The role of socioeconomic status and psychosocial factors on gingivitis in socially disadvantaged adolescents

Koga, Reyce Santos; Herkrath, Ana Paula Corrêa de Queiroz; Vettore, Mário Vianna; Herkrath, Fernando José; Vieira, Janete Maria Rebelo; Pereira, Juliana Vianna; Rebelo, Maria Augusta Bessa; Queiroz, Adriana Corrêa de

doi:10.1002/jper.19-0129

Cited by 11 publications

(7 citation statements)

References 32 publications

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“…On the contrary, previous studies on the relationship between socioeconomic factors and oral health (Sisson 2007; Donaldson et al 2008; Koga et al 2019) suggested the importance of psychological factors, which are related to educational history (Quesnel-Vallée and Taylor 2012; Korhonen et al 2017). Psychological disorders, such as depression and anxiety, are associated with periodontal disease (Genco et al 1999; Park et al 2014; Liu et al 2018).…”

Section: Introductionmentioning

confidence: 83%

Association of Education and Depressive Symptoms with Tooth Loss

et al. 2020

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Previous evidence suggests the association of lower educational attainment and depressive symptoms with tooth loss. The hypothesis of this study was that these factors may exacerbate the effect on tooth loss beyond the sum of their individual effects. We aimed to clarify the independent and interactive effects of educational attainment and depressive symptoms on the number of missing teeth among community residents. Cross-sectional data of 9,647 individuals were collected from the general Japanese population. Dental examination was conducted by dentists. Educational attainment was categorized into 3 levels based on the number of educational years: ≤9, >9 to ≤12, and >12 y. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depressive symptoms; a total score of ≥16 and/or the use of medications for depression indicate the presence of depressive symptoms. In the multivariate analysis with adjustment for conventional risk factors, educational attainment was identified as a determinant of the number of missing teeth (>9 to ≤12 y of education: coefficient = 0.199, 95% confidence interval [CI], 0.135 to 0.263, P < 0.001; ≤9 y of education: coefficient = 0.318, 95% CI, 0.231 to 0.405, P < 0.001: reference, >12 y of education). An analysis that included interaction terms revealed that the relationship between “≤9 y of education” and the number of missing teeth differed depending on the depressive symptoms, indicating a positive interactive association (coefficient for interaction = 0.198; 95% CI, 0.033 to 0.364, P for interaction = 0.019: reference, >12 y of education). Our study suggests the presence of a significant association between educational attainment and tooth loss, as well as a partial interactive association between “≤9 y of education” and “depressive symptoms” in the general Japanese population.

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Section: Introductionmentioning

confidence: 83%

Association of Education and Depressive Symptoms with Tooth Loss

et al. 2020

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“…In another words, according to the included and analysed literature, some personal characteristics the same as age [ 18 , 19 ], gender [ 23 ] and race [ 20 , 21 ] can directly and indirectly affect the access to oral and dental health services. These characteristics along with the populations’ physical [ 17 ], dental [ 22 , 25 – 27 ] and psychological [ 29 – 31 ] health status can determine the health needs and the health behaviours consequently.…”

Section: Resultsmentioning

confidence: 99%

“…These determinants are more related to the social determinants of health (SDH) and can both influence on the populations’ individual conditions and the organizations’ practices and policies. In another words, the social and cultural factors can highly affect the community’s oral and dental health beliefs [ 22 ], their oral and dental perceived needs [ 33 , 35 ] and the population’ level of education and health literacy [ 36 ]. The economic determinants, similarly can change the community’s oral and dental health behaviours the same as seeking for consultations, treatments or check-up [ 55 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

What makes inequality in the area of dental and oral health in developing countries? A scoping review

Bastani

Mohammadpour

Mehraliain

et al. 2021

Cost Eff Resour Alloc

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Background Equity in health is an important consideration for policy makers particularly in low and middle income developing country. The area of oral and dental health is not an exception. This study is conducted to explore the main determinants that make inequality in oral and dental health area in developing countries. Methods This was a scoping review applying the framework enhanced by Levac et al. Four databases of Scopus, PubMed, WOS and ProQuest were systematically searched applying to related keywords up to 27.11.2020. There restriction was placed in the English language but not on the study design. All the related studies conducted in the low or middle income developing countries were included. A qualitative thematic analysis was applied for data analysis and a thematic map was presented. Results Among 436 articles after excluding duplications, 73 articles were included that the number of publications from Brazil was greater than other developing countries (33.33%). Thematic analysis of the evidence has led to 11 determinants that may result in inequality in oral and dental health services in developing countries including personal characteristics, health status, health needs and health behaviours, social, economic, cultural and environmental factors, as well as insurance, policies and practices and provided related factors. Conclusion The policymakers in the low and middle income developing countries should be both aware of the role of inequality determinants and also try to shift the resources to the policies and practises that can improve the condition of population access to oral and dental services the same as comprehensive insurance packages, national surveillance system and fair distribution of dentistry facilities. It is also important to improve the population’s health literacy and health behaviour through social media and other suitable mechanisms according to the countries’ local contexts.

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“…This approach could be managed by dental therapists or nurses under the direction of the dentist, and could include directing patients to online resources or referral for professional help. Whilst there are no adult studies with which to compare these findings, self‐esteem is linked with oral hygiene in adolescents, when oral health beliefs and self‐esteem may indirectly predict gingival bleeding via tooth brushing and oral hygiene effectiveness (Koga et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Periodontal treatment, psychological factors and oral health‐related quality of life

Rawlinson

Vettore

Baker

et al. 2020

J Clinic Periodontology

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AimsTo determine changes in OHRQoL and clinical status after periodontal treatment and the factors predicting these changes.MethodsCohort of 140 patients with chronic periodontitis receiving non‐surgical treatment. Participant self‐completed questionnaires: Sense of Coherence, Locus of Control, Self‐esteem and Task‐specific Self‐efficacy before treatment, and Oral Health Impact Profile at treatment, oral hygiene review and end of study. Relationships between OHRQoL, clinical data, individual and environmental characteristics were analysed with structural equation modelling guided by the Wilson and Cleary model.ResultsOHRQoL and the periodontal status improved after treatment. Greater sense of coherence and age, better periodontal status, lower DMFT and being male predicted better OHRQoL after treatment. Better task‐specific self‐efficacy and self‐esteem, but worse plaque score predicted better end periodontal status.ConclusionsOHRQoL and periodontal status improved after periodontal treatment, and this was predicted by individual demographic and psychological factors. These factors may assist with case selection and as possible points for intervention to improve clinical and subjective outcomes of periodontal treatment.

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The role of socioeconomic status and psychosocial factors on gingivitis in socially disadvantaged adolescents

Cited by 11 publications

References 32 publications

Association of Education and Depressive Symptoms with Tooth Loss

Association of Education and Depressive Symptoms with Tooth Loss

What makes inequality in the area of dental and oral health in developing countries? A scoping review

Periodontal treatment, psychological factors and oral health‐related quality of life

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