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| 2. |
- Axtelius, Björn, et al.
(författare)
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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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Ingår i: Swedish Dental Journal. - 0347-9994. ; 27:4, s. 185-195
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)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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| 3. |
- Axtelius, Björn, et al.
(författare)
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Vad är oral hälsa? Hälso- och sjukdomsbegreppet sett ur teoretisk synvinkel
- 2004
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Ingår i: Tandläkartidningen. - 0039-6982. ; 96:10, s. 50-55
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)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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| 4. |
- Ayala-Luis, Joselyn, et al.
(författare)
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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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Ingår i: Acta Odontologica Scandinavica. - : Taylor & Francis. - 0001-6357 .- 1502-3850. ; 72:3, s. 187-193
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Tidskriftsartikel (refereegranskat)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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| 5. |
- Barzangi, Jir, 1978-, et al.
(författare)
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Infant dental enucleation : A literature review on a traditional remedial practice in East Africa
- 2014
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Ingår i: Acta Odontologica Scandinavica. - London : Informa Healthcare. - 0001-6357 .- 1502-3850. ; 72:3, s. 168-178
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Forskningsöversikt (refereegranskat)abstract
- Objective. To summarize and review the literature on infant dental enucleation, a traditional remedial procedure prevalent mainly in East Africa.Materials and methods. Literature searches were made electronically using general and specialized search engines. The main search was performed through a systematic strategy in PubMed, comprising tabulated keywords, search codes, and translated and transliterated terms. Criteria for the selection of studies were designed to provide a general understanding of the procedure. The findings were synthesized into two sections: a summary of the population prevalence studies, and a thematic literature review.Results. An overview of the known prevalence and clinical specifications was established. Insight was gained into the purpose of the procedure and the factors influencing its performance. Diverging suggestions were seen with regard to the rationale for use of infant dental enucleation between different populations. Moreover, reports of complications and consequences involving the general health and the dentoalveolar structures of patients were examined.Conclusions. Prevalence, clinical features and risks of infant dental enucleation point to a need for greater awareness of the procedure. Further, there is a need for specific guidelines regarding management of suspected cases within dental and healthcare communities.
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| 6. |
- Barzangi, Jir, 1978-, et al.
(författare)
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Infant dental enucleation in an East African population in Sweden : a cross-sectional study on dental records
- 2014
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Ingår i: International Journal of Paediatric Dentistry. - Hoboken : Wiley-Blackwell. - 0960-7439 .- 1365-263X. ; 24:3, s. 209-214
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To examine the prevalence of infant dental enucleation (IDE) of primary canines, an East African traditional remedial procedure, in a multiethnic population of children in Sweden.Design: A cross-sectional study was conducted of dental records of 1133 patients (mean age 4.6years, SD +/- 1.4) attending one public dental service clinic in Sweden. The clinic was located in an area with a large multiethnic community. All were born within the years 2002-2006 and had received a check-up in one of the years 2007-2009. A registry was made of missing primary canines where no reason could be found. In documented cases, information about ethnic origin was extracted. Statistical grouping was made according to known East African ethnicities.Results: At least 36 ethnicities were recorded. Twenty-four (2.1%) patients were missing one or more canines according to the criteria for IDE. Significant difference was seen when comparison was made between patients of known East African ethnicities, of whom 20.8% (21/101) manifested findings consistent with the criteria, and the rest of the population (3/1032; P<0.001).Conclusions: Prevalence of cases suggestive of IDE among patients of East African origin points to a need for increased awareness within dental and healthcare communities.
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| 7. |
- Bergström, Kamilla, et al.
(författare)
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Emotion work in dentistry : a descriptive and theoretical overview
- 2012
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction The emotional aspects of work for dentists are little researched. Emotion work is a part of the intervention toolkit of the dentist for example emotional contagion or persuasion of the patient or a way to make other thing easier. As a condition of human service work, the emotional aspects can be a source to burnout because of frequent contradictory emotional demands from the organization, patient, and the dentist self. However, the emotional aspects of work can also be a source to positive inner experiences. Eudaimonic and hedonic rewards can arise from the interaction with patients, and thereby potentially enhance satisfaction and fulfillment of work. Material and methods A questionnaire was developed covering the multidimensional concept of good work, including perceptions of emotion work. A total of 1835 dentists randomly sampled from the dental associations were sent a questionnaire in November 2008. Because emotion work in dentistry has little previous research, a theoretical overview and conceptualization for dentistry were created. Principal components analysis (PCA) was used to reduce measures of emotion work. Covariance between the indices and variables were grouped as setting, work and person. Results The average net response rate was 68% (n = 1226). Three dimensions were theoretically relevant in the dental context: Emotion work, emotional labor and emotional work can all influence the dentist in different ways. PCA of the questions showed unidimensional solutions and six indices were created: Patient relations values, emotional support, emotional display, emotional dissonance, emotional hedonic rewards and emotional eudaimonic rewards stable over gender and nationality. Conclusion Emotion work is a considerable part of being a professional dentist. It is requirement of work as well as constituting the balance between being dentist and person. Potentially, emotion work can influence the dentists’ perceptions of work in a positive way. The emotional aspects of work should be investigated more closely as a central component of work environment and job satisfaction.
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| 8. |
- Bergström, Kamilla, et al.
(författare)
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EXPLORING POSITIVE PERCEPTIONS OF DENTAL WORK IN SWEDEN AND DENMARK
- 2009
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: Dentistry is an example of human service work, involving cognitively, emotionally and technically demanding tasks. These tasks are potentially implicative of negative as well as positive personal effects. The aim was to study work enjoyment, satisfaction with work, and good working life, comparing Danish and Swedish general dental practitioners. Materials and methods: In 2008, a questionnaire was sent to a randomly selected sample of practicing dentists in Sweden (n=900) and Denmark (n=937). The study was approved by the Swedish regional ethical board. Distribution analysis and Mann-Whitney U test were used for comparison between the groups Swedes/Danes, private-/public practitioners, and dentists with/without management responsibility. Results: Response rate was 68%, whereas 51% were Swedes and 49% Danes. Sixty percent had management responsibility and 40% had not. Further, 58% were private and 37% were public practitioners. Frequency analysis showed that almost three fourths of the dentists experienced a high or a very high degree of (1) work enjoyment (73%), (2) of satisfaction with their work as a whole (72%) and (3) of a good working life (74%). The items (1) and (2) showed differences between all three groups: Danes, private practitioners and dentists with management responsibility scored higher than their counterparts (p≤0.05). Item (3) showed similar results (p≤0.05), except for the comparison Danes/Swedes, which was non-significant. Conclusions: The initial results corroborate that Danish and Swedish dentists have positive perceptions of their work. The differences between the three groups are to be further studied to track potential correlations promoting positive perceptions of work. Funding: The Swedish Council for Working Life and Social Research, Malmö University, The Danish Dental Association.
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| 9. |
- Bergström, Kamilla, et al.
(författare)
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Organizational affiliation and overall job satisfaction among Danish and Swedish dentists
- 2009
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Ingår i: Abstract book.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: Good work in dentistry concerns the manual skills as well as the patient relation. The ability to provide quality care in dentistry is not only dependent on individual resources but also on work organization, which can affect the job satisfaction. This study aims to describe dentists in different organizational settings in Sweden and Denmark and the relation to their overall job satisfaction. Materials and methods: In 2008, a questionnaire was sent to a random proportionally stratified sample of practicing dentists in Sweden (n=898) and Denmark (n=937). The study was approved by the Swedish regional ethical board. Principal Component Analysis (PCA) was used on three items aiming to measure overall job satisfaction; (1) work fulfillment, (2) satisfaction with the work as a whole, and (3) the perception of having a good working life. Kruskal-Wallis tests were used to compare the overall job satisfaction between Swedish and Danish private and public practitioners. Results: The response rate was 68%, whereas 51% were Swedes and 49% Danes, 62% were women and 32% men. Further, 61% were private and 39% were public practitioners. PCA on the three items showed a one factor solution with 78% variance explained. The PCA was stable when splitting the sample as to gender and organizational affiliation. An index for overall job satisfaction was established, having a Cronbach’s alpha 0.86. The overall job satisfaction means (range 3-15) for the four subgroups were; Swedish public (11.0) and private (11.8) practitioners and Danish public (11.9) and private (11.8) practitioners. Statistically significant differences were found between the groups (P< 0.001). Conclusions: The average response rate was reasonably satisfactory. The PCA showed an index of overall job satisfaction as a measure of eudaimonic work life elements as well as more practical contentment with work. The initial results showed that Danish and Swedish dentists have a high overall job satisfaction. The Swedish public practitioners had the lowest overall job satisfaction compared to the other groups. The results are to be further analyzed as to more specific organizational differences. Funding: The Swedish Council for Working Life and Social Research, Malmö University, The Danish Dental Association.
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| 10. |
- Bergström, Kamilla, et al.
(författare)
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Overall job satisfaction among dentists in Sweden and Denmark : A comparative study, measuring positive aspects of work
- 2010
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Ingår i: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 68:6, s. 344-353
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Tidskriftsartikel (refereegranskat)abstract
- Objective. Human service work differs from industrial work, which should be considered when organizing work. Previous research has shown organizational differences in the perceptions of work, often with a focus on negative aspects. The aim of this study was to analyse the overall job satisfaction among private- and public-practising dentists in Sweden and Denmark. This also implied a description of the questionnaire Swedish and Danish Dentists' Perceptions of Good Work about opportunities and positive and rewarding aspects of work. Material and methods. A questionnaire covering the multidimensional concept of good work was developed. A total of 1835 dentists randomly sampled from the dental associations were sent a questionnaire in November 2008. A special non-response study was performed. Principal components analysis (PCA) was used to create a measure of overall job satisfaction, comparing four organizational subgroups. Results. The average net response rate was 68% (n = 1226). The special non-response study of the Danish private practitioners showed more males, managers and dentists with more working hours than the respondents. PCA of three satisfaction questions showed a stable one-factor solution. There were differences in job satisfaction, with Danish public dentists ranked highest in overall job satisfaction and Swedish public dentists lowest. Conclusions. There were organizational differences in the perception of job satisfaction. Further analysis of how the human service is organized in the different groups is needed.
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