Targeting in a population health approach.

Abstract:

UNLABELLED:There are two well described methods to improving health: an individual risk assessment approach and a whole population approach. OBJECTIVES:This study explores the limitations of the individual approach to public health, and the success and limitations of the population approach. METHODS:A theoretical approach with examples from general and oral health will be used. RESULTS:However although the population approach can reduce the mean prevalence of a condition within the population it can also increase health disparities. Some groups gain disproportionally more from a population intervention and vulnerable population groups disproportionally less leading to an unjust situation. These disparities are the result of social circumstances. CONCLUSIONS:Additional strategies targeted to vulnerable groups are therefore necessary to complement the population approach to reduce such disparities. Examples of strategies which could be used in targeting vulnerable groups will be outlined.

authors

Roberts-Thomson K

doi

10.1111/j.1600-0528.2012.00715.x

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

22-7

eissn

0301-5661

issn

1600-0528

journal_volume

40 Suppl 2

pub_type

杂志文章
  • Caries in permanent dentition and social class of children participating in public dental care in fluoridated and nonfluoridated areas.

    abstract::A random sample of 7-16-year-old children (n = 2778) who visited municipal dental clinics in fluoridated and non fluoridated areas were studied. Structured questionnaires were used to collect data on social class and fluoride exposure; caries diagnoses were made by local dentists in municipal dental clinics. Children ...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1981.tb00348.x

    authors: Hausen H,Heinonen OP,Paunio I

    更新日期:1981-12-01 00:00:00

  • How is oral health education conducted in Finnish health centers?

    abstract::The oral health education (OHE) given in Finnish health centers is mostly implemented by dental assistants and hygienists. However, there is no exact information concerning the distribution of OHE work and the working methods among individual health educators. The aims of this study were to assess 1) the time used for...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1995.tb00213.x

    authors: Laiho M,Honkala E,Kannas L

    更新日期:1995-04-01 00:00:00

  • Multifactorial modeling for root caries prediction.

    abstract::The study was part of a series of investigations aiming at the development of diagnostic caries tests for screening of risk subjects. The material consisted of 100 adult subjects (mean 62 yr, range 47-79 yr), 50 of these under chronic medication. The series of tests included two chairside registrations, i.e. incipient...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1992.tb00670.x

    authors: Scheinin A,Pienihäkkinen K,Tiekso J,Holmberg S

    更新日期:1992-02-01 00:00:00

  • Patient dental values and their relationship to oral health status, dentist perceptions and quality of care.

    abstract::In this study, 1287 patients completed a questionnaire assessing knowledge of home care procedures, adherence to home care instructions, obstacles presented to the dentist in delivering care, and ability to pay for optimal care. Ninety-seven dentists that provided treatment for these patients completed a parallel ques...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1979.tb01199.x

    authors: Weinstein P,Milgrom P,Ratener P,Morrison K

    更新日期:1979-06-01 00:00:00

  • General oral status in adults with rheumatoid arthritis.

    abstract::The oral status of an adult population of 204 patients with rheumatoid arthritis (RA) was compared with that of an age and sex-matched random sample of non-rheumatic subjects. The percentage of edentulous subjects, number of existing teeth in dentate subjects, prevalence, and quality of fixed and removable prostheses ...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1989.tb00622.x

    authors: Laurell L,Hugoson A,Håkansson J,Pettersson B,Sjöström L,Berglöf FE,Berglöf K

    更新日期:1989-10-01 00:00:00

  • Patient involvement in oral hygiene cooperation: a factor analytic study.

    abstract::In a previous study the concept "patient involvement" was found to be strongly predictive of therapy outcome. On the basis of a questionnaire concerning patients' background and motivation, 82 patients were interviewed before treatment. To cover the concept "patient involvement" 16 variables were considered as relevan...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1986.tb01490.x

    authors: Camner L,Sandell R,Söder PO

    更新日期:1986-02-01 00:00:00

  • Study design to reduce biases in estimating the percentage of carious lesions that do not progress within a time period.

    abstract::Much of the available information on the rate of caries progression comes from studies in which two examinations have been done and the percentage of lesions that do not progress from a carious state between the examinations recorded. Extrapolation from this type of study is subject to two offsetting biases. On the on...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1984.tb01422.x

    authors: Shwartz M,Pliskin JS,Gröndahl HG,Boffa J

    更新日期:1984-04-01 00:00:00

  • Factors associated with parents' and adolescents' perceptions of oral health and need for dental treatment.

    abstract:OBJECTIVE:The aim of this study was to characterize the association between clinical and psychosocial factors as they related to perceptions by parents and adolescents to the adolescent's oral health status and treatment need. Additionally, the degree to which adolescent's and parent's perceptions of oral health and tr...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.2006.00336.x

    authors: Weyant RJ,Manz M,Corby P,Rustveld L,Close J

    更新日期:2007-10-01 00:00:00

  • Clustering patterns of oral and general health-risk behaviours in Brazilian adolescents: Findings from a national survey.

    abstract:OBJECTIVES:To evaluate how oral and general health-risk behaviours cluster among Brazilian adolescents. METHODS:The study comprised a total of 109 104 adolescents (52.2% female) participating in the Brazilian National School-based Student Health Survey (PeNSE). Seventeen behaviours (including diet; oral and hand hygie...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/cdoe.12354

    authors: Jordão LMR,Malta DC,Freire MDCM

    更新日期:2018-04-01 00:00:00

  • Exposure to dental amalgam restorations in pregnant women.

    abstract:OBJECTIVES:The Norwegian Mother and Child Cohort Study (MoBa) started in 1999 to identify environmental factors that could be involved in mechanisms leading to disease. Questions have been raised about potential risks to the fetus from prenatal exposure to mercury from amalgam fillings in pregnant women. The aim of the...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.2010.00544.x

    authors: Lygre GB,Björkman L,Haug K,Skjaerven R,Helland V

    更新日期:2010-10-01 00:00:00

  • Assessment of denture satisfaction.

    abstract::The aim of this investigation was to evaluate the reliability and validity of a complaints questionnaire, designed to measure different aspects of denture satisfaction. Two groups of patients with full maxillary and mandibular dentures participated in the study. The patients in Group 1 (n = 113) were on a waiting list...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1988.tb00583.x

    authors: Vervoorn JM,Duinkerke AS,Luteijn F,van de Poel AC

    更新日期:1988-12-01 00:00:00

  • Multivariate analyses of patient financial systems and oral health-related quality of life.

    abstract:OBJECTIVES:Since 1999, the public dental health service (PDHS) in the county of Värmland, Sweden, has two co-existing patient financial systems, i.e. ways for the patient to pay for dental care services. Alongside the traditional system of fee-for-service payment, i.e. paying afterwards for provided services, a new sys...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.2010.00546.x

    authors: Johansson V,Axtelius B,Söderfeldt B,Sampogna F,Paulander J,Sondell K

    更新日期:2010-10-01 00:00:00

  • The impact of smoking on marginal bone loss in a 10-year prospective longitudinal study.

    abstract:OBJECTIVES:The aim of this epidemiologic study was to determine the impact of smoking on marginal bone loss in a subsample derived from an original randomly selected adult sample, after adjusting for oral and general factors. METHODS:The number of participants at baseline in this 10-year longitudinal study was 616 (me...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/cdoe.12260

    authors: Bahrami G,Vaeth M,Kirkevang LL,Wenzel A,Isidor F

    更新日期:2017-02-01 00:00:00

  • Four-year incidence and predictors of coronal caries in south Brazilian elderly.

    abstract:OBJECTIVES:To determine the incidence and predictors of coronal caries among community-dwelling elderly in a southern Brazilian city. METHODS:A cohort study was conducted using a simple random sample of persons aged 60 years or older in Carlos Barbosa city, southern Brazil. Interviews and oral examinations were conduc...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/cdoe.12170

    authors: De Marchi RJ,Dos Santos CM,Martins AB,Hugo FN,Hilgert JB,Padilha DM

    更新日期:2015-10-01 00:00:00

  • Patients' expectations of an ideal dentist and their views concerning the dentist they visited: do the views conform to the expectations and what determines how well they conform?

    abstract::A convenience sample of patients (n = 271) from community health centres and private clinics in different parts of Finland were recruited for this study through their dental clinic. Equal numbers of regular and irregular clients were invited to participate. Before the treatment procedure, each patient filled out a que...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1996.tb00852.x

    authors: Lahti S,Tuutti H,Hausen H,Käärlänen R

    更新日期:1996-08-01 00:00:00

  • Inter-examiner reliability in the clinical examination of temporomandibular disorders: influence of age.

    abstract:OBJECTIVE:The aim of this study was to investigate the influence of the age of the subject on inter-examiner reliability of the clinical signs of temporomandibular disorder (TMD). METHODS:Forty-three elderly (ES) and 44 younger adults (YS) were selected. The female/male distribution was almost the same in the two grou...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.2006.00250.x

    authors: Hassel AJ,Rammelsberg P,Schmitter M

    更新日期:2006-02-01 00:00:00

  • An investigation into the use of a voice operated data input system.

    abstract::The aim of this study was to evaluate a voice operated data collection system intended for use in epidemiological surveys. Three groups of 45 adolescents, with similar caries experience, were examined by one examiner in schools. The caries data resulting from these examinations were collected in three ways; keyboard a...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1993.tb00713.x

    authors: Hawley GM,Hamilton FA,Worthington HV

    更新日期:1993-02-01 00:00:00

  • Measuring the short-term impact of fluoridation cessation on dental caries in Grade 2 children using tooth surface indices.

    abstract:OBJECTIVES:To examine the short-term impact of fluoridation cessation on children's caries experience measured by tooth surfaces. If there is an adverse short-term effect of cessation, it should be apparent when we focus on smooth tooth surfaces, where fluoride is most likely to have an impact for the age group and tim...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/cdoe.12215

    authors: McLaren L,Patterson S,Thawer S,Faris P,McNeil D,Potestio M,Shwart L

    更新日期:2016-06-01 00:00:00

  • Dental caries in schoolchildren in some Danish communities with and without school dental service.

    abstract::The purpose of the investigation was to compare the caries prevalence (DMF-T) among 762 7th grade children, of whom one-half had never received school dental care. The children were grouped according to social status in order to see if there was any difference in the caries prevalence between the social groups. The ca...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1975.tb00315.x

    authors: Holst D

    更新日期:1975-09-01 00:00:00

  • Dental erosion in children and adolescents--a cross-sectional and longitudinal investigation using study models.

    abstract:OBJECTIVE:To investigate the prevalence and incidence of dental erosion in children and adolescents. METHODS:Lesions were registered for all tooth surfaces of primary and permanent teeth using pre-orthodontic study models. A total of 1,000 individuals (mean age 11.4+/-3.3 years) were included; 265 of them were followe...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1034/j.1600-0528.2001.290405.x

    authors: Ganss C,Klimek J,Giese K

    更新日期:2001-08-01 00:00:00

  • Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly.

    abstract:OBJECTIVES:This paper compares the performance of the GOHAI and the OHIP-14 as measures of the oral health-related quality of life of the compromised elderly. METHODS:Data were obtained from a cross-sectional survey of 225 participants, most of whom lived in a large geriatric care centre. RESULTS:The mean age of subj...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1034/j.1600-0528.2001.290507.x

    authors: Locker D,Matear D,Stephens M,Lawrence H,Payne B

    更新日期:2001-10-01 00:00:00

  • Task division between dentists and dental hygienists in Norway.

    abstract:OBJECTIVE:The aim of the study was to investigate the attitudes among dentists and dental hygienists to the policy objective in Norway of delegating more dental work from dentists to dental hygienists. METHOD:A questionnaire was mailed to a random sample of 1111 dentists and 268 dental hygienists in 2005. The response...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.2008.00426.x

    authors: Abelsen B,Olsen JA

    更新日期:2008-12-01 00:00:00

  • Comparing human resource planning models in dentistry: A case study using Canadian Armed Forces dental clinics.

    abstract:OBJECTIVES:To compare two methods of allocating general dentists to Canadian Armed Forces (CAF) dental detachments: a dentist-to-population ratio model and a needs-based model. METHODS:Data obtained from CAF sources were analysed to compare models. Times assigned to treatment plan procedures were used as a proxy for t...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/cdoe.12277

    authors: Shaw JL,Farmer JW,Coyte PC,Lawrence HP

    更新日期:2017-06-01 00:00:00

  • Evaluation of oral health promotion in the workplace: the effects on dental care costs and frequency of dental visits.

    abstract:UNLABELLED:An oral health promotion program has been conducted since 1989 at a shipyard in Japan. AIMS:The purpose of the present study was to assess the impact of oral health promotion in the workplace in terms of dental care costs and frequency of dental visits. METHODS:This program consisted of orientation, an ini...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1034/j.1600-0528.2001.290307.x

    authors: Ide R,Mizoue T,Tsukiyama Y,Ikeda M,Yoshimura T

    更新日期:2001-06-01 00:00:00

  • Caries prevalence and severity in the primary dentition and Streptococcus mutans levels in the saliva of preschoolchildren in South Africa.

    abstract::The caries prevalence (dmft) and severity (css) in 3-, 4-, and 5-yr-old children in South Africa were examined. Four levels of S. mutans in the saliva of 228 of these children was estimated by the spatula method. In all three age groups a statistically higher dmft and css was found with a S. mutans level of greater th...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1988.tb01777.x

    authors: Chosack A,Cleaton-Jones P,Woods A,Matejka J

    更新日期:1988-10-01 00:00:00

  • Changes in dental caries and sugar intake before and during the conflict in Libya: A natural experiment.

    abstract:OBJECTIVES:The primary aim of this study was to investigate the impact of reduced sugar consumption on caries experience among 12-year-old Libyan schoolchildren during the Libyan conflict, in comparison to preconflict data collected in the same water-fluoridated setting from a similar age group. A further aim was to in...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/cdoe.12526

    authors: Arheiam AA,Harris RV,Baker SR

    更新日期:2020-06-01 00:00:00

  • Dental associations with blood mercury in pregnant women.

    abstract:OBJECTIVES:There is curiosity concerning the source of mercury that is absorbed into the mother's blood and which may affect the developing fetus. This study therefore sets out to determine the extent to which dental amalgam (DA) may contribute to total blood mercury (TBHg) levels of pregnant women in the UK. METHODS:...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/cdoe.12208

    authors: Golding J,Steer CD,Gregory S,Lowery T,Hibbeln JR,Taylor CM

    更新日期:2016-06-01 00:00:00

  • Orthodontic treatment priorities in the Danish Child Dental Health Services.

    abstract::In 1980, the population of Danish schoolchildren in grade 9 formed the first cohort which, throughout all school grades, had been covered by the Child Dental Health Services, including free orthodontic care. National statistics on prevalence of malocclusion for this cohort of about 60 000 children in grades 3, 6, and ...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0528.1982.tb00390.x

    authors: Helm S

    更新日期:1982-10-01 00:00:00

  • The fluoride content of foods and beverages from negligibly and optimally fluoridated communities.

    abstract::In the spring of 1996, foods and beverages most commonly consumed by adolescents were analyzed for fluoride as part of a larger investigation. These foods were selected by interviewing 711 adolescents, 12-14 years of age, who were long-time residents of either an optimally or negligibly fluoridated community. The bran...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1034/j.1600-0528.2002.00002.x

    authors: Jackson RD,Brizendine EJ,Kelly SA,Hinesley R,Stookey GK,Dunipace AJ

    更新日期:2002-10-01 00:00:00

  • An oral epidemiological comparison of Chinese and New Zealand adults in 2 key age groups.

    abstract:OBJECTIVES:To use recent national survey data to compare dentition status and oral diseases in China and New Zealand (NZ), with a particular focus on differences by sex and education level. METHODS:We undertook secondary analysis of representative data from oral health surveys conducted in 2009 in Sichuan (China) and ...

    journal_title:Community dentistry and oral epidemiology

    pub_type: 杂志文章

    doi:10.1111/cdoe.12348

    authors: He S,Thomson WM

    更新日期:2018-04-01 00:00:00