| 11. |
- Hakeberg, Magnus, 1954, et al.
(författare)
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Dental care attendance and refrainment from dental care among adults
- 2017
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Ingår i: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 75:5, s. 366-371
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of this study was to analyse dental care utilization, refrainment from self-perceived needed dental care and the association with socioeconomic indicators among adult individuals. Materials and methods: This cross-sectional survey included 3500 randomly selected adult individuals. Telephone interviews were conducted and the participants answered a battery of questions regarding dental visiting habits, health, socioeconomic position (SEP), behavioural factors and lifestyle indicators. Results: The outcome 'dental visits' was significantly correlated with SEP, especially with monetary dimensions, such as income and economic resources for unforeseen expenditures. However, educational level was not a significant predictor in the tested statistical models. Furthermore, other covariates that contributed significantly to the models were ethnicity, dental anxiety and lifestyle factors, albeit with a different pattern of impact on the two outcome dimensions. Important features of the SEP variables were the stepwise gradient relative to the outcomes, implicating that the lower the SEP status, the greater the risk of reporting irregular dental visiting habits and refraining from dental care due to financial problems. Conclusions: Dental care utilization and refraining from dental care for financial reasons clearly reveal associations with socioeconomic positions among adult individuals.
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| 12. |
- Hakeberg, Magnus, 1954, et al.
(författare)
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General and oral health problems among adults with focus on dentally anxious individuals
- 2018
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Ingår i: International Dental Journal. - : Elsevier BV. - 0020-6539. ; 68:6, s. 405-410
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Tidskriftsartikel (refereegranskat)abstract
- Objectives The objective of this epidemiological survey was to analyse the association between dental anxiety and health-related quality of life (HRQL) among adults. Methods Individuals were randomly selected (n = 3500), and they were interviewed by telephone and asked to complete a questionnaire concerning dental anxiety, HRQL [Oral Health Impact Profile-5 (OHIP-5) and EuroQol-5D (EQ-5D)] and several socioeconomic variables. Results Dental anxiety was revealed as a significant factor relative to the OHIP-5 and EQ-5D. Dental anxiety had a stronger association with the OHIP-5 [odds ratio (OR): 3.50] than with the EQ-5D (OR: 1.75). In addition, socioeconomic status demonstrated a gradient, with higher ORs the lower the income and the likelihood of reporting poor HRQL. Conclusion High dental anxiety was associated with lower HRQL.
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| 13. |
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| 14. |
- Hakeberg, Magnus, 1954, et al.
(författare)
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Patient characteristics in relation to dental care payment model: Capitation vs fee for service
- 2016
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Ingår i: Community Dental Health. - 0265-539X. ; 33:4, s. 252-256
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Tidskriftsartikel (refereegranskat)abstract
- © BASCD 2016.Objective: To analyse patient profiles in two payment models, the capitation (DCH) and the fee-for-service (FFS) systems, in relation to socioeconomic status, self-reported health and health behavior, as well as patient attitudes to and satisfaction with the DCH model in the Public Dental Service (PDS) in Sweden. Research design and participants: The present survey included a random national sample of the adult population in Sweden. A telemarketing company, TNS SIFO, was responsible for the sample selection and telephone interviews conducted in May 2013. The 3,500 adults (aged ≥19 years) included in the sample gave a participation rate of 49.7%. Results: Individuals choosing DCH were younger. FFS patients rated their health as less good, were less physically active, were more often smokers and had a lower household income. The DCH patients were more satisfied with their payment model than the FFS patients (98% vs 85%). A multivariate analysis showed that three of the variables significantly contributed to the model predicting DCH patients: age, with an odds ratio of 0.95, household income (OR=1.85) and importance of oral health for well-being (OR=2.05). Conclusions: There was a pattern of dimensions indicating the choice of payment model among adult patients in the Swedish Public Dental Service. The patients in DCH had higher socioeconomic position, were younger, rated their oral health as better and were more satisfied with the payment model (DCH) than the patients in the FFS system.
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| 15. |
- Hakeberg, Magnus, 1954, et al.
(författare)
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Self-reported oral and general health in relation to socioeconomic position
- 2017
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Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 18:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: During the past two decades, several scientific publications from different countries have shown how oral health in the population varies with social determinants. The aim of the present study was to explore the relationship between self-reported oral and general health in relation to different measures of socioeconomic position. Methods: Data were collected from a randomly selected sample of the adult population in Sweden (n = 3500, mean age 53.4 years, 53.1% women). The response rate was 49.7%. Subjects were interviewed by telephone, using a questionnaire including items on self-reported oral and general health, socioeconomic position and lifestyle. Results: A significant gradient was found for both oral and general health: the lower the socioeconomic position, the poorer the health. Socioeconomic position and, above all, economic measures were strongly associated with general health (OR 3.95) and with oral health (OR 1.76) if having an income below SEK 200,000 per year. Similar results were found in multivariate analyses controlling for age, gender and lifestyle variables. Conclusions: For adults, there are clear socioeconomic gradients in self-reported oral and general health, irrespective of different socioeconomic measures. Action is needed to ensure greater equity of oral and general health.
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| 16. |
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| 17. |
- Jonasson, Grethe, 1945, et al.
(författare)
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Evaluation of clinical and radiographic indices as predictors of osteoporotic fractures: a 10-year longitudinal study.
- 2018
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Ingår i: Oral surgery, oral medicine, oral pathology and oral radiology. - : Elsevier BV. - 2212-4411 .- 2212-4403. ; 125:5, s. 487-494
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to evaluate 2 radiographic and 3 clinical indices as predictors of future osteoporotic fractures.In a prospective, longitudinal study with a 10-year fracture follow-up, the 2 radiographic indices mandibular cortical erosion (normal, mild/moderate erosion, and severe erosion of the inferior cortex) and cortex thickness were assessed using panoramic radiographs of 411 women, age 62 to 78 years. The clinical indices were the fracture assessment tool FRAX, the osteoporosis index of risk (OSIRIS), and the osteoporosis self-assessment tool (OST).The relative risks (RRs) for future fracture were significant for FRAX greater than 15%, 4.1 (95% confidence interval [CI] 2.4-7.2), and for severely eroded cortices, 1.7 (95% CI 1.1-2.8). Cortical thickness less than 3mm, OSIRIS, and OST were not significant fracture predictors (RR 1.1, 1.4, and 1.5, respectively). For the 5 tested fracture predictors, Fisher's exact test gave the following P values for differences between fracture and nonfracture groups: FRAX <.001, cortical erosion 0.023, OST 0.078, OSIRIS 0.206, and cortical thickness 0.678. The area under the curve was 0.69 for FRAX less than 15%, 0.58 for cortical erosion, and 0.52 for cortical thickness. Adding OSIRIS and OST did not change the area under the curve significantly.FRAX and severely eroded cortices predicted fracture but cortical thickness, OSIRIS, and OST did not.
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| 18. |
- Kato, Takahiro, 1983, et al.
(författare)
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Periodontal disease among older people and its impact on oral health-related quality of life.
- 2018
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Ingår i: Gerodontology. - : Wiley. - 1741-2358 .- 0734-0664. ; 35:4, s. 382-390
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to evaluate the associations between degree of periodontal disease and number of teeth on oral health-related quality of life among older individuals.Randomly selected 804 participants aged ≥70 derived from two cohorts were included in the analysis. Dental examinations and evaluation of OHRQL using the OHIP-14 (Oral Health Impact Profile-14) were performed. After categorisation of the participants according to the extent of periodontitis in three groups (none, localised with <30% of teeth affected, generalised with ≥30% of teeth affected) and the number of teeth, associations between periodontal status and the number of teeth and the OHIP-14 scores were analysed. Multivariable regression analyses were used taking into account level of periodontitis, number of teeth, age and sex.Among 70-year-old men and women, generalised periodontitis showed an association with poor OHRQL. However, a multivariable analysis failed to demonstrate this association (OR=1.02, 95% CI: 0.72-1.44). In participants with 1-10 remaining teeth, the OHIP-14 score was significantly increased indicating poor OHRQL, compared with participants with ≥21 remaining teeth (OR=1.57, 95% CI: 1.13-2.19). Similar findings were observed among women aged 70-92years.Periodontitis did not show an association with poor OHRQL, however, a significant association between the number of teeth and poor OHRQL was found.
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| 19. |
- Stenebrand, Agneta, et al.
(författare)
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Dental anxiety and oral health in 15-year-olds : a repeated cross-sectional study over 30 years
- 2015
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Ingår i: Community Dental Health. - 0265-539X. ; 32:4, s. 221-225
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To report the prevalence of dental anxiety in Swedish 15-year-olds over a 30-year period (1973-2003) and how dental anxiety relates to oral health. Basic research design: The study used a repeated cross-sectional design. Participants: In 1973, 1983, 1993, and 2003, random samples of 96 to 107 15-year-olds were selected from the city of Jönköping, Sweden, 405 overall. Main Outcome Measures: Dental anxiety (DA) and its association with oral health (caries, gingivitis, plaque, fillings) were analysed (α=0.05). Results: The proportions of dentally anxious during the period were 38% (n=37) in 1973, 26% (n=28) in 1983, 18% (n=15) in 1993 and 13% (n=12) in 2003 a clearly decreasing trend with time. The strongest predictor of DA was gender, with girls reporting higher levels of DA. In three of the four examination years, adolescents with DA had more filled permanent surfaces than those without DA. Those with DA had a greater caries experience only in 1973. No associations were found between DA and plaque or gingivitis. Multivariate logistic modelling confirmed that DA decreased over time and that girls had higher levels of DA. Conclusions: This study showed a clear decrease in DA in 15-year-olds over a 30-year period, with a greater proportion of girls being more dentally anxious. The results also indicate a relationship between DA and oral health; the dentally anxious having more filled surfaces and, only in 1973, more decayed tooth surfaces.
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| 20. |
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