| 1. |
- 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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| 2. |
- Blomma, Caroline, et al.
(author)
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Evaluation of an early childhood caries preventive programme starting during pregnancy-Results after 3 and 6 years
- 2024
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In: International Journal of Paediatric Dentistry. - : WILEY. - 0960-7439 .- 1365-263X.
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Journal article (peer-reviewed)abstract
- Background: Early childhood caries (ECC) has been found to be up to five times more common among children living in areas of low socio-economic status (SES) than among children in areas of higher SES. Aim: To evaluate an ECC prevention programme from pregnancy to 3 and 6 years of age. Design: A prospective, controlled, intervention cohort study was initiated in 2013 in a low-SES area in Sweden. The intervention group received an individual interdisciplinary ECC prevention programme starting pre-birth, consisting of supportive oral health-promoting talks using motivational interviewing techniques and individual ECC preventive actions. A control group, consisting of pregnant women living in a comparable area, received ordinary routines. Results: Of the 336 pregnant women, 64 mothers (with 64 children) completed the programme, and 394 children were born in the control group. At the sixth year examination, the proportion of children with no caries was similar between the groups (53% resp. 52%, p = .976), whereas the proportion with decayed, missed, filled primary teeth (dmft = 1-5) was slightly lower (23% resp. 36%, p = .063), and the proportion with severe caries disease (dmft > 5) was higher (p = .013) in the intervention group (25%) than in the control group (12%). Conclusion: No preventive effect regarding caries can be demonstrated at sixth year of age. Maternal behavioural change in dental care was not sufficient to even out inequalities in oral health in children, eventually due to difficulties in reaching the target group and the lack of effects among the families reached.
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| 3. |
- Davidson, Thomas, et al.
(author)
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Cost-effectiveness of caries preventive interventions : a systematic review
- 2021
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In: Acta Odontologica Scandinavica. - : Taylor & Francis. - 0001-6357 .- 1502-3850. ; 79:4, s. 309-320
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Research review (peer-reviewed)abstract
- OBJECTIVE: The primary purpose of this study was to assess the cost-effectiveness of caries preventive interventions.MATERIAL AND METHODS: A systematic review was conducted, following the PRISMA Statement. Four electronic databases were searched (final search 16 March 2020). Studies fulfilling the inclusion criteria were independently critically appraised, by two reviewers in parallel. Data from each included study were extracted and tabulated: the analysis used a narrative approach to present the results of the estimated cost-effectiveness.RESULTS AND CONCLUSIONS: Twenty-six publications fulfilled the inclusion criteria and were of low or moderate risk of bias. Ten publications were economic evaluations, directly based on empirical studies, and the other 16 were modelling studies. Most of the studies concerned interventions for children and the most common were analyses of fluoride varnish and risk-based programs. Some of the studies showed both reduced cost and improved outcomes, but most studies reported that the improved outcome came with an additional cost. The results disclosed several cost-effectiveness evaluations of caries preventive interventions in the literature, but these target primarily children at high risk. There is a scarcity of studies specifically targeting adults and especially the elderly.
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| 4. |
- Eianrson, Susanne, 1958-, et al.
(author)
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Muntorrhet och munhälsorelaterad livskvalitet hos äldre
- 2009
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Conference paper (other academic/artistic)abstract
- Objective: The aim of the present study was to evaluate the impact of dry mouth conditions on oral health-related quality of life in frail old people, residents at community care centers. Further, reliability and validity of a visual analogue scale (VAS) for dry mouth symptoms were determined within the study cohort.Background: In old people functional, social and psychological impacts of oral conditions are associated with an overall sense of well being and general health. Subjective dry mouth and reduced saliva flow are common disorders in old people caused by disease and medication. Thus, dry mouth conditions may be determinants for compromised oral health-related quality of life in old people.Method: In total, 50 people living at service homes for the old people were asked to answer qustionnaires on subjective dry mouth (VAS) and Oral Health Impact Profile (OHIP-14) for oal health-related quality of life. Saliva flow was estimated by absorbing saliva into a pre-weighed cotton roll.Results: The final study cohort comprised 41 old people (aged 83-91 years). Significant associations were identified between both objective and subjective dry mouth and overall or specific aspects of oral health-related quality of life.Conclusion: Dry mouth (objective and subjective) is significantly associated with oral health-related quality of life strengthening the value of monitoring dry mouth conditions in the care of frail old people.
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| 5. |
- Einarson, Susanne, 1958-, et al.
(author)
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Distribution of oral health impact profile in an adult population An epidemiological study
- 2005
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In: Distribution of oral health impact profile in an adult population An epidemiological study.
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Conference paper (peer-reviewed)abstract
- Objective: The study focus on oral health-related quality of life (OHRQOL) and how oral health effect individuals quality of life. The aim of this presentation was to describe the distribution of oral health impact profile (OHIP-14) in a population in the city of Jönköping, Sweden. Research Methods: A random selected sample of 572 (276 male, 296 female) individuals in age groups 20, 30, 40, 50, 60, 70 and 80 years answered a OHIP-14questioinnaire. The questionnaire capture five dimensions and 14 items. The dimensions are “functioning”, “discomfort”, “psychological aspects”, “social aspects” and “disabilities”. Results: 423 individuals answered all 14 items and 95 individuals answered 1-13 items. Of the individuals that had answered all items 23% were without problems. Highest frequency of answers with problems was found within the dimension “functioning” and the item “pain problems” (43% of individuals) and lowest frequency of answers with problems was found in the dimension “disability” and the item “totally unable to function”, (11% of individuals). Within the dimension “discomfort” the item “been self-consious during the last year” got answered from 39% of the individuals. Seventeen % of these individuals answered that they had problems “very often” or “quite often”. Outcomes: The results from this epidemiological study covering a random sample of a normal adult swedish population is expected to increase the knowledge about OHIP-14 and the possibility to study factors of importants for oral health-related quality of life.
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| 6. |
- Einarson, Susanne, 1958-, et al.
(author)
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Munhälsorelaterad livskvalitet i en vuxen svensk befolkning - en epidemiolgisk studie
- 2008
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In: Munhälsorelaterad livskvalitet i en vuxen svensk befolkning - en epidemiolgisk studie.
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Conference paper (other academic/artistic)abstract
- Bakgrund: Munhälsan har stor betydelse för den allmänna hälsan och välbefinnandet och påverkar därmed livskvaliteten .Syftet med studien var att beskriva munhälsorelaterad livskvalitet i en svensk vuxen population.Metod: Munhälsorelaterad livskvalitet mättes med frågeformuläret Oral Health Impact Profile (OHIP-14). Med OHIP-14 poängsätts munbesvär (0-56 p). Mer besvär ger högre poäng. Ett slumpmässigt urval av 910 individer, 20-80 år tillfrågades att deltaResultat: Totalt 516 individer deltog. 78% uppgav att de hade någon form av orala besvär relaterat till livskvaliteten. 20-åriga kvinnor var de som hade mest besvär. 20% av 30-åriga män och 59% av 70-åriga kvinnor uppgav att de haft besvär från munnen som inneburit att livet varit mindre tillfredställande. Andelen individer med svåra besvär, 17-41 poäng, var 9 %.Slutsatser: Den studerade populationen uppvisade i sin helhet en god munhälso- relaterad livskvalitet. Det förekom ett relativt stort antal både unga och äldre individer med munbesvär som påverkade livskvaliteten.
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| 7. |
- Einarson, Susanne, et al.
(author)
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Muntorrhet hos äldre : Validering av ett instrument och samband med munhälsorelaterad livskvalitet
- 2004
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Reports (pop. science, debate, etc.)abstract
- Muntorrhet är ett folkhälsoproblem. Prevalensen ökar med stigande ålder, det vill säga med ökad sjukdomsprevalens och medicinering. Eftersom saliven är viktig för både ätande, tal, allmänt välbefinnande och immunförsvar, får muntorrhet en rad negativa effekter. Det är därför angeläget att diagnostisera muntorrhet, särskilt hos gruppen äldre, som är påtagligt sårbar för undernäring och oral sjukdomsutveckling. För deta ändamål skulle ett instrument, som är oberoende av klinisk mätning av salivsekretion, det vill säga ett frågeformulär, vara värdefullt för vård- och omsorgspersonal. Nyligen presenterades ett nytt Visual Analogue Scale (VAS)-instrument, som visat sig ha reliabilitet och validitet i en grupp av 36 friska individer (18-77 år) med farmakologiskt framkallad muntorrhet.
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| 8. |
- Einarson, Susanne, 1958-, et al.
(author)
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Muntorrhet och munhälsorelaterad livskvalitet hos äldre
- 2007
-
Conference paper (other academic/artistic)abstract
- Objective: The aim of the present study was to evaluate the impact of dry mouth conditions on oral health-related quality of life in frail old people, residents at community care centers. Further, reliability and validity of a visual analogue scale (VAS) for dry mouth symptoms were determined within the study cohort.Background: In old people functional, social and psychological impacts of oral conditions are associated with an overall sense of well being and general health. Subjective dry mouth and reduced saliva flow are common disorders in old people caused by disease and medication. Thus, dry mouth conditions may be determinants for compromised oral health-related quality of life in old people.Method: In total, 50 people living at service homes for the old people were asked to answer qustionnaires on subjective dry mouth (VAS) and Oral Health Impact Profile (OHIP-14) for oal health-related quality of life. Saliva flow was estimated by absorbing saliva into a pre-weighed cotton roll.Results: The final study cohort comprised 41 old people (aged 83-91 years). Significant associations were identified between both objective and subjective dry mouth and overall or specific aspects of oral health-related quality of life.Conclusion: Dry mouth (objective and subjective) is significantly associated with oral health-related quality of life strengthening the value of monitoring dry mouth conditions in the care of frail old people.
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| 9. |
- einarson, susanne, 1958-, et al.
(author)
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Oral health impact on quality of life in an adult Swedish population
- 2010
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Conference paper (peer-reviewed)abstract
- Objectives: Quality of life is an expression with many meanings and it creates positive associations for most people. Oral health has a major impact on general quality of life. The aim of this study was to describe oral health-related quality of life measured with Oral Health Impact profile with 14 questions (OHIP-14) in an Swedish adult population. Methods: This is an epidemiological study and it comprised a stratified random sample of 260 men and 259 women, 20-80 years of age. The OHIP-14 questionnaire was used. Results: Twenty-one percent of the respondents stated that they had no oral problems that were negative related to their well-being, and 79% had some form of problem related to quality of life. The mean value for the entire population was 6.4 (SD=7.1). Of the individuals who stated that they had oral problems, the majority were among women aged 20-yearsInternal reliability of the OHIP scale showed good internal consistency with a Cronbach alpha coefficient of 0.90. Conclusions: In this Swedish population, a number of individuals, young and old, experienced oral problems that had a negative impact on their well-being.
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| 10. |
- Einarson, Susanne, 1958-, et al.
(author)
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Oral health impact on quality of life in an adult Swedish population
- 2009
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In: ACTA ODONTOLOGICA SCANDINAVICA. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 67:2, s. 85-93
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Journal article (peer-reviewed)abstract
- Objectives. Oral health has a major impact on general quality of life. The aspects of oral health that are most important for each individual vary, and quality of life is a construct and not a measurable variable. The aim of this study was to describe the impact of oral health on quality of life in an adult Swedish population. Material and methods. The study comprised a stratified random sample of 519 individuals. The OHIP-14 questionnaire was used and the answers were rated on a scale of 0-4. Results. Twenty-one percent of the respondents stated that they had no oral problems related to well-being, and 79% had some form of problem related to quality of life. The mean value for the entire population was 6.4 (SD = 7.1); 5.9 (SD = 7.1) for men and 6.8 (SD = 7.2) for women. Of individuals who stated that they had oral problems, the majority were women aged 20 years. Nineteen percent of 30-year-old men and 53% of 70-year-old women stated that they had had problems that had made life less satisfactory. Individuals who frequently experienced problems related to oral health, with scores of 16-41 points, accounted for 10%. Conclusion. In this Swedish population, a number of individuals, young and old, experienced oral problems that had an impact on their well-being.
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