'Love Teeth Day' campaign in China and its impact on oral public health - the twentieth anniversary

Dai, Jia Le; Hao, Yanhua; Li, G.; Hu, Deyu; Zhao, Yimin

doi:10.1038/sj.bdj.2010.1039

Cited by 5 publications

(6 citation statements)

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“…Studies have also indicated that oral health belief was associated with increased dental service use [ 4 , 37 ]. Although a “National Love your Teeth Day” (September 20th) has been designated by the Chinese government to increase public awareness of oral health since 1989 [ 41 ], additional efforts are warranted to enhance public knowledge of oral diseases and problems and the importance of preventive dental visits.…”

Section: Discussionmentioning

confidence: 99%

Urban-Rural Disparities in Dental Services Utilization Among Adults in China's Megacities

2021

Front. Oral. Health

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Objective: China's dental care system is bifurcated between urban and rural areas. However, very few studies have examined the dental services utilization inequities in China's megacities, particularly in these urban and rural areas. This study aims to examine the urban-rural disparities in dental services utilization among adults living in China's megacities based on the Andersen dental services utilization model.Methods: This study used data from 4,049 residents aged 18–65 who participated in the “2019 New Era and Living Conditions in Megacities Survey.” Multivariate logistic regressions were employed to examine the associations between place of residence and dental services utilization for individuals from ten megacities in China. Predisposing variables (age, gender, marital status, living arrangement, and education), enabling variables (socioeconomic status, occupational status, income, insurance coverage, health attitude, and health behavior), and need variables (self-rated health, oral health status, gum bleeding) were controlled for.Results: The mean age of the 4,049 adults was 45.2 (standard deviation = 13.0), and 30.4% (n = 1,232) had no dental visits at all. Adults who resided in urban areas were more likely to use dental services [odds ratio (OR) = 1.57, 95% confidence interval (CI) = 1.30 to 1.91] than those residing in rural areas after controlling for key covariates. Factors associated with higher odds of visiting dentists include having a higher income (OR = 1.44, P < 0.001), higher education level (OR = 1.53, P = 0.042), being covered by insurance for urban residents/employees (OR = 1.49, P = 0.031), having a positive attitude toward healthy diets (OR = 1.43, P < 0.001), attending regular physical examination (OR = 1.66, P < 0.001), having more tooth loss (OR = 1.05, P < 0.001), and having frequent gum bleeding (OR = 2.29, P < 0.001).Conclusion: The findings confirm that place of residence is associated with dental services utilization while adjusting for key covariates. Despite rapid economic development in China, many adults had never visited dentists at all. More efforts should be taken to encourage widespread dental care, such as providing more dental coverage and better access to dental care services.

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Section: Discussionmentioning

confidence: 99%

Urban-Rural Disparities in Dental Services Utilization Among Adults in China's Megacities

2021

Front. Oral. Health

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“…Sampling methods for respondents not described Survey respondents N = 1100–1200 from baseline (1981), to each follow-up in (1982, 1983, 1985). Sample sizes and response rates not reported 57.7% of participants had prompted recall of seeing information about oral health in mass media immediately after campaign (1982) compared to 47.7% in the year after (1983) and 46.6% 3 years later (1985) Knowledge From 1982 to 1983 knowledge of tooth brushing to prevent gingivitis increased from 31.7% to 37.9%, and of interdental aids 47.3% to 55.3% ( p < 0.05); no increase observed from 1981 to 1982, or 1983 to 1985 Behaviours Prevalence of daily flossing increased from 20.1% to 24.9% from 1982 to 1983 ( p < 0.05); NS in the other years, or in the prevalence of daily use of tooth picks Bian et al [ 25 ] and Dai et al [ 26 ] National campaign, China; urban and rural communities Whole population “Love Teeth Day” with main message of toothbrushing and using fluoridated toothpaste. Themes added and modified each year Paid TV, radio, newspaper, to publicise events every year from 1989 to 2010 Lectures/symposia/knowledge contests, posters, pamphlets, cartoon strips and slides Face-to-face consultations in public spaces.…”

Section: Resultsmentioning

confidence: 99%

Mass media campaigns for the promotion of oral health: a scoping review

et al. 2022

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Background Oral diseases are highly prevalent globally and are largely preventable. Individual and group-based education strategies have been dominant in oral health promotion efforts. Population-wide mass media campaigns have a potentially valuable role in improving oral health behaviours and related determinants. This review synthesises evidence from evaluations of these campaigns. Methods A systematic search of major databases was undertaken to identify peer-reviewed articles reporting the evaluation of mass reach (non-interpersonal) communication strategies to address common forms of oral disease (i.e., dental caries, periodontitis, gingivitis). Studies using all types of quantitative design, published in English between 1970 and 2020 were included. Data concerning campaign objectives, content, evaluation methods and findings were extracted. Results Eighteen studies were included from the 499 identified through searching, reporting the findings of 11 campaign evaluations. Two of these used controlled quasi-experimental designs, with the remainder using pre- and post-test (N = 5) or post-test only designs (N = 4). Message recall, as a measure of exposure, was reported in eight campaigns with short-term (≤ 8 weeks) recall ranging from 30 to 97%. Eight studies examined impacts upon oral health knowledge, with four of the five measuring this at baseline and follow-up reporting improvements. From the eight studies measuring oral health behaviours or use of preventative services, six that compared baseline and follow-up reported improvements (N = 2 in children, N = 4 in adults). Conclusion There are relatively few studies reporting the evaluation of mass media campaigns to promote oral health at the population level. Further, there is limited application of best-practice methods in campaign development, implementation and evaluation in this field. The available findings indicate promise in terms of achieving campaign recall and short-term improvements in oral health knowledge and behaviours.

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“…Exactly what factors may have contributed to this finding is unknown. However, among them might be the introduction around 2007 of the insurance system including a dental scheme,[ 7 ] increased dental awareness of the parents,[ 5 ] and the presence of a higher number of dental graduates and dental practices in the area in later years.…”

Section: Discussionmentioning

confidence: 99%

“…Fortunately, there are reports showing that oral health awareness, dental knowledge, and attitudes toward good oral health behavior have improved among children and parents in parallel with the dietary change toward western food. [ 5 ] Furthermore, China's medical care system is in a period of transition. [ 6 ] For example, a number of medical insurance schemes were introduced during the last decade, resulting in a reported increase in medical insurance coverage from 15% in 2003 to 85% of the population in 2008.…”

Section: Introductionmentioning

confidence: 99%

Caries experience in the primary dentition and presence of plaque in 7-year-old Chinese children: A 4-year time-lag study

Fan

Mulder

et al. 2015

J Int Soc Prevent Communit Dent

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Objectives:The aim of the present study was to test the hypothesis that dental caries prevalence and caries experience in primary dentitions has increased over 4 years and to compare the presence of plaque on permanent teeth in child cohorts over 4 years.Materials and Methods:A time-lag study design was used comprising two cohorts of children aged 7 years from the same five primary schools in Wuhan examined in 2007 and 2011. Two calibrated examiners visually assessed plaque accumulation according to the Greene and Vermillion Index and the dentitions according to the Atraumatic Restorative Treatment (ART) caries criteria. Analysis of variance (ANOVA), logistic regression, and Chi-square test were used to test for differences between dependent and independent variables.Results:The 2007 sample consisted of 817 children and the 2011 sample consisted of 1010 children. The prevalence of dental caries (d3mft) was 68.2% in 2007 and 67.7% in 2011, while that of d2mft was 78.5% in 2007 and 71.4% in 2011 (P < 0.0006). The mean d3mft score was 2.8 in 2007 and 3.1 in 2011 (P = 0.046), while the mean d3mfs score was 4.9 in 2007 and 7.3 in 2011 (P < 0.0001). The d3-component of the d3mft index was 73% in 2007 and 69% in 2011, while the f-component was 22% in 2007 and 26% in 2011. The hypothesis was not accepted. The proportion of children with plaque code 3 (extensive coverage) was higher in 2011 (21.8%) than in age mates in 2007 (5.7%).Conclusions:There were no obvious signs that dental caries prevalence had been increased in primary dentitions of this child population between 2007 and 2011. But as the mean caries experience scores at the surface level were higher in 2011 than in 2007, monitoring caries prevalence remains essential, but should start at an earlier age than that covered by this study. Health and educational authorities should collaborate in setting up programs aimed at ensuring good oral health for school children.

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'Love Teeth Day' campaign in China and its impact on oral public health - the twentieth anniversary

Cited by 5 publications

References 4 publications

Urban-Rural Disparities in Dental Services Utilization Among Adults in China's Megacities

Urban-Rural Disparities in Dental Services Utilization Among Adults in China's Megacities

Mass media campaigns for the promotion of oral health: a scoping review

Caries experience in the primary dentition and presence of plaque in 7-year-old Chinese children: A 4-year time-lag study

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