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1.
BMC Oral Health ; 24(1): 791, 2024 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-39004710

RESUMO

BACKGROUND: Dental Vulnerability Scale (EVO-BR) is an instrument developed to help identifying oral health-vulnerable individuals. This scale comprises 15 items distributed into 4 dimensions. It is the first instrument with the potential to guide clinical and managerial decisions in the oral health field. The aim is to validate a score to enable using EVO-BR in Primary Health Care (PHC). METHOD: The investigated sample included PHC users in five Brazilian regions. Data were collected at two different stages: in 2019 (São Paulo) and in 2022 (Minas Gerais, Mato Grosso, Roraima, Pernambuco e Paraná). Exploratory descriptive study of this scale scores was carried out to create classification ranges. Subsequently, discriminant analysis was performed to assess the accuracy of the established classification. Boosting regression was carried out to check items' weight for the instrument score. RESULTS: EVO-BR score ranged from 0 (highest vulnerability) to 15 (lowest vulnerability). Four (4) classification configurations were tested. Score equal to 12 points was the one presenting the best classification of the assessed individuals (100% were correctly classified). Boosting regression has evidenced that items 1 and 2 (Overall health domain) and 14 and 15 (Health Services domain) had the strongest influence on this instrument's score. CONCLUSION: The process to standardize the EVO-BR score and, consequently, to develop assessment ranges, is an important step in the fight against health inequalities, since it provides a tool to help planning actions and interventions aimed at meeting specific needs of the population in the Primary Health Care context.


Assuntos
Populações Vulneráveis , Humanos , Brasil , Feminino , Masculino , Saúde Bucal , Atenção Primária à Saúde/normas , Adulto , Pessoa de Meia-Idade , Inquéritos e Questionários
2.
PLoS One ; 19(7): e0306882, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38990852

RESUMO

INTRODUCTION: Diseases of the periodontal tissues including gingivitis and periodontitis can affect up to 90% and 50% of the population respectively. These conditions are multifactorial inflammatory conditions involving a dysbiotic biofilm that, if left untreated, can lead to the destruction of the supporting structures of the teeth and have significant systemic implications, specifically on cardiovascular health. The elevation of inflammatory markers, particularly high-sensitive C-reactive protein (hsCRP), are strongly associated with an increased risk of atherosclerosis, a key risk factor for cardiovascular disease (CVD). HsCRP as well as other inflammatory markers can be detected in blood samples as early as 21 days after ceasing toothbrushing, due to the immune response to stagnant oral biofilm. The most effective way to ensure oral biofilm cannot remain on oral tissues, thus preventing periodontitis and reducing inflammatory CVD risk, is with good oral hygiene. The primary aim of this study is to assess whether individualised oral hygiene instruction (OHI) partnered with a digital oral health education (DOHE) package can improve the oral health of patients living with CVD. METHODS AND ANALYSIS: A total of 165 participants will be recruited from the Westmead and Blacktown Mt Druitt cardiac rehabilitation out-patient clinics into this dual centre, single blind, parallel design, randomised controlled trial. A baseline oral health clinical examination will be completed, followed by a self-report questionnaire before they are randomised in a 1:1:1 ratio into one of 3 arms as follows: individualised OHI partnered with DOHE (Group A), (Group B) DOHE only (Group B), and control/usual care (no oral health education) (Group C). Groups will have their intervention repeated at the 6-week follow-up. After completing the 12-week follow-up, Group B and Group C will receive tailored OHI. Group C will also receive the DOHE package. The primary outcome is the change in approximal plaque index score between baseline and 6-week follow up. ETHICS AND DISSEMINATION: The study has been approved by the Western Sydney Local Health District Human Ethics Committee 2023/ETH00516. Results will be published in peer-reviewed journals and presented at conferences. TRIAL REGISTRATION NUMBER: ACTRN12623000449639p ANZCTR: https://www.anzctr.org.au/.


Assuntos
Reabilitação Cardíaca , Saúde Bucal , Higiene Bucal , Humanos , Higiene Bucal/métodos , Reabilitação Cardíaca/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto , Educação em Saúde Bucal/métodos , Doenças Cardiovasculares/prevenção & controle , Feminino , Masculino
3.
J Am Dent Assoc ; 155(7): 638, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38960529
4.
BMC Pregnancy Childbirth ; 24(1): 471, 2024 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-38992618

RESUMO

BACKGROUND: Poor oral and dental health due to oral dysbiosis during pregnancy increases the risk for negative pregnancy outcomes. Communicating the importance of oral health is therefore essential in reducing the risk of adverse pregnancy outcomes. Professional guidance could substantially support women's positive perception of their own competence. Information on oral health should be provided by healthcare professionals such as midwives, obstetricians and dentists. The aim of this study was to assess the needs, wishes and preferences of pregnant women in Germany, regarding interprofessional collaboration and guidance on oral health during pregnancy. METHODS: Sources of information, preferences regarding information supply as well as the need for interprofessional collaboration of involved healthcare professions were investigated in six online focus groups with pregnant women. In addition, three expert interviews with a midwife, an obstetrician and a dentist were conducted. The focus groups and interviews were analysed using qualitative content analysis according to Kuckartz. RESULTS: 25 pregnant women participated in focus groups. Pregnant women in all trimesters, aged 23 to 38 years, were included. Many women did not receive any or received insufficient information on oral health during pregnancy and wished for more consistent and written information from all involved healthcare providers. The extent of oral health counselling women received, heavily relied on their personal initiative and many would have appreciated learning about the scientific connection between oral health and pregnancy outcomes. An overall uncertainty about the timing and safety of a dental visit during pregnancy was identified. Interviews with experts provided additional insights into the working conditions of the involved healthcare professionals in counselling and emphasised the need for improved training on oral health during pregnancy in their respective professional education as well as thematic billing options in relation to this topic. CONCLUSION: Guidance of women on oral health during pregnancy appears to be insufficient. Providing information adapted to the needs, wishes and preferences of women during pregnancy as well as the implementation of this topic in the education of involved healthcare professionals could contribute to an improved prenatal care for pregnant women and subsequently a reduced risk of negative pregnancy outcomes.


Assuntos
Grupos Focais , Saúde Bucal , Pesquisa Qualitativa , Humanos , Feminino , Gravidez , Adulto , Alemanha , Adulto Jovem , Cuidado Pré-Natal/métodos , Relações Interprofissionais , Preferência do Paciente , Avaliação das Necessidades , Odontólogos/psicologia , Obstetrícia , Gestantes/psicologia , Tocologia/métodos , Aconselhamento/métodos
5.
BMC Oral Health ; 24(1): 777, 2024 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-38992671

RESUMO

Ultra-endurance runners are particularly exposed to caries risk factors due to the continuous intake of sugars in liquid or sticky forms during long-distance exercise. The risk of caries increases due to a failure to perform oral hygiene during races. Ultra-endurance runners had good oral health status despite these particularities. Our hypothesis is that high compliance with preventive oral health recommendations (toothbrushing and preventive or regular dental visits) counterbalance the risks associated with their exposure to caries. We aimed to gain a better understanding of preventive dental behaviors in ultra-endurance runners. We then studied the determinants of two major recommendations: (1) visiting a dentist for preventive check-ups and (2) visiting a dentist during the year. 37% of the total sample reported patterns of both preventive dental visits and recent visits. Early visits (ORa = 4.8***), good oral health (ORa = 8.8**) and tooth brushing (ORa = 2.2**) were associated with preventive dental visits, but there was no significant influence of snacking or weekly work hours. The ultra-endurance race frequency was associated with early dental visits despite equal needs. Most risk-control behaviors were associated with each other, indicating that they are all-or-nothing behaviors. Individual prevention strategies implemented at the dental office may not be as effective as they predominantly target individuals who are already aware of and interested in preventive care. Instead, developing targeted primary prevention strategies that are accessible at race venues, such as stands, villages, or food supply points, could be more effective.


Assuntos
Saúde Bucal , Humanos , Masculino , Adulto , Feminino , Corrida , Comportamentos Relacionados com a Saúde , Cárie Dentária/prevenção & controle , Escovação Dentária , Pessoa de Meia-Idade , Resistência Física , Assistência Odontológica , Higiene Bucal , Atletas , Corrida de Maratona
6.
Georgian Med News ; (349): 45-50, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38963200

RESUMO

Dental caries development in students depends on many factors. Our research aims at studying the dependence of the incidence of caries among foreigners residing in Georgia on caries awareness and behaviors Oral health status of the study population was assessed using the caries intensity DMFT index offered by the World Health Organization (WHO). Patients were divided into two groups, according to the DMFT Index, with the first group comprising patients with low and very low DMFT index, and the second group - with moderate and high (<2,6) (>2,7) DMFT index. As one can see, the low-intensity caries group shows a reliably higher rate of correct answers. Caries predators in foreign students living in Georgia are Stress associated with examinations - OR=2.97(95% CI:1.49-5.90); Taking analgesics - OR=3.60(95% CI:1.02-12.67); Gastrointestinal diseases - OR=4.73(95% CI:1.94-11.50); Bruxism - OR=21.91(95% I:7.71-62.24); Tooth sensitivity -OR=3.77(95% CI: 1.83-7.75). Conclusion: • Knowledge of caries risk factors is low among international students with high intensity caries • Stress related to exams increases the risk of dental caries among students, the following also increases the probability of dental caries: gastrointestinal diseases; Bruxism, taking analgesics and tooth sensitivity.


Assuntos
Cárie Dentária , Estudantes , Humanos , Cárie Dentária/epidemiologia , República da Geórgia/epidemiologia , Estudantes/estatística & dados numéricos , Masculino , Feminino , Universidades , Medição de Risco , Adulto , Fatores de Risco , Adulto Jovem , Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal/estatística & dados numéricos
7.
Int J Prison Health (2024) ; 20(2): 212-225, 2024 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-38984598

RESUMO

PURPOSE: Oral health is an integral part of general health. Different population groups have been assessed for oral health status in India, but still, many have been neglected; one such group is the prisoners. The prison population is a unique and challenging one with many health problems, including poor oral health, which may be due to lack of knowledge about good oral health practices. This study aims to assess effectiveness of oral health education on oral health knowledge, attitude and practices and oral hygiene status among the male prison inmates of central jail in Kolkata, India. DESIGN/METHODOLOGY/APPROACH: An interventional study was done among 240 male convicts. The data was elicited using a structured proforma; oral health status was assessed by recording OHI-S index, and the severity of gingivitis was assessed by recording the gingival index. Oral health education was delivered by using audio-visual aid. Oral health knowledge, attitude, practices and oral hygiene and gingival status were reassessed among the inmates before and after dental education at the end of three and six months. FINDINGS: A significant change in oral health knowledge, attitude and practices was seen, which in turn resulted in an appreciable decrease in the mean gingival index score (1.73 ± 0.382 to 1.20 ± 0.321) and OHI-S (3.31 ± 0.815 to 2.57 ± 0.551) in all the inmates after oral health education program over the period of time. ORIGINALITY/VALUE: The oral health education with reinforcement proved to be an effective tool to instil good oral hygiene practices in the inmates.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal , Higiene Bucal , Prisioneiros , Humanos , Masculino , Prisioneiros/psicologia , Prisioneiros/educação , Adulto , Índia , Saúde Bucal/educação , Higiene Bucal/educação , Educação em Saúde Bucal/métodos , Adulto Jovem , Pessoa de Meia-Idade , Prisões Locais
8.
Nutrients ; 16(13)2024 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-38999838

RESUMO

Arthritis is associated with health challenges. Lifestyle traits are believed to influence arthritis development and progression; however, data to support personalized treatment regimens based on holistic lifestyle factors are missing. This study aims to provide a comprehensive list of associations between lifestyle traits and the health status of individuals with arthritis in the Canadian population, using binary logistic regression analysis on data from the Canadian Community Health Survey, which includes 104,359 respondents. Firstly, we explored the association between arthritis and various aspects of health status including self-reported lifestyle factors. Secondly, we examined the associations between self-reported dietary intake and smoking status with general, mental, and oral health, and sleep disturbance among individuals both with and without arthritis. Our analysis revealed that individuals with arthritis reported considerably poorer general, mental, and oral health, and poorer sleep quality compared to those without arthritis. Associations were also found between self-reported dietary intake and various measures of health status in individuals with arthritis. Smoking and exposure to passive smoking were associated not only with arthritis but also with compromised sleep quality and poorer general, mental, and oral health in people with and without arthritis. This study highlights the need for personalized and holistic approaches that may include a combination of dietary interventions, oral health improvements, sleep therapies, and smoking cessation for improved arthritis prevention and care.


Assuntos
Artrite , Inquéritos Epidemiológicos , Estilo de Vida , Saúde Mental , Saúde Bucal , Qualidade do Sono , Fumar , Humanos , Masculino , Estudos Transversais , Feminino , Canadá/epidemiologia , Pessoa de Meia-Idade , Saúde Bucal/estatística & dados numéricos , Artrite/epidemiologia , Adulto , Fumar/epidemiologia , Idoso , Dieta , Nível de Saúde , Autorrelato , Transtornos do Sono-Vigília/epidemiologia , Ingestão de Alimentos
9.
Nutrients ; 16(13)2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38999850

RESUMO

Eating out of home (EOH), with its diverse food options, can benefit those with difficulty preparing their meals, especially older adults. Oral health status may be a determinant of EOH, as food accessibility is influenced by oral health, but this association remains unclear. This cross-sectional study used merged data from two national statistical surveys conducted in 2019. Participants were individuals aged ≥ 65 years who responded to both surveys. The frequency of EOH (

Assuntos
Saúde Bucal , Humanos , Feminino , Masculino , Idoso , Japão/epidemiologia , Estudos Transversais , Saúde Bucal/estatística & dados numéricos , Idoso de 80 Anos ou mais , Comportamento Alimentar , Prevalência , Refeições , Inquéritos e Questionários , Perda de Dente/epidemiologia , Ingestão de Alimentos , População do Leste Asiático
10.
JAMA Netw Open ; 7(7): e2418217, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38980678

RESUMO

Importance: Untreated tooth decay is disproportionately present among low-income young children. While American Academy of Pediatrics (AAP) guidelines require pediatric clinicians to implement oral health care, the effectiveness of these oral health interventions has been inconclusive. Objective: To test the effectiveness of multilevel interventions in increasing dental attendance and reducing untreated decay among young children attending well-child visits (WCVs). Design, Setting, and Participants: The Pediatric Providers Against Cavities in Children's Teeth study is a cluster randomized clinical trial that was conducted at 18 pediatric primary care practices in northeast Ohio. The trial data were collected between November 2017 and July 2022, with data analyses conducted from August 2022 to March 2023. Eligible participants included Medicaid-enrolled preschoolers aged 3 to 6 years attending WCVs at participating practices who were enrolled at baseline (WCV 1) and followed-up for 2 consecutive examinations (WCV 2 and WCV 3). Interventions: Clinicians in the intervention group received both the practice-level (electronic medical record changes to document oral health) and clinician-level (common-sense model of self-regulation theory-based oral health education and skills training) interventions. Control group clinicians received AAP-based standard oral health education alone. Main Outcomes and Measures: Dental attendance was determined through clinical dental examinations conducted by hygienists utilizing International Caries Detection and Assessment System criteria and also from Medicaid claims data. Untreated decay was determined through clinical examinations. A generalized estimating equations (GEE) approach was used for both clinical examinations and Medicaid claims data. Results: Eighteen practices were randomized to either intervention or control. Participants included 63 clinicians (mean [SD] age, 47.0 [11.3] years; 48 female [76.2%] and 15 male [23.8%]; 28 in the intervention group [44.4%]; 35 in the control group [55.6%]) and 1023 parent-child dyads (mean [SD] child age, 56.1 [14.0] months; 555 male children [54.4%] and 466 female children [45.6%]; 517 in the intervention group [50.5%]; 506 in the control group [49.5%]). Dental attendance from clinical examinations was significantly higher in the intervention group (170 children [52.0%]) vs control group (150 children [43.1%]) with a difference of 8.9% (95% CI, 1.4% to 16.4%; P = .02). The GEE model using clinical examinations showed a significant increase in dental attendance in the intervention group vs control group (adjusted odds ratio, 1.34; 95% CI, 1.07 to 1.69). From Medicaid claims, the control group had significantly higher dental attendance than the intervention group at 2 years (332 children [79.6%] vs 330 children [73.7%]; P = .04) but not at 3 years. A clinically but not statistically significant reduction in mean number of untreated decay was found in the intervention group compared with controls (B = -0.27; 95% CI, -0.56 to 0.02). Conclusions and Relevance: In this cluster randomized clinical trial, children in the intervention group had better dental outcomes as was evidenced by increased dental attendance and lower untreated decay. These findings suggest that intervention group clinicians comprehensively integrated oral health services into WCVs. Trial Registration: ClinicalTrials.gov Identifier: NCT03385629.


Assuntos
Cárie Dentária , Atenção Primária à Saúde , Humanos , Pré-Escolar , Masculino , Feminino , Atenção Primária à Saúde/estatística & dados numéricos , Criança , Cárie Dentária/terapia , Medicaid/estatística & dados numéricos , Ohio , Estados Unidos , Assistência Odontológica para Crianças/estatística & dados numéricos , Assistência Odontológica para Crianças/métodos , Saúde Bucal/estatística & dados numéricos
11.
Support Care Cancer ; 32(7): 461, 2024 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-38958776

RESUMO

PURPOSE: The number of older people with poor oral health diagnosed with cancer is increasing rapidly. However, integration of oral health in cancer care for older people to prevent or minimize oral health complications of cancer treatments is uncommon, except in head and neck oncology. The aim of this review is to describe the need, role of, and factors influencing the integration of oral health(care) into the treatment of older people with cancer. METHODS: MEDLINE, CINAHL, PubMed, Scopus, and Web of Science databases were searched for papers published in the last 10 years that focus on oral health in older people diagnosed with cancer, the impact of oral health on cancer therapy, and integrated oral health in cancer treatment. RESULTS: From 523 related papers, 68 publications were included and summarized as follows: (1) oral complications associated with cancer therapies, (2) the need for oral healthcare in older people with cancer, (3) the role of integration of oral health in cancer care, and (4) influencing factors such as ageism, interprofessional education and collaborations, oral healthcare workforce, oral health literacy, and financial considerations. CONCLUSION: Integration of oral healthcare is highly recommended for the overall well-being of older people with cancer to prevent, minimize, and manage complications in cancer treatment. However, oral healthcare has not been integrated in cancer care yet, except for head and neck cancers. This review identified a notable gap in the literature, highlighting the need for research on integration of oral healthcare in geriatric oncology.


Assuntos
Neoplasias , Saúde Bucal , Humanos , Neoplasias/complicações , Neoplasias/terapia , Idoso , Prestação Integrada de Cuidados de Saúde/organização & administração
12.
PLoS One ; 19(7): e0302488, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38950008

RESUMO

OBJECTIVE: To determine the magnitude and shape of the relationship between dental caries experience and the source of oral health information in England. METHODS: This was a cross-sectional study using the Child Dental Health Survey 2013 in England. Using a negative binomial model, the relationship between the number of decayed, missing, filled teeth (DMFT) of 12- and 15-year-old students and their primary source of oral health information was assessed. The sources of oral health information included parents, television, newspapers, the Internet, and social media. The adjusted model included age, sex, and the Index of Multiple Deprivation (IMD). R was used for data handling, analysis and reporting. RESULTS: Overall, 2,372 children were assessed (48.7% female, 48.6% 12-year-old). For the majority, the primary source of oral health information was their parents (89.5%) followed by the Internet (43.4%). Over nine-tenth of the participants had a DMFT = 0. The adjusted model showed that the prevalence rate of DMFT for the children whose primary source of information is their parents (0.45) or television (0.62) is lower than 1. The prevalence rate for the Internet (1.17) and social media (1.67) was higher than 1, but they were removed from the final model due to being non-statistically significant. Age and deprivation had a direct relationship with the prevalence rate of DMFT, meaning that 15-year-olds and children from more deprived areas had a higher prevalence rate of DMFT. CONCLUSION: Children whose primary source of oral health information was their parents or television had a lower DMFT. On the contrary, using the Internet or social media as the source of oral health information was associated with higher caries experience among schoolchildren.


Assuntos
Cárie Dentária , Saúde Bucal , Humanos , Cárie Dentária/epidemiologia , Feminino , Criança , Masculino , Saúde Bucal/estatística & dados numéricos , Inglaterra/epidemiologia , Adolescente , Estudos Transversais , Inquéritos de Saúde Bucal , Internet , Mídias Sociais
13.
Can J Dent Hyg ; 58(2): 106-110, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38974819

RESUMO

Objective: Despite the vast knowledge gained through research and public health surveillance, dental caries prevalence among children from low-income households remains high. The aim of this literature review is to identify assumptions made within existing empirical, constructivist, and critical paradigms to determine how those assumptions impact knowledge and if these impacts have aided in perpetuating inequity or health disparities within this target population. Method: A literature search of EBSCOhost, PubMed, and Web of Science was conducted to retrieve articles from peer-reviewed journals published in the last 10 years, including qualitative, quantitative, and mixed methods studies. Qualitative methods included narrative research via interviews; quantitative designs included cross-sectional studies using surveys and various indices to assess oral health literacy (OHL) levels and oral health status. Exclusion criteria were non-English studies and studies that did not include female caregivers. Results: Nine primary research articles were selected for analysis. The positivist paradigm was dominant in 7 of 9 articles. Oral health social processes, such as the lack of value placed on oral health as a component of overall health by the broader medical community and the public, were not discussed as influencing factors on OHL. Discussion: Assumptions identified within the dominant paradigms were determined to perpetuate inequity or health disparities, confirming a link between caregivers' OHL levels and the oral health status of their children. It is critical that all health care professionals improve their understanding of factors affecting caregivers' OHL. Conclusion: Strategies that empower and advocate for women to improve their OHL should be developed.


Objectif: Malgré les vastes connaissances acquises par le biais de la recherche et des activités de surveillance de la santé publique, la prévalence des caries dentaires chez les enfants vivant dans des ménages à faible revenu demeure élevée. La présente revue de la littérature vise à cerner les suppositions des paradigmes empiriques, constructivistes et critiques existants afin de déterminer comment elles influent sur les connaissances, et si ces effets ont contribué à perpétuer les iniquités ou les disparités en matière de santé au sein de cette population cible. Méthodes: On a procédé à une recherche documentaire sur EBSCOhost, PubMed et Web of Science pour trouver des articles publiés au cours des 10 dernières années dans des revues à comité de lecture, y compris des études par cohortes qualitatives, quantitatives et mixtes. Les méthodes qualitatives comprenaient des recherches narratives réalisées au moyen d'entrevues. Les méthodes quantitatives comprenaient des études transversales faisant appel à des sondages, ainsi que divers indices visant à évaluer les niveaux de littératie en santé buccodentaire et la situation en matière de santé buccodentaire. Les critères d'exclusion s'appliquaient aux études non anglophones et aux études qui n'incluaient pas de femmes soignantes. Résultats: Neuf articles présentant des études originales ont été sélectionnés aux fins d'analyse. Le paradigme positiviste était dominant dans 7 des 9 articles. L'influence de certains processus sociaux de santé buccodentaire, tel que le manque de valeur accordée à la santé buccodentaire en tant qu'élément de la santé globale par la communauté médicale en général et par le public, sur la littératie en santé buccodentaire n'a pas été discutée. Discussion: On a établi que les suppositions définies dans les paradigmes dominants perpétuaient l'iniquité ou des disparités en matière de santé, ce qui confirme l'existence d'un lien entre le niveau de littératie en santé buccodentaire parmi les soignants et l'état de santé buccodentaire de leurs enfants. Il est essentiel que tous les professionnels de la santé renforcent leur compréhension des facteurs qui influent sur cette littératie chez les soignants. Conclusion: Il est nécessaire d'élaborer des stratégies propres à défendre les femmes et à leur donner les moyens d'améliorer leur littératie en santé buccodentaire.


Assuntos
Cuidadores , Letramento em Saúde , Saúde Bucal , Pobreza , Humanos , Feminino , Cuidadores/psicologia , Criança , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle
16.
J Indian Soc Pedod Prev Dent ; 42(2): 104-111, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38957907

RESUMO

INTRODUCTION: Artificial intelligence (AI) is becoming an important part of our lives owing to increased data availability and improved power of computing. One of the recently launched modalities of AI, ChatGPT, is being enormously used worldwide for different types of tasks. In medical context, its use is being explored for clinical queries, academia, research help, etc. Further, literature suggests that parents seek information about health of their children using different Internet resources and would surely turn toward ChatGPT for the same, as this chatbot model is easy to use, generates "one" response, and is available without any subscription. ChatGPT generates a response using text cues and applying different algorithms on prepublished literature but is still in its naïve state; hence, it is imperative to validate the generated responses. Accordingly, we planned this study to determine the clarity, correctness, and completeness of some Frequently asked questions (FAQs) about child's oral health, from a mother's perspective. METHODS: The study design was a vignette-based survey and included a set of 23 questions, for which ChatGPT was interviewed from the perspective of an imaginary parent. The answers responded by ChatGPT were copied "verbatim," and a Google survey form was designed. The survey form was validated and then sent to 15 pediatric dentists, and the responses were mainly collected on the Likert's scale with a provision of one open-ended question aiming to determine "what they would have added" to this generated response as an expert in the field. RESULTS: The responses on Likert's scale were condensed and values ≥4 were considered 'adequate and acceptable' while scores ≤3, were considered 'inadequate'. The generated responses and comments mentioned by different respondents in the open-ended question were critiqued in reference to the existing literature. CONCLUSION: Overall, the responses were found to be complete and logical and in clear language, with only some inadequacies being reported in few of the answers.


Assuntos
Internet , Saúde Bucal , Pais , Humanos , Criança , Pais/psicologia , Inteligência Artificial , Inquéritos e Questionários , Feminino , Masculino , Comportamento de Busca de Informação
17.
Hum Vaccin Immunother ; 20(1): 2371671, 2024 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-38958386

RESUMO

Dentists are well-positioned to discuss oral health issues related to Human Papillomavirus (HPV) and recommend the HPV vaccine to their patients, mainly because the HPV virus causes oropharyngeal cancers.. We assessed Los Angeles (LA) County dentists' opinions on discussing HPV-related oral health issues and recommending the HPV vaccine to their patients. We tested if opinions differed between dentists whose primary patient population was only adults versus children and adults. We mailed a 19-item survey to 2000 randomly sampled LA County dentists for this cross-sectional study. The primary outcome variable was a summary opinion score of 7 opinion statements. We ran descriptive, bivariate comparisons and adjusted linear regression models. Overall, 261 dentists completed the survey. A majority (58.5%) worried they would lose patients if they recommended the vaccine; 49% thought dentists were not appropriate to educate, counsel, or advise on HPV-related issues; 42% were concerned about the safety of the vaccine; and 40% did not feel comfortable recommending the vaccine. The mean summary opinion score was 21.4 ± 5.4 for the total sample. Regression analysis showed no differences in opinions between dentists whose primary patient population was only adults versus children and adults (Coefficient = 0.146, p = 0.83). Overall, the responding dentists were not very favorable about discussing oral health-related HPV issues and recommending the HPV vaccine to their patients. Additionally, the overall opinions were similar between dentists whose primary patient population was only adults versus children and adults.


Assuntos
Atitude do Pessoal de Saúde , Odontólogos , Infecções por Papillomavirus , Vacinas contra Papillomavirus , Humanos , Vacinas contra Papillomavirus/administração & dosagem , Feminino , Odontólogos/psicologia , Odontólogos/estatística & dados numéricos , Masculino , Estudos Transversais , Infecções por Papillomavirus/prevenção & controle , Adulto , Pessoa de Meia-Idade , Los Angeles , Saúde Bucal , Inquéritos e Questionários , Idoso , Vacinação/psicologia , Vacinação/estatística & dados numéricos , Papillomavirus Humano
18.
Ethiop J Health Sci ; 34(1): 65-72, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38957342

RESUMO

Background: Children with disability have a risk of poor dental health because of their mental and physical limitations. They depend on caregivers in their daily life Parents have an important role in maintaining children's dental health. Parents attitudes can be influenced by parents' perceptions of children's dental health. This study explored parental perceptions regarding the dental and oral health of children with special needs in Bandung City. Methods: This study utilized a descriptive observational research using a cross-sectional survey. The subjects in this study were 239 parents who had children aged 0-18 years who were taken from 9 special schools. The variables of this study were parents' perceptions and the dental and oral health status of children with disability. Primary data were obtained through a validated questionnaire. Results: Parents' perceptions of the dental and oral health of children with disability consists of 84.94% good enough perceptions, 12.13% good perceptions, and 2.93% bad perceptions. Conclusion: Most parents have a fairly good perception of the dental and oral health of children with special needs.


Assuntos
Crianças com Deficiência , Saúde Bucal , Pais , Humanos , Pais/psicologia , Criança , Feminino , Masculino , Pré-Escolar , Estudos Transversais , Crianças com Deficiência/psicologia , Adolescente , Lactente , Inquéritos e Questionários , Adulto , Conhecimentos, Atitudes e Prática em Saúde , Recém-Nascido , Percepção
19.
Afr Health Sci ; 24(1): 250-261, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38962326

RESUMO

Background: Good oral health knowledge is considered to be crucial for health-related practices and better oral hygiene. Objective: This study was aimed to assess knowledge, attitudes and practices towards oral health among secondary student in Huye district. Methods: A cross-sectional survey was conducted with 386 students from public secondary schools with advanced level. Boarding secondary schools were excluded. Stratified Clustering sampling technique was used for selecting study participants. A closed ended questionnaire was used for collecting data. Results were found on the basis of percentage and frequency using SPSS 21.0 version. Results: The majority of participants, 222 (57.5%) were female and 164 (42.5%) were male. The majority of the participants, 168 (43.5%) were between 15-17 years old. Out of the total population of students 1.8% had good knowledge, 56.2% had average knowledge and 42% had poor knowledge about oral health. Moreover, 56.2% had negative and 43.8% had positive oral health attitudes and overall practice towards oral hygiene of students showed that 74.6 % had poor practice and 24.4% had good practices. Conclusion: Oral hygiene has to be long life practice and oral health education have to be included as part of the school environment.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal , Higiene Bucal , Estudantes , Humanos , Feminino , Adolescente , Masculino , Estudos Transversais , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Ruanda , Instituições Acadêmicas
20.
Front Public Health ; 12: 1389853, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38962771

RESUMO

Objective: To identify and describe the impact of current oral health education programmes provided to patients in cardiology hospital wards and outpatient clinics. Methods: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews statement. Searches were conducted using electronic databases: Cochrane, Medline, and Scopus, as well as grey literature searching. Results: Three eligible studies were identified. All included studies reported generalised poor oral health in their participants at baseline, with significant improvement at follow-up. They all reported significant reductions in plaque deposits and gingival bleeding. One study reported significantly less bacteria on participant tongues, as well as fewer days with post-operative atrial fibrillation in the intervention group. Furthermore, in this study, one patient in the intervention group developed pneumonia, whilst four patients in the control group did. Conclusion: Oral health education for patients with cardiovascular disease is limited and many have poor oral health. Educational programmes to improve oral health behaviours in patients with cardiovascular disease can improve both oral and general health outcomes. Implications for public health: Oral disease is a modifiable risk factor for cardiovascular disease. Integrating oral health education into cardiology hospital settings is a simple strategy to improve access to oral health information and improve both oral and cardiovascular outcomes.


Assuntos
Doenças Cardiovasculares , Saúde Bucal , Humanos , Saúde Bucal/educação , Doenças Cardiovasculares/prevenção & controle , Hospitais , Educação de Pacientes como Assunto , Higiene Bucal/educação
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