious traits in people with the BAP. Finally, maternal anxiety was also predicted by financial hardship which is in line with previous literature regarding the health-related effects of financial stressors (Carlisle et al, 2017).…”

Section: Discussionsupporting

confidence: 90%

Mental health, broad autism phenotype and psychological inflexibility in mothers of young children with autism spectrum disorder in Australia: A cross-sectional survey

Kulasinghe

Whittingham

Mitchell

2021

Autism

View full text Add to dashboard Cite

Mothers of children with autism spectrum disorder are more likely to have features of the broad autism phenotype and adverse mental health outcomes. The broad autism phenotype can contribute to poorer mental health; however, the mechanism behind this relationship remains uncertain. This study investigated both the predictors of mental health and the relationship between the broad autism phenotype and mental health symptoms in mothers of children with autism spectrum disorder. This cross-sectional survey recruited 232 Australian mothers (⩾18 years) of children with autism spectrum disorder (0–10 years) and assessed maternal broad autism phenotype, mental health, adult attachment style, degree of social support and parenting experience. Hierarchical multiple regressions, t-tests, correlations and mediation analyses were conducted. Psychological inflexibility was the greatest unique predictor of anxious, depressive and stress symptomatology. Challenging parenting experiences predicted depressive, anxious and stress symptomatology while the broad autism phenotype also uniquely predicted anxious symptoms. Both psychological inflexibility and challenging parenting experiences were significant mediators of the relationships between the broad autism phenotype and depressive symptoms and between the broad autism phenotype and anxiety. Psychological inflexibility alone mediated the relationship between the broad autism phenotype and stress. Targeting psychological inflexibility and supporting parenting are promising avenues for future interventions to support the mental health of mothers of young children with autism spectrum disorder. Lay abstract Mothers of children with autism tend to have poorer mental health outcomes compared to most mothers. Lack of social support, parenting challenges and relationship difficulties are more common for mothers of children with autism and can all affect maternal mental health. Mothers of children with autism are also more likely to have some autistic features, called the broad autism phenotype, that can contribute to poorer mental health; however, how these factors relate to one another are unclear. This study found that mothers who were less flexible in their thinking and behaviour and had more difficult parenting experiences tended to have poorer mental health. Mothers with more autistic features were less flexible in their thinking and behaviour, which, in turn, was linked to greater symptoms of depression, anxiety and stress. Mothers with greater autistic features also reported more difficult parenting experiences, which was in turn linked with greater symptoms of anxiety and depression. This study suggests that supporting mothers of young children with autism to manage parenting challenges and become more flexible with their thinking and behaviour could help to improve their mental health.

show abstract

Section: Discussionsupporting

confidence: 90%

Mental health, broad autism phenotype and psychological inflexibility in mothers of young children with autism spectrum disorder in Australia: A cross-sectional survey

Kulasinghe

Whittingham

Mitchell

2021

Autism

View full text Add to dashboard Cite

show abstract

“…Perhaps a more effective use of the local workforce is needed. This could be the case for Queensland, Australia, where the proportion of outpatient oral services delivered to children up to the age of 14 years living in rural communities was less than the whole of Queensland [53].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Policy Modifiable Factors on Inequalities in Rates of Child Dental Caries in Australia

Goldfeld

Francis

Hoq

et al. 2019

IJERPH

View full text Add to dashboard Cite

Background: Poor oral health in childhood can lead to adverse impacts later in life. We aimed to estimate the prevalence and population distribution of childhood dental caries in Australia and investigate factors that might ameliorate inequalities. Methods: Data from the nationally representative birth cohort Longitudinal Study of Australian Children (N = 5107), using questions assessing: The experience of dental caries during each biennial follow-up period (2–3 years to 10–11 years), socioeconomic position (SEP), and policy modifiable oral health factors. Results: The odds of dental caries were higher for children with lowest vs. highest SEP (adjusted OR (adjOR) 1.92, 95% CI 1.49–2.46), and lower where water was fluoridated to recommended levels (adjOR 0.53, 95% CI 0.43–0.64). There was no evidence of an association between caries experience and either reported sugary diet or tooth brushing. When SEP and fluoridation were considered in conjunction, compared to the highest SEP group with water fluoridation children in the lowest SEP with fluoridation had adjOR 1.54 for caries, (95% CI 1.14–2.07), and children in the lowest SEP without fluoridation had adjOR 4.06 (95% CI 2.88–5.42). For patterns of service use: The highest SEP group reported a greater percentage of service use in the absence of caries. Conclusions: Dental caries appears prevalent and is socially distributed in Australia. Policy efforts should consider how to ensure that children with dental caries receive adequate prevention and early care with equitable uptake.

show abstract

“…The problem of tooth decay among urban and rural children has been frequently touched on by both domestic and foreign authors [10, 25]. Małkiewicz and Kepa studied the prevalence of caries and malocclusion in children from the Masovia region.…”

Section: Discussionmentioning

confidence: 99%

Vitamin D₃ and Dental Caries in Children with Growth Hormone Deficiency

Wójcik

Szalewski

Pietryka-Michałowska

et al. 2019

International Journal of Endocrinology

View full text Add to dashboard Cite

Vitamin D deficiency is a common risk factor for multifactorial diseases, and it seems to be associated with growth hormone deficiency (GHD). Vitamin D could prevent dental caries. The goal of this study was to identify whether there is an association between hormonal therapy with growth hormone (GH), vitamin D3 supplementation, vitamin D3 levels, and the occurrence of caries among children affected by GHD. The study group consisted of patients from the Department of Endocrinology and Diabetology of the University Paediatric Hospital at the Medical University of Lublin treated with recombinant human GH for pituitary GHD. It was conducted between October 2014 and June 2015. The study group included 121 children and adolescents aged 6 to 18 years, with 56 children from rural areas and 65 from urban areas. The study group was stratified by the area of residence. We found the statistically significant impact of vitamin D3 concentration on the average value of the DMFT (decayed, missed, and filled teeth) index and its component—DT (decayed teeth), which was noted in subjects from rural areas. Among patients from urban areas, we found a statistically significant correlation between duration of therapy and the DMFT index. An increase in duration of GH therapy by 10 months leads to a mean increase in DMFT index by 0.70. Based on multiple regression analysis, we developed the following model: value of DT = 3.10 − 0.73∗category of vitamin D3 concentration − 0.07∗duration of supplementation (in months). In this model, variables with a significant impact on the value of DT in the group of patients from rural areas include time of vitamin D3 supplementation and category of vitamin D3 concentration. Greater emphasis should be placed on promoting vitamin D3 as a potentially effective agent reducing the number of dental caries, especially among patients with GHD.

show abstract

Disparities in dental health of rural Australians: hospitalisation rates and utilisation of public dental services in three communities in North Queensland

Cited by 18 publications

References 11 publications

Mental health, broad autism phenotype and psychological inflexibility in mothers of young children with autism spectrum disorder in Australia: A cross-sectional survey

Mental health, broad autism phenotype and psychological inflexibility in mothers of young children with autism spectrum disorder in Australia: A cross-sectional survey

The Impact of Policy Modifiable Factors on Inequalities in Rates of Child Dental Caries in Australia

Vitamin D₃ and Dental Caries in Children with Growth Hormone Deficiency

Contact Info

Product

Resources

About

Disparities in dental health of rural Australians: hospitalisation rates and utilisation of public dental services in three communities in North Queensland

Cited by 18 publications

References 11 publications

Mental health, broad autism phenotype and psychological inflexibility in mothers of young children with autism spectrum disorder in Australia: A cross-sectional survey

Mental health, broad autism phenotype and psychological inflexibility in mothers of young children with autism spectrum disorder in Australia: A cross-sectional survey

The Impact of Policy Modifiable Factors on Inequalities in Rates of Child Dental Caries in Australia

Vitamin D3 and Dental Caries in Children with Growth Hormone Deficiency

Contact Info

Product

Resources

About

Vitamin D₃ and Dental Caries in Children with Growth Hormone Deficiency