Oral health promotion in Gauteng: a qualitative study

Molete, Mpho; Daly, Blánaid; Hlungwani, Tintswalo

doi:10.1177/1757975913476906

Cited by 8 publications

(29 citation statements)

References 10 publications

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“…The present study findings emphasise the role of oral health within the holistic socio‐environmental model of general health . This concept is in line with the global policy of the WHO for oral health improvement in the 21st century, declaring that integration of oral and general health promotion is needed, since the risks to health are linked, common, modifiable and associated with lifestyle …”

Section: Discussionsupporting

confidence: 82%

“…81 This concept is in line with the global policy of the WHO for oral health improvement in the 21st century, declaring that integration of oral and general health promotion is needed, since the risks to health are linked, common, modifiable and associated with lifestyle. 52,[82][83][84] The relatively large study population (504 patients), together with the uniform protocol using standardised validated internationally recognised diagnostic criteria for periodontitis and systemic diseases, are among the strengths of this study. The influence of multiple variables on the association between periodontitis and systemic diseases was taken into account.…”

Section: Discussionmentioning

confidence: 99%

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Where periodontitis meets metabolic syndrome—The role of common health‐related risk factors

Abdalla‐Aslan

Findler

Levin

et al. 2019

J of Oral Rehabilitation

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Objectives To analyse and compare associations between metabolic syndrome (MetS) and its components in periodontitis compared to control patients. Methods This 7‐year cross‐sectional study retrospectively analysed medical records of 504 individuals aged 18‐90 who attended the student dental clinic between 2008 and 2014. Demographics, smoking habits, blood pressure, waist circumference, as well as presence of: periodontitis, MetS, diabetes, hypertension, hyperlipidaemia, stroke, heart disease, cancer and psychiatric disorders were recorded. Results The study population composed of 231 (45.8%) males and 273 (54.2%) females, with an average age of 55.79 ± 16.91 years. A patient profile associated with periodontitis was identified and included male sex, older age, smoking, higher smoking pack‐years, abdominal obesity, higher systolic and diastolic blood pressures, the presence of MetS or its components, hypertension, hyperlipidaemia, diabetes or diseases associated with its consequences such as ischaemic heart disease and stroke. Following multivariate logistic regression analysis, age and smoking retained a significant association with periodontitis, whereas the systemic disorders did not. Conclusions The association between periodontitis and MetS may be explained by shared common profile and risk factors. An appropriate risk factors management approach should be adopted by both dental and general health clinicians and health authorities, to control common high‐risk behaviours.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Where periodontitis meets metabolic syndrome—The role of common health‐related risk factors

Abdalla‐Aslan

Findler

Levin

et al. 2019

J of Oral Rehabilitation

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“…Donoff et al , called for a national effort to integrate oral and general health care (Donoff et al , ). Moreover, the WHO global policy for improvement of oral health in the 21st century stated that the promotion of oral health needs to be integrated with general health promotion, as the risks to health are linked, preventable, and related to lifestyle (Sheiham and Watt, ; Petersen, ; Antonarakis, ; Molete et al , ). This is the basis of the common risk factor approach maintaining that changing a small number of risk factors can have a positive impact upon a large number of diseases (Sheiham and Watt, ).…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, there are few studies investigating the relationship between various health and oral health‐related behaviors (Moyses et al , ; Petersen et al , ; Antonarakis, ; Astrom and Mbawalla, ; Molete et al , ). For example, a Japanese study revealed that toothbrushing was associated with eating breakfast, smoking, and alcohol use (Tada and Matsukubo, ; Petersen et al , ).…”

Section: Introductionmentioning

confidence: 99%

Lifestyle and dental attendance as predictors of oral health‐related quality of life

et al. 2015

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“…There was an acceptance of promoting general health in dentistry, which has been observed elsewhere (22)(23)(24) . However, dental practice staff identified many issues relating to obesity, including practical reasons such as balancing their time and priorities, and also fears that patients would react badly.…”

Section: Discussionmentioning

confidence: 83%

Acceptability of delivery of dietary advice in the dentistry setting to address obesity in pre-school children: a case study of the Common Risk Factor Approach

Henderson

2014

Public Health Nutr.

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Objective: The Common Risk Factor Approach proposes that public health efforts can be improved by multiple agencies working together on a shared risk factor. The present study aimed to assess the acceptability to parents, dental practice staff and commissioners of the delivery of dietary advice in the dentistry setting in order to address obesity. Design: Semi-structured focus groups with dental practice staff and one-to-one interviews with parents of pre-school children and public health commissioners involved in an oral health promotion initiative delivering dietary advice in dental surgeries. Data were analysed using the Framework Approach. Setting: General dental practice surgeries and pre-schools in areas of high deprivation in north-east England. Subjects: Parents (n 4), dental practice staff (n 23) and one commissioner. Results: All participants found acceptable the concept of delivering public health messages in non-conventional settings. Dental practice staff were concerned about the potential for conflicting messages and deprioritisation of oral health advice, and they identified practical barriers to delivery, such as lack of training. Parents were very apprehensive about the potential of such approaches to stigmatise overweight children, including bullying. Uncertainty over the causes of obesity led to confusion about its solutions and the roles of public health and health care. Conclusions: Major concerns about the implementation of the Common Risk Factor Approach were raised by parents and dental practice staff. Specific dietary guidance for both oral health and healthy weight, as well as further research into issues of suitability, feasibility and stigmatisation, are needed.

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Oral health promotion in Gauteng: a qualitative study

Abstract: Currently there is little evidence of integration of oral health into general health promotion activities.

Cited by 8 publications

References 10 publications

Where periodontitis meets metabolic syndrome—The role of common health‐related risk factors

Where periodontitis meets metabolic syndrome—The role of common health‐related risk factors

Lifestyle and dental attendance as predictors of oral health‐related quality of life

Acceptability of delivery of dietary advice in the dentistry setting to address obesity in pre-school children: a case study of the Common Risk Factor Approach

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