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Perception of parents and caregivers about the need for dental appointments for adolescents from a Brazilian birth cohort 父母和护理人员对巴西出生队列青少年牙科预约需求的看法。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-20 DOI: 10.1111/cdoe.12915
Thais Freitas Formozo Tillmann, Maria Beatriz Junqueira de Camargo, Andréia Morales Cascaes, Aluísio J. D. Barros, Iná S. Santos, Marcos Britto Corrêa, Alicia Matijasevich, Otávio Pereira D'Ávila, Alexandre Emidio Ribeiro Silva

Objective

To investigate the perception of parents or caregivers regarding the need for dental appointments for adolescents aged 12–13 years and associated factors.

Methods

Data from the Pelotas 2004 Birth Cohort were used. The outcome variable was the need for dental appointments for young adolescents perceived by parents or caregivers. Demographic and economic exposure variables were obtained from the first (2004) and sixth general follow-up (2015), respectively. The exposure variables ‘previous history of dental pain’, ‘self-rated oral health’, clinical variables and the outcome variable were obtained from the second oral health follow-up (2017). Unadjusted and adjusted multivariate Poisson regression analyses provided prevalence ratios (PR) and respective 95% confidence intervals (CI).

Results

At the first oral health follow-up (2009), 1303 five-year-old children were recruited, 996 of whom were reassessed and underwent oral health examinations at 12 and 13 years of age (response rate: 76.4%). The findings showed that 72.4% of parents/caregivers perceived that the adolescents needed dental appointments. No associations were found between the outcome and sociodemographic or economic variables. After adjustments, the outcome remained positively associated with previous history of toothache (PR 1.22; 95% CI 1.14–1.32), self-rated oral health as fair or poor (PR 1.26; 95% CI 1.15–1.39), the presence of dental caries (PR 1.27; 95% CI 1.20–1.38) and severe or disabling malocclusion (PR 1.14; 95% CI 1.05–1.25).

Conclusions

The perception of parents/caregivers regarding the need for dental appointments on the part of their adolescent sons and daughters was associated with oral health problems, and these findings can serve as the basis for creating and improving oral health programmes that seek a better understanding on the part of parents and caregivers regarding the importance of integral care for their adolescent children.

目的：调查父母或护理人员对12-13岁青少年牙科预约需求的看法 年及相关因素。方法：采用Pelotas 2004年出生队列的数据。结果变量是父母或照顾者认为青少年需要预约牙科。人口和经济暴露变量分别来自第一次（2004年）和第六次一般随访（2015年）。暴露变量“既往牙痛史”、“自评口腔健康”、临床变量和结果变量来自第二次口腔健康随访（2017）。未经调整和调整的多变量泊松回归分析提供了患病率（PR）和各自的95%置信区间（CI）。结果：在第一次口腔健康随访（2009年）中，招募了1303名五岁儿童，其中996人在12岁和13岁时接受了重新评估和口腔健康检查 研究结果显示，72.4%的父母/照顾者认为青少年需要牙科预约。结果与社会人口统计或经济变量之间没有关联。调整后，结果仍与既往牙痛史呈正相关（PR 1.22；95%CI 1.14-13.2），口腔健康自评为一般或较差（PR 1.26；95%CI 1.15-1.39），龋齿的存在（PR 1.27；95%CI 1.20-1.38）和严重或致残性错牙合（PR 1.14；95%CI 1.05-1.25）。结论：父母/照顾者对青少年子女牙科预约需求的看法与口腔健康问题有关，这些发现可以作为制定和改进口腔健康计划的基础，这些计划旨在让父母和照顾者更好地理解对青少年儿童的整体护理的重要性。
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引用次数: 0
Oral health of individuals with cerebral palsy in Saudi Arabia: A systematic review 沙特阿拉伯脑瘫患者的口腔健康：一项系统综述。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-19 DOI: 10.1111/cdoe.12923
Faris Yahya I. Asiri, Marc Tennant, Estie Kruger

Objective

This systematic review aimed to comprehensively summarize and critically assess studies conducted on oral health outcomes among individuals with cerebral palsy (CP) in Saudi Arabia.

Methods

This study followed the Participants, Exposure, Control and Outcomes (PECO) framework to formulate a focused research question. We conducted an extensive literature search across multiple databases, including PubMed, Medline, Scopus and Embase, in addition to clinical trial registers. Inclusion criteria encompassed clinical studies conducted in either English or Arabic, focusing on CP as defined by the International Classification of Diseases 10 (ICD10), and examining various oral health conditions and parameters. Nonclinical studies, commentaries, other systematic reviews and letters to the editor were excluded. Data extraction included comprehensive information about the study characteristics, oral health outcomes (dental, oral or periodontal disease; changes in standardized indices; dental trauma and other types of oral diseases) and an assessment of the risk of bias using the Appraisal Tool for Cross-Sectional Studies (AXIS).

Results

The initial search yielded a total of 879 articles, ultimately resulting seven studies that met our stringent inclusion criteria. All of these studies were conducted as cross-sectional investigations in different cities within Saudi Arabia. The sample sizes ranged from 46 to 400 participants, all falling within the age range of 2–18 years. Notably, the prevalence of dental caries among individuals with CP in these studies varied significantly, with rates ranging from 52.9% to as high as 98.6%. Additionally, a substantial portion of CP patients exhibited poor oral hygiene, with figures ranging between 34.6% and 66.2%, and dental trauma was reported in 47.5% of the cases. Moreover, these studies underscored the influence of motor function and intellectual disabilities on the oral health status of CP individuals. Furthermore, various secondary outcomes, including periodontal parameters and oral health-related quality of life, were also assessed. However, it is essential to acknowledge that several sources of bias were identified within these studies, raising questions about the generalisability of their findings.

Conclusion

In conclusion, the systematic review revealed a concerning pattern of high dental caries prevalence and other oral health issues among individuals with CP in Sa

目的：本系统综述旨在全面总结和批判性评估沙特阿拉伯脑瘫患者口腔健康结果的研究。方法：本研究遵循参与者、暴露、控制和结果（PECO）框架，制定一个重点研究问题。我们在多个数据库中进行了广泛的文献检索，包括PubMed、Medline、Scopus和Embase，以及临床试验注册。纳入标准包括用英语或阿拉伯语进行的临床研究，重点是国际疾病分类10（ICD10）定义的CP，并检查各种口腔健康状况和参数。非临床研究、评论、其他系统综述和致编辑的信件均被排除在外。数据提取包括关于研究特征、口腔健康结果（牙科、口腔或牙周病；标准化指数的变化；牙科创伤和其他类型的口腔疾病）的综合信息，以及使用横断面研究评估工具（AXIS）评估偏倚风险。结果：最初的搜索共产生879篇文章，最终产生了7项符合我们严格纳入标准的研究。所有这些研究都是在沙特阿拉伯不同城市进行的横断面调查。样本量从46到400人不等，年龄都在2-18岁之间 年。值得注意的是，在这些研究中，CP患者的龋齿患病率差异很大，发病率从52.9%到98.6%不等。此外，相当一部分CP患者的口腔卫生状况不佳，发病率在34.6%到66.2%之间，47.5%的病例报告有牙外伤。此外，这些研究强调了运动功能和智力残疾对CP个体口腔健康状况的影响。此外，还评估了各种次要结果，包括牙周参数和口腔健康相关的生活质量。然而，必须承认，在这些研究中发现了几个偏见来源，这引发了人们对其发现的普遍性的质疑。结论：总之，系统综述揭示了沙特阿拉伯CP患者的高龋齿患病率和其他口腔健康问题。然而，对CP患者和无CP患者进行比较研究的必要性是显而易见的，以建立对CP患者口腔健康状况的明确理解。启动早期干预措施，如口腔卫生教育、预防性牙科计划和正畸干预措施，可能有助于改善沙特阿拉伯CP患者的口腔健康状况。
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引用次数: 0
Oral and oropharyngeal cancer screening and tobacco cessation discussions, NHANES 2011–2018 口腔和口咽癌症筛查和戒烟讨论，2011年至2018年NHANES。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-18 DOI: 10.1111/cdoe.12921
R. Constance Wiener, Jay S. Patel

Objective

Oral cavity and oropharyngeal cancer (OOPC) is a devastating disease often caught in late stages. People who use tobacco are at higher risk of OOPC. Tobacco cessation discussions and OOPC screenings are important factors in decreasing the risk of OOPC or its late stage diagnosis. As research on sex differences has been increasing—from research on biomedical to psychological and sociological determinants—there is a potential difference, by sex, as to whom is more likely to have a tobacco cessation discussion and OOPC screening. The objective of this study is to determine if there is an association of sex with tobacco cessation discussions and OOPC screenings conducted by dental healthcare professionals among participants who currently use tobacco.

Method

Data from 8 years of the National Health and Nutrition Examination Survey (2011–2018) were merged. Data from participants, ages 30 years and above, who self-reported current use of tobacco, a dental visit within the previous year and responsed to questions about oral cancer screening were analysed for frequency determination and logistic regression analysis. Having the combination of neither OOPC screening nor discussion about the benefits of not using tobacco was the outcome in the analysis.

Results

There were 22.1% who had an OOPC screening by a dental professional within the previous year. Of the 41% who reported having had a conversation with a dental professional within the previous year about the benefits of tobacco cessation, 9.8% reported having both the conversation and OOPC screening. Males were less likely than females to have the combination of neither OOPC screening nor advice about tobacco cessation than females (adjusted odds ratio: 0.74; 95%CI: 0.57, 0.96).

Conclusion

There is an increased need for OOPC screening and the discussion of tobacco use by dental professionals among their patients who use tobacco, particularly for female patients.

目的：口腔口咽癌症是一种晚期恶性疾病。吸烟的人患OOPC的风险更高。戒烟讨论和OOPC筛查是降低OOPC或其晚期诊断风险的重要因素。随着对性别差异的研究从生物医学到心理和社会学决定因素的研究不断增加，在谁更有可能进行戒烟讨论和OOPC筛查方面，存在着潜在的性别差异。本研究的目的是确定在目前使用烟草的参与者中，牙科保健专业人员进行的性与戒烟讨论和OOPC筛查是否存在关联。方法：将2011-2018年全国健康与营养调查的8年数据进行合并。对来自30岁及以上的参与者的数据进行分析，以确定频率和逻辑回归分析，这些参与者自我报告了目前的烟草使用情况、前一年内的一次牙科就诊以及对口腔癌症筛查问题的回答。既没有OOPC筛查，也没有讨论不使用烟草的好处，这是分析的结果。结果：22.1%的患者在前一年内接受了牙科专业人员的OOPC筛查。41%的人报告在前一年内与牙科专业人员就戒烟的好处进行了交谈，9.8%的人报告同时进行了交谈和OOPC筛查。男性比女性更不可能同时接受OOPC筛查和戒烟建议（调整后的比值比：0.74；95%置信区间：0.57,0.96）。结论：在吸烟患者中，尤其是女性患者中，牙科专业人员越来越需要进行OOPC筛查并讨论烟草使用情况。
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引用次数: 0
The role of differential exposure and susceptibility to heavy drinking linking income inequalities and tooth loss: An investigation of the alcohol harm paradox using a four-way decomposition analysis 差异暴露和酗酒易感性在收入不平等和牙齿脱落之间的作用：使用四向分解分析对酒精危害悖论的调查。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-11 DOI: 10.1111/cdoe.12920
Leandro Machado Oliveira, Camila Silveira Sfreddo, Thiago Machado Ardenghi, Gustavo G. Nascimento, Flávio Fernando Demarco, Fabrício Batistin Zanatta

Objectives

To examine the extent to which the effect of income inequalities on tooth loss is attributable to differential exposure and susceptibility to heavy drinking in older Brazilian adults.

Methods

We conducted a secondary analysis using data from The Brazilian Longitudinal Study of Ageing (ELSI-Brazil 2015–2016), a nationally representative sample of community-dwelling people aged 50 years and over. Causal mediation analysis based on the counterfactual outcome framework decomposed the effect of income on tooth loss mediated by heavy drinking into four components (four-way decomposition): controlled direct effect (neither mediation nor interaction), reference interaction (interaction only), mediated interaction (both mediation and interaction) and pure indirect effect (mediation only). Proportions of effect attributable to each component were calculated to estimate the differential exposure (the sum of the third and fourth components) and differential susceptibility (the sum of the second and third components) to heavy drinking.

Results

The analytical sample comprised 8114 participants. After adjusting for covariates, 7.3% (95% CI: 3.8%; 10.9%) and −39.5% (95% CI: −75.8%; −3.3%) of the effects of income on tooth loss were attributable to differential exposure and susceptibility to heavy drinking, respectively, consistent with the alcohol harm paradox. When setting non-functional dentition as outcome, only the effect of differential susceptibility remained (−81.7% [95% CI: −128.2%; −35.2%]).

Conclusion

Our findings suggest that individuals of low-income groups appear to be more susceptible to the effects of heavy drinking on tooth loss.

目的：研究收入不平等对牙齿脱落的影响在多大程度上归因于巴西老年人的不同接触和酗酒易感性。方法：我们使用巴西老龄化纵向研究（ELSI Brazil 2015-2016）的数据进行了二次分析，该研究是一个具有全国代表性的50岁社区居民样本 多年来。基于反事实结果框架的因果中介分析将收入对酗酒介导的牙齿脱落的影响分解为四个组成部分（四向分解）：受控直接效应（既不是中介也不是互动）、参考互动（仅互动）、中介互动（既有中介也有互动）和纯间接效应（仅中介）。计算每个成分的影响比例，以估计重度饮酒的差异暴露量（第三和第四成分的总和）和差异易感性（第二和第三成分的总数）。结果：分析样本包括8114名参与者。在校正协变量后，收入对牙齿脱落的影响分别有7.3%（95%CI:3.8%；10.9%）和-39.5%（95%CI:-75.8%；-3.3%）归因于不同的暴露量和酗酒易感性，这与酒精危害悖论一致。当将非功能性牙列作为结果时，只保留了差异易感性的影响（-81.7%[95%CI:-128.2%；-35.2%]）。结论：我们的研究结果表明，低收入群体似乎更容易受到大量饮酒对牙齿脱落的影响。
{"title":"The role of differential exposure and susceptibility to heavy drinking linking income inequalities and tooth loss: An investigation of the alcohol harm paradox using a four-way decomposition analysis","authors":"Leandro Machado Oliveira,&nbsp;Camila Silveira Sfreddo,&nbsp;Thiago Machado Ardenghi,&nbsp;Gustavo G. Nascimento,&nbsp;Flávio Fernando Demarco,&nbsp;Fabrício Batistin Zanatta","doi":"10.1111/cdoe.12920","DOIUrl":"10.1111/cdoe.12920","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine the extent to which the effect of income inequalities on tooth loss is attributable to differential exposure and susceptibility to heavy drinking in older Brazilian adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a secondary analysis using data from The Brazilian Longitudinal Study of Ageing (ELSI-Brazil 2015–2016), a nationally representative sample of community-dwelling people aged 50 years and over. Causal mediation analysis based on the counterfactual outcome framework decomposed the effect of income on tooth loss mediated by heavy drinking into four components (four-way decomposition): controlled direct effect (neither mediation nor interaction), reference interaction (interaction only), mediated interaction (both mediation and interaction) and pure indirect effect (mediation only). Proportions of effect attributable to each component were calculated to estimate the differential exposure (the sum of the third and fourth components) and differential susceptibility (the sum of the second and third components) to heavy drinking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analytical sample comprised 8114 participants. After adjusting for covariates, 7.3% (95% CI: 3.8%; 10.9%) and −39.5% (95% CI: −75.8%; −3.3%) of the effects of income on tooth loss were attributable to differential exposure and susceptibility to heavy drinking, respectively, consistent with the alcohol harm paradox. When setting non-functional dentition as outcome, only the effect of differential susceptibility remained (−81.7% [95% CI: −128.2%; −35.2%]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest that individuals of low-income groups appear to be more susceptible to the effects of heavy drinking on tooth loss.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41193872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of the Early Childhood Oral Health Impact Scale (ECOHIS-4D) and Child Health Utility Index (CHU-9D) in children with oral diseases 口腔疾病儿童早期儿童口腔健康影响量表（ECOHIS-4D）和儿童健康效用指数（CHU-9D）的比较。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-09 DOI: 10.1111/cdoe.12917
Sucharitha R. Weerasuriya, Ruvini M. Hettiarachchi, Sanjeewa Kularatna, Alexia Rohde, Peter Arrow, Lisa Jamieson, Utsana Tonmukayakul, Sameera Senanayake

Objective

Accurate assessment of child oral health is important for guiding economic evaluations and informing healthcare decision-making. Early Childhood Oral Health Impact Scale (ECOHIS-4D) is a preference-based instrument that measures the oral health-related quality of life of young children. The aim of this study was to compare the utility scores of ECOHIS-4D and Child Health Utility Index (CHU-9D), against an oral health indicator to evaluate which utility score corresponds better with the oral health indicator.

Method

The ECOHIS-4D and CHU-9D were applied to 314 parent/child dyads from preschools in a primary healthcare setting in Perth, Western Australia. Four parameters were used to assess which instrument corresponds better with the oral health indicator (decayed, missing and filled teeth score-dmft score): (i) discrimination, the ability to discriminate between different clinical severity groups, (ii) external responsiveness, how much the utility values relate to the changes in dmft scores, (iii) correlation, the association between the two instruments and the related dimensions and (iv) differences in the utility values across the two instruments.

Results

Most participants (81%) were 2–6 years old, and nearly 50% had a dmft score <3. ECOHIS-4D demonstrated a superior ability to differentiate between dmft severity groups and respond to changes in dmft scores. A significant weak correlation was observed between dmft and ECOHIS-4D (−0.26, 95%, CI −0.36 to −0.15) compared to a non-significant very poor correlation between dmft and CHU-9D (0.01, 95% CI −0.12 to 0.10). The utility scores of the two instruments had relatively good agreement towards good health and weak agreement towards poor health.

Conclusions

ECOHIS-4D, the oral health-specific instrument, is more sensitive in assessing children's oral health-related quality of life than the generic CHU-9D. Thus, ECOHIS-4D is more appropriate for utility estimates in economic evaluations of oral health-related interventions and resource allocation decision-making.

目的：准确评估儿童口腔健康对于指导经济评估和为医疗保健决策提供信息至关重要。幼儿口腔健康影响量表（ECOHIS-4D）是一种基于偏好的工具，用于衡量幼儿口腔健康生活质量。本研究的目的是将ECOHIS-4D和儿童健康效用指数（CHU-9D）的效用得分与口腔健康指标进行比较，以评估哪个效用得分更符合口腔健康指标。方法：将ECOHIS-4D和CHU-9D应用于西澳大利亚珀斯初级保健环境中314名学龄前儿童的父母/儿童二人组。使用四个参数来评估哪种仪器更符合口腔健康指标（龋齿、缺牙和补牙评分dmft评分）：（i）辨别力，区分不同临床严重程度组的能力，（ii）外部反应性，效用值与dmft评分变化的关系有多大，（iii）相关性，两种工具之间的关联和相关维度，以及（iv）两种工具的效用值差异。结果：大多数参与者（81%）年龄在2-6岁 岁，近50%的人有dmft分数 结论：ECOHIS-4D是一种口腔健康专用仪器，在评估儿童口腔健康生活质量方面比普通的CHU-9D更敏感。因此，ECOHIS-4D更适合用于口腔健康干预措施和资源分配决策的经济评估中的效用估计。
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引用次数: 0
A bibliometric analysis of Community Dentistry and Oral Epidemiology: Fifty years of publications 社区牙科和口腔流行病学的文献计量分析：50年的出版物。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-05 DOI: 10.1111/cdoe.12910
Sonia Nath, William Murray Thomson, Sarah R. Baker, Lisa M. Jamieson

Objectives

In celebration of the journal's 50th anniversary, the aim of the study was to review the whole collection of Community Dentistry and Oral Epidemiology (CDOE) publications from 1973 to 2022 and provide a complete overview of the main publication characteristics.

Methods

The study used bibliometric techniques such as performance and science mapping analysis of 3428 articles extracted from the Scopus database. The data were analysed using the ‘Bibliometrix’ package in R. The journal's scientific production was examined, along with the yearly citation count, the distribution of publications based on authors, the corresponding author's country and affiliation and citation count, citing source and keywords. Bibliometric network maps were constructed to determine the conceptual, intellectual and social collaborative structure over the past 50 years. The trending research topics and themes were identified.

Results

The total number of articles and average citations has increased over the years. D Locker, AJ Spencer, A Sheiham and WM Thomson were the most frequently published authors, and PE Petersen, GD Slade and AI Ismail published papers with the highest citations. The most published countries were the United States, United Kingdom, Brazil and Canada, frequently engaging in collaborative efforts. The most common keywords used were ‘dental caries’, ‘oral epidemiology’ and ‘oral health’. The trending topics were healthcare and health disparities, social determinants of health, systematic review and health inequalities. Epidemiology, oral health and disparities were highly researched areas.

Conclusion

This bibliometric study reviews CDOE's significant contribution to dental public health by identifying key research trends, themes, influential authors and collaborations. The findings provide insights into the need to increase publications from developing countries, improve gender diversity in authorship and broaden the scope of research themes.

目的：为了庆祝该杂志出版50周年，本研究的目的是回顾1973年至2022年社区牙科和口腔流行病学（CDOE）的全部出版物，并对主要出版物的特点进行全面概述。方法：本研究采用文献计量技术，如性能和科学图谱分析，从Scopus数据库中提取了3428篇文章。使用R中的“Bibliometrix”软件包对数据进行了分析。该杂志的科学成果，以及年度引用计数、基于作者的出版物分布、通讯作者的国家和隶属关系、引用计数、引用来源和关键词进行了检查。文献计量网络地图是为了确定过去50年的概念、智力和社会协作结构而构建的 年。确定了趋势研究主题和主题。结果：多年来，文章总数和平均引用次数都有所增加。D Locker、AJ Spencer、A Sheiham和WM Thomson是发表频率最高的作者，PE Petersen、GD Slade和AI Ismail发表的论文引用率最高。出版最多的国家是美国、联合王国、巴西和加拿大，它们经常进行合作。最常见的关键词是“龋齿”、“口腔流行病学”和“口腔健康”。趋势主题是医疗保健和健康差距、健康的社会决定因素、系统审查和健康不平等。流行病学、口腔健康和差异是高度研究的领域。结论：这项文献计量研究通过确定关键的研究趋势、主题、有影响力的作者和合作，回顾了CDOE对牙科公共卫生的重大贡献。这些发现为增加发展中国家的出版物、提高作者的性别多样性和扩大研究主题范围的必要性提供了见解。
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引用次数: 0
Association of children's oral health and school environment on academic performance in 12-year-old schoolchildren of Quito, Ecuador 儿童口腔健康和学校环境对厄瓜多尔基多12岁学童学习成绩的影响协会。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-01 DOI: 10.1111/cdoe.12914
Fausto Medeiros Mendes, Jéssica Klockner Knorst, Maritza Del Carmen Quezada-Conde, Edisson Fernando Lopez, Patricia Lourdes Alvarez-Velasco, Marco Vinicio Medina, Mariela Cumanda Balseca-Ibarra, Thiago Machado Ardenghi, Antonio Carlos Frias, Claudio Mendes Pannuti, Daniela Prócida Raggio, Edgard Michel-Crosato

Objectives

The primary aim of this study was to evaluate if children's oral health and oral health-related quality of life (OHRQoL) were associated with school performance. Moreover, the study aimed to examine whether school environment factors influenced this association.

Methods

This cross-sectional study was based on a population-based sample of 998 12-year-old schoolchildren from 31 public schools in Quito, Ecuador. Trained and calibrated examiners conducted clinical exams for dental caries, dental trauma and malocclusion. Furthermore, children completed the Spanish version of the Child Perception Questionnaire (CPQ11-14), and their parents answered questions about socio-economic status. School coordinators provided information on the physical environment, promotion of health practices and the occurrence of negative episodes in the school. There were three outcomes: grades obtained in Spanish language and mathematics and the number of missed school days. Multilevel linear and Poisson regression models were conducted using a hierarchical approach to include the variables guided by a previously created direct acyclic graph.

Results

Children with dental trauma and higher CPQ11-14 scores showed lower grades and school attendance. Schoolchildren from schools with episodes of vandalism had more school days missed.

Conclusion

The school performance of 12-year-old children is affected by dental trauma and by a worse OHRQoL, as well as a negative school environment. Therefore, supportive environments and promoting health measures in schools could overcome this worse academic performance in children with oral health problems.

目的：本研究的主要目的是评估儿童的口腔健康和口腔健康生活质量（OHRQoL）是否与学校表现有关。此外，本研究旨在检验学校环境因素是否影响这种联系。方法：这项横断面研究基于厄瓜多尔基多31所公立学校998名12岁学童的人群样本。经过培训和校准的检查人员进行了龋齿、牙外伤和错牙合的临床检查。此外，儿童完成了西班牙版的儿童感知问卷（CPQ11-14），他们的父母回答了有关社会经济地位的问题。学校协调员提供了关于学校物理环境、促进健康做法和不良事件发生情况的信息。有三个结果：西班牙语和数学成绩以及缺课天数。使用分层方法进行多级线性和泊松回归模型，以包括由先前创建的直接非循环图引导的变量。结果：牙外伤和CPQ11-14评分较高的儿童成绩和出勤率较低。发生蓄意破坏事件的学校的学生错过了更多的上学日。结论：12岁儿童的学习成绩受到牙齿创伤、OHRQoL恶化以及消极的学校环境的影响。因此，学校的支持性环境和促进健康措施可以克服有口腔健康问题的儿童学习成绩较差的问题。
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引用次数: 0
Oral and systemic health in Singapore: Revisiting the past to define the future 新加坡的口腔和系统健康：回顾过去，定义未来。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-01 DOI: 10.1111/cdoe.12913
Gustavo G. Nascimento, Preethi Balan, Silas Alves-Costa, Fernando Valentim Bitencourt, Ashish C. Kalhan, Fabio R. M. Leite

Objectives

This study aimed to identify studies exploring oral and systemic conditions using Singapore data.

Methods

Studies were searched using the databases PubMed, Embase and Web of Science, with no publication date or language restrictions. Studies analysing Singaporean data were included in this review.

Results

Six domains were identified: pregnancy and gingivitis; tooth eruption, dental caries and early-life factors; Crohn's disease and oral microbiome; diabetes and periodontal diseases; number of teeth, chewing ability and cognitive status; and oral health and pneumonia. Using data from Singapore, oral-systemic studies have prompted reflections on the aetiopathogenesis of oral disorders, such as common causes connecting oral and systemic chronic conditions. Moreover, it is speculated whether oral conditions could be used as a marker to predict future systemic diseases or whether early-life factors could affect the development of oral and systemic immune responses.

Conclusions

While Singapore provides opportunities to explore challenges connected to healthy ageing, it also explores health development in many stages of life. Singapore has been prioritizing investigations on a healthier life, and new initiatives are paving the way for oral health research across the lifespan.

目的：本研究旨在确定使用新加坡数据探索口腔和系统条件的研究。方法：使用PubMed、Embase和Web of Science数据库检索研究，没有发表日期或语言限制。分析新加坡数据的研究包括在这篇综述中。结果：共鉴定出6个领域：妊娠和牙龈炎；牙萌、龋齿和早期生活因素；克罗恩病和口腔微生物组；糖尿病和牙周病；牙齿数量、咀嚼能力和认知状态；口腔健康和肺炎。利用新加坡的数据，口腔系统研究促使人们反思口腔疾病的病因，例如口腔和系统慢性病的常见原因。此外，人们推测口腔状况是否可以作为预测未来系统性疾病的标志，或者早期生活因素是否会影响口腔和系统免疫反应的发展。结论：新加坡提供了探索健康老龄化挑战的机会，同时也探索了生命许多阶段的健康发展。新加坡一直在优先考虑对更健康生活的调查，新的举措正在为终身口腔健康研究铺平道路。
{"title":"Oral and systemic health in Singapore: Revisiting the past to define the future","authors":"Gustavo G. Nascimento,&nbsp;Preethi Balan,&nbsp;Silas Alves-Costa,&nbsp;Fernando Valentim Bitencourt,&nbsp;Ashish C. Kalhan,&nbsp;Fabio R. M. Leite","doi":"10.1111/cdoe.12913","DOIUrl":"10.1111/cdoe.12913","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to identify studies exploring oral and systemic conditions using Singapore data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Studies were searched using the databases PubMed, Embase and Web of Science, with no publication date or language restrictions. Studies analysing Singaporean data were included in this review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six domains were identified: pregnancy and gingivitis; tooth eruption, dental caries and early-life factors; Crohn's disease and oral microbiome; diabetes and periodontal diseases; number of teeth, chewing ability and cognitive status; and oral health and pneumonia. Using data from Singapore, oral-systemic studies have prompted reflections on the aetiopathogenesis of oral disorders, such as common causes connecting oral and systemic chronic conditions. Moreover, it is speculated whether oral conditions could be used as a marker to predict future systemic diseases or whether early-life factors could affect the development of oral and systemic immune responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While Singapore provides opportunities to explore challenges connected to healthy ageing, it also explores health development in many stages of life. Singapore has been prioritizing investigations on a healthier life, and new initiatives are paving the way for oral health research across the lifespan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social support associated with restorative treatment, professionally applied fluoride and flossing: A cross-sectional analysis including recent immigrants from Central America and Mexico in the Midwest USA 与恢复性治疗、专业使用氟化物和牙线相关的社会支持：一项横断面分析，包括来自美国中西部中美洲和墨西哥的新移民。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-10-01 DOI: 10.1111/cdoe.12912
Caroline V. Brooks, Gerardo Maupomé

Objectives

This study examined how Mexican and Central American immigrants' social support was associated with three selected dental outcomes among recent immigrants, prior to the 2020 COVID-19 pandemic.

Methods

Using baseline wave data from the 2017–2022 VidaSana study about the health and social networks of Mexican and Central American immigrants living in Indiana, this study utilized logistic and ordinal logistic regression to predict lifetime fluoride use, lifetime dental restoration and flossing frequency, across levels of social support and differences between Mexican and Central American immigrants.

Results

Data from 547 respondents were included in the present analysis (68% women; mean age 34.4 years [SD 11.2]; Central American 42%; Mexican 58%). Results show a high level of social support was associated with increased probability of fluoride use, dental restoration and higher flossing frequency for Mexican immigrants. However, social support for Central American immigrants was associated with a decreased likelihood of fluoride use, more infrequent flossing, and had no significant association with dental restorations experience. What would be a negative association between Central American immigrants and dental restoration was accounted for by education level and never having been to a dentist.

Conclusions

While higher social support was linked to beneficial outcomes for oral health in Mexican immigrants, the opposite was found in Central Americans. These findings highlighted the complexities of social relationships among new immigrants, and potential heterogeneity within the Hispanic population, particularly regarding social and behavioural measures as they pertain to oral health. Further research is needed to identify the underlying mechanisms producing both differences in social support and oral health outcomes.

目的：本研究调查了在2020年新冠肺炎大流行之前，墨西哥和中美洲移民的社会支持与最近移民中三种选定的牙科结果之间的关系。方法：使用2017-2022年VidaSana关于居住在印第安纳州的墨西哥和中美洲移民的健康和社会网络研究的基线波数据，本研究使用逻辑和有序逻辑回归来预测终身氟化物使用、终身牙齿修复和使用牙线频率，墨西哥和中美洲移民之间的社会支持水平和差异。结果：本分析包括547名受访者的数据（68%为女性；平均年龄34.4岁 年[SD 11.2]；中美洲42%；墨西哥58%）。结果显示，墨西哥移民使用氟化物、牙齿修复和使用牙线频率较高的概率增加与高水平的社会支持有关。然而，对中美洲移民的社会支持与使用氟化物的可能性降低、使用牙线的频率降低有关，并且与牙齿修复经验没有显著关联。中美洲移民与牙齿修复之间的负面联系是由教育水平和从未看过牙医造成的。结论：虽然较高的社会支持与墨西哥移民口腔健康的有益结果有关，但中美洲人的情况恰恰相反。这些发现突出了新移民之间社会关系的复杂性，以及西班牙裔人口中潜在的异质性，特别是与口腔健康相关的社会和行为措施。需要进一步的研究来确定产生社会支持和口腔健康结果差异的潜在机制。
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引用次数: 0
UK general population's willingness to pay for dental check-ups 英国普通民众支付牙科检查费用的意愿。
IF 2.3 3区 医学 Q1 Dentistry
Community dentistry and oral epidemiology
Pub Date : 2023-09-30 DOI: 10.1111/cdoe.12911
Marjon van der Pol, Dwayne Boyers, Mousa Mahmoud Marashdeh, Luis Enrique Loria-Rebolledo

Objectives

Choices about which dental treatments to provide in a publicly funded system should be guided by the value that the general population place on those treatments. The aim of this study was to estimate United Kingdom (UK) general population willingness to pay (WTP) for dental check-ups, and to investigate what factors influence WTP.

Methods

WTP was elicited using a hypothetical question in an online survey. The sample consisted of 594 participants, nationally representative of the UK general population in terms of age and gender. Regression analysis was used to examine what factors are associated with WTP. Analyses were conducted including and excluding protest answers.

Results

The mean WTP for a dental check-up is £31.32 for the full sample and £33.17 excluding protest answers. Respondents on higher incomes and those with higher university education had higher WTP. Respondents in Scotland were WTP less than respondents living in the rest of the UK which may be the result of NHS dental check-ups being free to patients in Scotland.

Conclusion

The general UK population value dental check-ups. This study provides estimates of WTP for dental check-ups which can be used in Cost–Benefit Analyses.

目标：在公共资助的系统中提供哪些牙科治疗的选择应该以普通人群对这些治疗的重视程度为指导。本研究的目的是评估英国（UK）普通人群对牙科检查的支付意愿，并调查影响支付意愿的因素。方法：使用一个在线调查中的假设问题得出WTP。该样本由594名参与者组成，在年龄和性别方面具有英国普通人口的全国代表性。回归分析用于检验哪些因素与WTP相关。进行了包括和不包括抗议答案的分析。结果：完整样本的牙科检查平均WTP为31.32英镑，不包括抗议答案的WTP为33.17英镑。收入较高的受访者和受过高等大学教育的受访者的WTP较高。苏格兰的受访者的WTP低于英国其他地区的受访者，这可能是英国国家医疗服务体系对苏格兰患者免费进行牙科检查的结果。结论：英国普通人群重视牙科检查。本研究提供了牙科检查的WTP估计值，可用于成本效益分析。
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