Oral Health Status and its Inequality among Education Groups: Comparing Seven International Study Sites

Chen, Meei-Shia

doi:10.2190/wfgm-w345-vpv0-an2q

Cited by 12 publications

(11 citation statements)

References 36 publications

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“…17 Cultural and professional values also affect the practice of oral health care, especially in relation to tooth extraction. 21 The results of the present study reinforces this issue. With the increase in professionalism at the center, the quality of tooth management has improved.…”

Section: Discussionsupporting

confidence: 87%

Pattern of Dental Extraction in Children in a Nigerian Tertiary Hospital

Foláyan¹,

Otuyemi²,

Esan³

et al. 2005

The Journal of Contemporary Dental Practice

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Changes that occurred in the pattern of tooth extraction in the last 13 years among a population of children in Nigerian were studied. The result of this study was then compared to that of a past study done in the same institution 13 years earlier. Information on age, gender, and indication of tooth extraction was collected prospectively from 379 consecutive patients who visited the outpatient Pediatric Dental Clinic for the first time during the year 2002. Results showed tooth extraction due to caries decreased, while there was an increase in tooth extraction from an apparent increase in orthodontic treatment needs. Acute necrotizing ulcerative gingivitis (ANUG), a significant cause of tooth loss in the last decade, decreased significantly. The pattern of deciduous tooth loss also changed as more anterior teeth were lost for orthodontic reasons in this present study. The pattern of tooth loss in the permanent dentition remains very similar to that of the past study, though more premolars were lost in the present study. There appears to be an increasing need for tooth extractions in orthodontic treatment for this population of children. The focus of planned dental health care provisions, treatment policies, and training emphasis in child dental care may need to shift to addressing orthodontic needs. Citation: Foloyan MO, Otuyemi OD, Esan TA, Adeleke AA, Adedigba MA. Pattern of Dental Extraction in Children in a Nigerian Tertiary Hospital. J Contemp Dent Pract 2005 May;(6)2:080-090. Abstract © Seer Publishing

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Section: Discussionsupporting

confidence: 87%

Pattern of Dental Extraction in Children in a Nigerian Tertiary Hospital

Foláyan¹,

Otuyemi²,

Esan³

et al. 2005

The Journal of Contemporary Dental Practice

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“…Our study is based on educated Thais and the true magnitude of the poor oral health will be even greater in the general population as reported in other studies that show an education gradient in OHRQoL, with worse outcome at lower levels of education [35]. Outcomes and findings derived from self-reported research may vary in cross-cultural context which could impact on the measured health-related quality of life [36,37].…”

Section: Discussionmentioning

confidence: 94%

Oral Health-Related Quality of Life among a large national cohort of 87,134 Thai adults

Yiengprugsawan

Somkotra

Seubsman

et al. 2011

Health Qual Life Outcomes

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BackgroundOral health has been of interest in many low and middle income countries due to its impact on general health and quality of life. But there are very few population-based reports of adult Oral Health Related Quality of Life (OHRQoL) in developing countries. To address this knowledge gap for Thailand, we report oral health findings from a national cohort of 87,134 Thai adults aged between 15 and 87 years and residing all over the country.MethodsIn 2005, a comprehensive health questionnaire was returned by distance learning cohort members recruited through Sukhothai Thammathirat Open University. OHRQoL dimensions included were discomfort speaking, swallowing, chewing, social interaction and pain. We calculated multivariate (adjusted) associations between OHRQoL outcomes, and sociodemographic, health behaviour and dental status.ResultsOverall, discomfort chewing (15.8%), social interaction (12.5%), and pain (10.6%) were the most commonly reported problems. Females were worse off for chewing, social interaction and pain. Smokers had worse OHRQoL in all dimensions with Odds Ratios (OR) ranging from 1.32 to 1.51. Having less than 20 teeth was strongly associated with difficulty speaking (OR = 6.43), difficulty swallowing (OR = 6.27), and difficulty chewing (OR = 3.26).ConclusionsSelf-reported adverse oral health correlates with individual function and quality of life. Outcomes are generally worse among females, the poor, smokers, drinkers and those who have less than 20 teeth. Further longitudinal study of the cohort analysed here will permit assessment of causal determinants of poor oral health and the efficacy of preventive programs in Thailand.

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“…Furthermore, the Lorenz curve's Gini coefficient was calculated using monthly data to evaluate the impact of global budgeting on the distribution of dentists and dental care use. The Gini coefficient provides an overall estimate of inequity in dentists and utilization distribution (Chen 2002; Morrow 1997; Lynch et al 1998). It ranges between 0 and 1, with a higher value indicating greater inequity.…”

Section: Methodsmentioning

confidence: 99%

Effects of Global Budgeting on the Distribution of Dentists and Use of Dental Care in Taiwan

Hsueh

Lee²,

Huang

2004

Health Services Research

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Objective. To examine the effects of global budgeting on the distribution of dentists and the use and cost of dental care in Taiwan. Data Sources. (1) Monthly dental claim data from January 1996 to December 2001 for the entire insured population in Taiwan. (2) The 1996–2001 population information for the cities, counties and townships in Taiwan, abstracted from the Taiwan‐Fukien Demographic Fact Book. Study Design. Longitudinal, using the autocorrelation model. Principal Findings. Results indicated decline in dental care utilization, particularly after the implementation of dental global budgeting. With few exceptions, dental global budgeting did not improve the distribution of dental care and dentist supply. Conclusions. The experience of the dental global budget program in Taiwan suggested that dental global budgeting might contain dental care utilization and that several conditions might have to be met in order for the reimbursement system to have effective redistributive impact on dental care and dentist supply.

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Oral Health Status and its Inequality among Education Groups: Comparing Seven International Study Sites

Cited by 12 publications

References 36 publications

Pattern of Dental Extraction in Children in a Nigerian Tertiary Hospital

Pattern of Dental Extraction in Children in a Nigerian Tertiary Hospital

Oral Health-Related Quality of Life among a large national cohort of 87,134 Thai adults

Effects of Global Budgeting on the Distribution of Dentists and Use of Dental Care in Taiwan

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