Examining related influential factors for dental calculus scaling utilization among people with disabilities in Taiwan, a nationwide population-based study

Lai, Hsien-Tang; Kung, Pei‐Tseng; Su, Hsun-Pi; Tsai, Wen‐Chen

doi:10.1016/j.ridd.2014.05.014

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…The participants were mostly categorised as having mild disabilities, with limited variation. Their oral health conditions should thus be presumed to be generally better than those of individuals with more severe disabilities, 27 who were not included in this survey. The real situation of oral health for adults with disabilities may thus be even worse than that indicated by this study.…”

Section: Discussionmentioning

confidence: 99%

“…25 In Taiwan, there are more than 1.1 million people with disabilities (4.8% of the population). 26 Research has shown that disabled adults rarely use oral health services, 27 even though the government has already increased their oral care services. These premium subsidies funded by the National Health Insurance (NHI) system include use of fluoride gel/varnishes, more frequent dental scaling and a bonus for the dentists treating patients with specific disabilities.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of and factors associated with fewer than 20 remaining teeth in Taiwanese adults with disabilities: a community-based cross-sectional study

et al. 2017

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ObjectivesTo examine the prevalence of and the factors associated with a number of remaining teeth (NRT) <20 among adults with disabilities.DesignA community-based, cross-sectional descriptive study.SettingThis study was part of a health promotion programme designed for community-dwelling adults with disabilities.ParticipantsA total of 549 adults with disabilities, aged 20–80 years, living in the community in Chiayi County in Taiwan.Outcome measuresVarious parameters, including NRT, oral health behaviours (ie, oral hygiene, dietary habits and substance use), comorbidities, disability classification and capability for performing activities of daily living, were measured. Data were statistically analysed using descriptive statistics and multivariate logistic regression analysis.ResultsThe mean NRT was 18.1 (SD=10.9); 44.8% of participants had NRT <20 (including 13.7% edentulous participants). Most participants had poor oral hygiene: 83.4% reported seldom using dental floss, 78% did not undergo regular 6-monthly dental check-ups and 77.4% seldom brushed their teeth after meal. After adjusting for potentially confounding variables, the intellectual disability group had a significantly higher risk of an NRT <20 than the physical disability group (OR 2.30, 95% CI 1.30 to 4.08). Additionally, the rare use of dental floss and hypertension significantly increased the possibility of an NRT <20 (OR 1.73–2.12, 95% CI 1.15 to 3.71).ConclusionsAn NRT <20 and edentulism were highly prevalent among adults with disabilities, who displayed poor oral hygiene behaviours. Adults with intellectual disabilities had a greater likelihood of having an NRT <20 than did those with physical disability. In addition to unmodifiable factors, the poor use of dental floss was significantly associated with an NRT <20.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of and factors associated with fewer than 20 remaining teeth in Taiwanese adults with disabilities: a community-based cross-sectional study

et al. 2017

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“…Thus, over 80% of the elderly people with disabilities in Taiwan were included in the current analysis. Therefore, the study sample can be considered highly representative, and minimal variations were observed in the data structure [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

Use of Seasonal Influenza Vaccination and Its Associated Factors among Elderly People with Disabilities in Taiwan: A Population-Based Study

et al. 2016

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BackgroundInfluenza immunization among elderly people with disabilities is a critical public health concern; however, few studies have examined the factors associated with vaccination rates in non-Western societies.MethodsBy linking the National Disability Registration System and health service claims dataset from the National Health Insurance program, this population-based study investigated the seasonal influenza vaccination rate among elderly people with disabilities in Taiwan (N = 283,172) in 2008. A multivariate logistic regression analysis was conducted to adjust for covariates.ResultsNationally, only 32.7% of Taiwanese elderly people with disabilities received influenza vaccination. The strongest predictor for getting vaccinated among older Taiwanese people with disabilities was their experience of receiving an influenza vaccination in the previous year (adjusted odds ratio [AOR] = 6.80, 95% confidence interval [CI]: 6.67–6.93). Frequent OPD use (AOR = 1.85, 95% CI: 1.81–1.89) and undergoing health examinations in the previous year (AOR = 1.66, 95% CI: 1.62–1.69) also showed a moderate and significant association with receiving an influenza vaccination.ConclusionsAlthough free influenza vaccination has been provided in Taiwan since 2001, influenza immunization rates among elderly people with disabilities remain low. Policy initiatives are required to address the identified factors for improving influenza immunization rates among elderly people with disabilities.

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“…Attendance at dental appointments in line with recommendations is low worldwide. 22 As regards the question "have you received information on the prevention of caries and oral diseases?," 16.94% for family members and 24.79% for health workers assert that they have not received any information on the prevention of caries and diseases oral. Increasing the promotion of oral health, the prevention of oral diseases and oral-dental health education is essential to reduce the barriers that people with intellectual disabilities and low socioeconomic conditions encounter when they require oral health treatments.…”

Section: Discussionmentioning

confidence: 99%

Survey on Oral Health Education Knowledge of Family Members and Health Workers Dedicated to Patients with Disabilities

et al. 2023

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Objective Over a billion people in the world live with some form of disability and this figure is destined to grow due to the increase in life expectancy. As consequence, the caregiver is taking on an increasingly important role that gains relevance also in the field of oral-dental prevention, being able to promptly identify needs for medical treatment. In some cases, however, the caregiver can be an obstacle to consider in case of a lack of adequate knowledge and commitment. The aim of this study is to evaluate the caregiver level of oral education comparing family members and health workers dedicated to people with disabilities knowledge. Materials and Methods Anonymous questionnaires were distributed in five disability service centers and filled alternatively by family members of patients with disability and disability service centers health workers. Results Two-hundred fifty questionnaires were collected, of which 100 were filled in by family members and 150 by health workers. Data were analyzed by applying the chi-squared (X2) independence test and the pairwise method for missing data. Conclusion Family members oral education appears better in terms of brushing frequency, toothbrush replacement, and number of dental visits.

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Examining related influential factors for dental calculus scaling utilization among people with disabilities in Taiwan, a nationwide population-based study

Cited by 8 publications

References 14 publications

Prevalence of and factors associated with fewer than 20 remaining teeth in Taiwanese adults with disabilities: a community-based cross-sectional study

Prevalence of and factors associated with fewer than 20 remaining teeth in Taiwanese adults with disabilities: a community-based cross-sectional study

Use of Seasonal Influenza Vaccination and Its Associated Factors among Elderly People with Disabilities in Taiwan: A Population-Based Study

Survey on Oral Health Education Knowledge of Family Members and Health Workers Dedicated to Patients with Disabilities

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