| 1. |
- Mårtensson, Carina, 1954-, et al.
(author)
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Knowledge of periodontitis and self-perceived oral health : a survey of periodontal specialist patients
- 2013
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In: Swedish Dental Journal. - : Sveriges tandläkarförbund. - 0347-9994. ; 37:1, s. 49-58
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Journal article (peer-reviewed)abstract
- The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to investigate the patients' self- perceived oral health before the treatment. Patients referred to five specialist clinics in periodontology for comprehensive periodontal treatment were consecutive sampled. The study was based on a questionnaire in a before and after design. The first questionnaire was sent to the patients before visiting the specialist clinic and the second was sent after six months. Four questions were analysed, two to measure knowledge about periodontitis and two to measure the patients self- perceived oral health. The first questionnaire was sent by post to 273 patients with a response rate of 31%. The second questionnaire was sent to 85 patients with a response rate of 73%. The results of the study showed a statistically significant improvement of correct answers on the knowledge questions after six months was found for scaling (p = 0.006), X-ray examination (p = 0.001) and increased space between the teeth (p = 0.001). The most frequent self-perceived trouble from the mouth was bleeding gum (70%) and sensitive teeth (51%). In conclusion knowledge of periodontitis improved after visiting the specialist clinic of periodontology. Many of the patients experienced some problems of the mouth.
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| 2. |
- Mårtensson, Carina, et al.
(author)
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Knowledge of periodontitis and self-perceived oral health : a survey of periodontal specialist patients
- 2013
-
In: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 37:1, s. 49-58
-
Journal article (peer-reviewed)abstract
- The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to investigate the patients' self- perceived oral health before the treatment. Patients referred to five specialist clinics in periodontology for comprehensive periodontal treatment were consecutive sampled. The study was based on a questionnaire in a before and after design. The first questionnaire was sent to the patients before visiting the specialist clinic and the second was sent after six months. Four questions were analysed, two to measure knowledge about periodontitis and two to measure the patients self- perceived oral health. The first questionnaire was sent by post to 273 patients with a response rate of 31%. The second questionnaire was sent to 85 patients with a response rate of 73%. The results of the study showed a statistically significant improvement of correct answers on the knowledge questions after six months was found for scaling(p = 0.006), X-ray examination (p = 0.001) and increased space between the teeth (p = 0.001). The most frequent self-perceived trouble from the mouth was bleeding gum (70%) and sensitive teeth (51%). In conclusion knowledge of periodontitis improved after visiting the specialist clinic of periodontology. Many of the patients experienced some problems of the mouth.
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| 3. |
- Axtelius, Björn, et al.
(author)
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Oral disease and psychosocial risk determinants in relation to self-assessments of general health in persons with chronic whiplash-related disorders
- 2003
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In: Swedish Dental Journal. - 0347-9994. ; 27:4, s. 185-195
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Journal article (other academic/artistic)abstract
- The aim of this study was to analyse how self-assessed general health was related to oral health among persons afflicted with whiplash-associated disorders (WAD), controlling for relevant background factors, confounders and other risk factors. Questionnaires included the SF-36 Health Survey, self-assessed oral health and relevant risk factors, in total 49 questions. Multivariable regression modelling was performed. Members of a nationwide Swedish association enlisting persons who have problems concerning a whiplash injury (n = 1,928) were included. A total of 979 persons participated in the study, a response rate of 50.8%. A multivariable regression model is presented, with general health as the dependent variable, and the independent variables inserted en-bloc. The model was highly significant with an explained variance of 28%. Among background factors, only older age appeared as significantly and strongly related to poorer general health. The strongest explanatory contributions came from the health related variables. Oral disease and extra-oral body pain were both strongly related to poorer general health, most obviously for the oral disease variable. Oral disease was significantly and to a clinically relevant degree associated with self-assessed general health. Several other psychosocial indicators of stress were also significantly related to the general health. These findings are consistent with the stress-behaviour-immune model for development of disease.
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| 4. |
- Axtelius, Björn, et al.
(author)
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Vad är oral hälsa? Hälso- och sjukdomsbegreppet sett ur teoretisk synvinkel
- 2004
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In: Tandläkartidningen. - 0039-6982. ; 96:10, s. 50-55
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Journal article (other academic/artistic)abstract
- Insikten om att vårdens resurser inte kommer att räcka till för att behandla all oral sjukdom i befolkningen har betytt att begreppet oral hälsa allt mer hamnat i fokus. Rent samhällsekonomiskt är det mer fördelaktigt att förebygga än att behandla sjukdom. Det innebär också mindre lidande för patienten. Ett salutogenetiskt perspektiv (se ordförklaring) [1] minskar påfrestningarna på vården och ger ett snabbare och mer komplikationsfritt tillfrisknande [2]. Det är därför viktigt att diskutera begreppen ”oral sjukdom” och ”oral hälsa”: hur de översätts i daglig klinisk praxis, hur de beskrivs i internationella och nationella deklarationer samt i svensk lagstiftning. Författarna föreslår även tre nivåer på utfallsvariabler som bör beaktas vid forskning om oral sjukdom/ohälsa. Artikeln är ett försök att ur teoretisk synvinkel bidra till utvecklingen av hälso- och sjukdömsbegreppet.
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| 5. |
- Ayala-Luis, Joselyn, et al.
(author)
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A multivariable analysis of patient dental satisfaction and oral health-related quality-of-life : A cross-sectional study based on DVSS and OHIP-14
- 2014
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In: Acta Odontologica Scandinavica. - : Taylor & Francis. - 0001-6357 .- 1502-3850. ; 72:3, s. 187-193
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Journal article (peer-reviewed)abstract
- Objective. The aim of this paper was to study the association between dental satisfaction and oral health-related quality-of-life (OHRQoL) when controlling for individual, clinical and psychological factors. Materials. Secondary analysis was conducted using data from a large study carried out in the Swedish region of Varmland in 2004. The questionnaire included demographic variables, clinical assessment and the following instruments: the Dental Visit Satisfaction Scale (DVSS), the short version of Oral Health Impact Profile (OHIP-14) and a modified version of the revised helping alliance questionnaire. Internal consistency analysis was undertaken on the instruments to assess reliability; bivariate comparisons were assessed to compare DVSS scores with individual factors (age, gender and education). In addition, a three step hierarchical multiple regression analysis was performed with DVSS as a dependent variable. Results. Data were completed for 485 randomly selected patients. The mean age of participants was 43.5 years, 54.6% were women, and 41.2% had high education. The median DVSS score was 48 (range 10-50) and the median OHIP was 3.0 (range 0-56). All the instruments showed good reliability. Bivariate analysis showed that females were more satisfied than males (p <= 0.01) and patients of 50 years or older were more satisfied than the younger ones (p <= 0.05). Finally, the following variables explained 31% of the variance of being very satisfied with dental visit: a good OHRQoL and patients' positive perceptions of the relationship with their care provider. Conclusion. This study showed positive associations between dental satisfaction and OHRQoL when controlling for related factors. The result suggests that care providers should take into account the various dimensions of OHRQoL rather than use only clinical measurements when they evaluate patient satisfaction.
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| 6. |
- Hjalmers, Karin, et al.
(author)
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Healthy work for female unpromoted general practice dentists
- 2004
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In: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 62:2, s. 107-110
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Journal article (other academic/artistic)abstract
- This study describes how female unpromoted general practice dentists (GPDs) in a region in Sweden perceived “healthy work”, i.e. their image of the dimensions that the dentistry profession should contain if it is to be really healthy work. The study also investigates whether there is a gulf between ideal and reality for this group. All unpromoted GPDs within the Public Dental Health Service’s general practice in a region in Sweden received a questionnaire, and 94% responded. The data were collected during July and August 2000 and the question about healthy work was taken from work environment studies. A principal components analysis was performed. Three factors explaining more than half the variance (53%), forming three well defined vector clusters: 1) a factor for moral values and possibilities for skill discretion, i.e. properties specific for human services, 2) a factor for career development and 3) a factor for work environment. We found that factor 1 alone explained a greater proportion of the variance (28%) for the respondents. The main results were that the female unpromoted GPDs emphasized free and intellectually stimulating work and that the gulf between the ideal and the reality was wide, especially concerning the dentist’s influence on important decisions. A salutogenetic approach built on good communication and democracy at work, and based on freedom and the employees’ influence, could bring ideal and reality closer.
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| 7. |
- Hjalmers, Karin, et al.
(author)
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Moral values and career : Factors shaping the image of healthy work for female dentists
- 2006
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In: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 64:5, s. 255-261
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Journal article (peer-reviewed)abstract
- Objective. Female unpromoted general practice dentists (GPDs) constitute about one-quarter of all dentists in Sweden. These female dentists suffer from many problems relating to their psychosocial working conditions. There are wide discrepancies between their perception of the ideal job situation and reality. Previously, three factors were found to constitute the ideal job situation. The aim of this study was to analyze patterns in two of these factors, i.e. the moral and the career factors, for understanding how ideal circumstances are conceived, i.e. how ‘‘good work’’ for the dentists could be obtained. Material and Methods. In the year 2000, all female unpromoted GPDs (183 persons) within the Public Dental Health Service (PDHS) in a region in Sweden received a questionnaire; response rate 94%. Four multiple regression models were constructed for two factors of good work and for the differences between the ideal job situation and reality concerning these factors. Results. In all models, the explained variance was high. Those dentists who were committed to moral issues perceived large differences between the ideal and reality concerning moral values. Dentists committed to career issues experienced large differences between the ideal and reality concerning career development. Those dentists - about 60% - who would not want to be a dentist if they were to choose today, perceived large discrepancies concerning moral and career issues. Conclusions. The PDHS organization has failed to convince or engage those whom it ought to engage, that is those with the highest level of commitment. Dentists’ emphasis on moral values confirms the character of dentistry as primarily a human service work.
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| 8. |
- Hjalmers, Karin, et al.
(author)
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Network participation for unpromoted female dentists in relation to psychosocial support
- 2004
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In: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 62:3, s. 158-162
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Journal article (other academic/artistic)abstract
- Studies have shown that female unpromoted general practice (GP) dentists have a taxing work situation with many problems related to their psychosocial work environment. This study aims to describe 1) the participation for this group in organized network activity (support groups) in a region in Sweden, 2) the sense of support with comparison to another organization and to a nationwide sample of GP dentists, and 3) the covariation of network participation with support. All unpromoted female dentists within the Public Dental Health Service (PDHS) in a region in Sweden received a questionnaire, and 94% re-sponded. Those participating in network activity ≥ 4 times a year constituted 12% of the respondents. The co-operation between colleagues was lower than in the nationwide sample. The experienced support from the organization PDHS was weak. It was not possible to explain why the female unpromoted GP dentists participated ≥ 4 times a year, but the female dentists who felt lonely in their work were to a higher degree participants in a network. Almost nine out of ten reported being strengthened by the network both as a person and in the professional role. The female dentist was three times more likely to participate in a network if she had a male head of the clinic. In conclusion, the main results are the paucity of intercolleague contact and the lack of association between support and network participation. The many affirmative comments indicated though, that network participation might be a good coping strategy for unpromoted female GP dentists.
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| 9. |
- Hjalmers, Karin, et al.
(author)
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Psychosomatic symptoms among female unpromoted general prac-tice dentists
- 2003
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In: Swedish Dental Journal. - 0347-9994. ; 27:1, s. 35-41
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Journal article (other academic/artistic)abstract
- Unpromoted female general practice dentists have a working situation with hard work conditions. The aim of the present study was to describe the perceived health for unpromoted female general practice dentists in comparison with others laving a somewhat similar working situation. Questionnaires were sent to all unpromoted female general practice dentists (n=183) within the Public Dental Health Service in a region in Sweden. The response rate was 94%. Comparisons have been done with personnel in the Social Insurance Organization in Sweden and Children Clinics in the Public Health Care in a region in Sweden. The dentists in this study suffered from many physical and mental troubles and also linked them to the working situation. They reported high prevalences of tiredness (70%) and back, neck and shoulder pain (76%) and related these symptoms to the job situation in 83% and 95%, respectively. The study showed statistically significant differences (p < 0.0001) in the comparison between all the samples that were investigated. In conclusion, the results show problems concerning self-perceived health for the unpromoted female dentists. We have shown that they are feeling unhealthy, worse than other high-risk-groups in a human service working situation, and they suffer from a multitude of problems also connected to their working environment.
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| 10. |
- Johansson, Gunvi, et al.
(author)
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Measuring oral health from a public health perspective
- 2008
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In: Swedish Dental Journal. - Stockholm : Swedish Dental Journal. - 0347-9994. ; 32:3, s. 125-137
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Journal article (peer-reviewed)abstract
- The paper aims to analyse measures of oral health-related quality of life (OHQOL) from a Public Health perspective. Twenty-two measures were analysed conceptually as to their mirroring of the Public Health principles: empowerment, participation, holism and equity. Elements of empowerment were found in connection with application of the measures. Participation was found in using lay opinions during development in 12 measures. All measures analysed had elements of a holistic approach so far that they were not wholly biological. Two measures captured positive health effects. Measures were available for all ages, various languages and populations, an element of equity. No measure was wholly compatible with Public Health. They were based on a utilitarian theory not in full accordance with modern health promotion. There is a need to develop measures that more obviously capture the positive aspects of health and health as a process, as well as the personal perspective of oral health.
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