Abstract:
OBJECTIVES:Type 2 diabetes mellitus (T2DM) and periodontal disease are two highly prevalent, directly and independently associated long-term conditions that disproportionately impact Indigenous Māori in New Zealand (NZ). Although poorly understood, a number of social and biological mechanisms connect these conditions. This qualitative study explored experiences of T2DM and oral and dental (hereafter oral/dental) health; access to oral/dental health care; whether participants' experiences supported or challenged existing evidence; and sought suggestions for improving oral/dental health in a high-deprivation rural area of Northland, NZ. METHODS:Participants (n = 33) meeting the study criteria: self-identified Māori ethnicity, aged ≥ 18-years with glycated haemoglobin (HBA1c) >65 mmol/L were recruited via the local primary care clinic in September-December 2015; two left the study prior to data collection. During face-to-face semi-structured interviews, participants (n = 31) were asked How does diabetes affect your teeth? and When did you last access dental care? Kaupapa Māori (KM) theory and methodology provided an important decolonizing lens to critically analyse the fundamental causes of Indigenous health inequities. RESULTS:Independent analysis of qualitative data by three KM researchers identified four themes: access barriers to quality care; pathways to edentulism; the 'cost' of edentulism; and, unmet need. Results contributed towards informing Mana Tū-an evidence-based KM programme for diabetes in primary care-to be introduced in this and other communities from 2018. CONCLUSIONS:Oral health is integral to diabetes management, and vice versa. Subsidized specialist referrals for oral-dental health care for Māori with T2DM could improve glycaemic control and diabetes outcomes and reduce diabetes-related complications among this population.
journal_name
Community Dent Oral Epidemioljournal_title
Community dentistry and oral epidemiologyauthors
Reid J,Koopu P,Burkhardt N,Stewart T,Anderson A,Harwood Mdoi
10.1111/cdoe.12501subject
Has Abstractpub_date
2020-04-01 00:00:00pages
101-108issue
2eissn
0301-5661issn
1600-0528journal_volume
48pub_type
杂志文章abstract::The objective of this paper is to review recent research and developments with respect to the atraumatic restorative treatment (ART) approach and to outline future areas of research and development. Areas identified as requiring further investigation include the evaluation of: ART restorations for longer than 3 years ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章,评审
doi:10.1111/j.1600-0528.1999.tb02047.x
更新日期:1999-12-01 00:00:00
abstract::Service provision patterns may be influenced not only by clinical oral health status leading to a diagnosis and treatment plan, but also by other variables such as patient characteristics. The main aim of this study was to investigate whether associations between services provided and patient factors would persist aft...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1034/j.1600-0528.2000.280309.x
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVES:Although adolescence is a sensitive developmental period in oral health, the social equalization hypothesis that suggests health inequalities attenuate in adolescence has not been examined. This study analyses whether the socioeconomic gap and ethnic disadvantage in oral health among children aged 5 reduces ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12390
更新日期:2018-10-01 00:00:00
abstract::Individualizing and extending recall intervals for children have been recommended in Norway to target resources efficiently. Recall intervals were changed for children aged 3-18 years in Drammen from 1991. Clinical time spent by dentists and dental hygienists, dental health status and length of recall intervals were r...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1995.tb00189.x
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVES:Patient satisfaction and dissatisfaction are critical dimensions leading to favorable or unfavorable treatment outcomes. Although impacted third molar (ITM) surgery is one of the most common dental surgical procedures, it is a challenging operation because of numerous potential complications and patients gen...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2010.00532.x
更新日期:2010-06-01 00:00:00
abstract::The achievement of an adequate oral hygiene status in large groups of people remains an unfulfilled objective of the dental profession. In this study an attempt was made to motivate 180 pregnant women by showing them a tape-slide program. The subjects were randomly allocated into four statistically equal experimental ...
journal_title:Community dentistry and oral epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1600-0528.1977.tb01632.x
更新日期:1977-07-01 00:00:00
abstract:UNLABELLED:There are concerns that the consumption of unfluoridated bottled and tank water may put children at increased risk of developing caries. OBJECTIVES:The aim of this study was to investigate the relationship between nonpublic water consumption (either from bottles or rainwater tanks) and socioeconomic status ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2004.00167.x
更新日期:2004-08-01 00:00:00
abstract::4505 Swedish children aged 4-11 yr were surveyed regarding dental behavior management problems (BMP) and dental health. Dental charts were retrieved from clinics in the Public Dental Service in Göteborg, and data were then compiled regarding BMP, action against BMP, caries, fillings, use of local anesthetics, and numb...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1994.tb01841.x
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVES:Several studies have focused on the timing of fluoride intake relative to the development of dental fluorosis. This study reports the relationships of fluoride intake during the first 48 months of life with fluorosis on early-erupting permanent teeth. METHODS:Subjects were followed from birth to 48 months w...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2006.00281.x
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:This research aims to assess the test-retest reliability, the face, content and known groups validity, and responsiveness to change, of OHIP-TMDs, a 22-item TMDs-specific version of the Oral Health Impact Profile (OHIP). METHODS:Test-retest reliability - A group of patients with TMDs (n = 20) was administer...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12171
更新日期:2015-10-01 00:00:00
abstract::The purpose of this paper is to review the concepts of risk as we use them today in dental public health practice, and to suggest that we should broaden our view of risk. Use of terms like risk factor in the literature can be quite vague, and it is recommended that a clear definition of that and related terms be adher...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2005.00231.x
更新日期:2005-08-01 00:00:00
abstract::The first-year consequences of national dental insurance, introduced in Sweden in 1974, are examined here from the point of view of social justice. The concept of equity of access in medical care is discussed. In a local survey, a comparison is made between use of dental services in 1972, 1973, and 1974. The results i...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1976.tb00987.x
更新日期:1976-11-01 00:00:00
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
更新日期:1984-04-01 00:00:00
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
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVES:To explore the impact of developmental defects of enamel (DDE) on young people, through their experiences of the condition and it's meaning to their everyday lives. METHODS:The theoretical framework chosen to guide the study was symbolic interactionism. Qualitative interviews with a purposive sample of peop...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2008.00453.x
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVES:The aim of this study is to determine the level of engagement among dentists, and subsequently, to investigate which dental job resources are positively correlated with engagement. METHODS:By stratifying on gender, age, and region, a representative sample of 848 general dental practitioners was drawn at ran...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2007.00350.x
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVES:To test the hypothesis that parental factors in early childhood influence approximal caries experience in young adults. METHODS:A cohort of 494 individuals was followed longitudinally from 1 to 20 years of age. Data were retrieved from parental interviews and questionnaires when the child was 1 and 3 years ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12421
更新日期:2019-02-01 00:00:00
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
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:To describe the 'Caries Assessment Spectrum and Treatment' (CAST) instrument, its origin and content, and to provide an example of how results can be reported. METHODS:The CAST instrument covers the complete range of stages of carious lesion progression: from no carious lesion, through caries protection (se...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12027
更新日期:2013-02-01 00:00:00
abstract::The purpose of the present study was to obtain up-to-date information on periodontal disease and oral hygiene status in Israel among 9th to 12th grade non-blind students and among the inmates of six schools for the blind aged 14--17 years. 460 sighted and 434 blind students participated in the study. The examination w...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1979.tb01247.x
更新日期:1979-01-01 00:00:00
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
更新日期:2010-10-01 00:00:00
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
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVES:To examine the association of family factors on oral health behaviors of children and compare them between permanent residents and migrant children. METHODS:A total of 3015 children in grades 4, 5, and 6 from 16 elementary schools and their parents in Beijing and Guangzhou, China, were selected through mult...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12194
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To investigate the association between socioeconomic position and periodontal diseases among adolescents. METHODS:Data were obtained from 9203 Chilean high school students. Clinical examinations included direct recordings of clinical attachment level and the necrotizing ulcerative gingival lesions. Students ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2006.00271.x
更新日期:2006-06-01 00:00:00
abstract::The aim of the study was to analyze whether perceived bruxism was associated with stress experience, age, gender, work role, and occupational health care use among a nonpatient multiprofessional population. Altogether, 1784 (age 30-55 years) employees of the Finnish Broadcasting Company were mailed a self-administered...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1034/j.1600-0528.2002.00007.x
更新日期:2002-12-01 00:00:00
abstract::The political nature of fluoridation is due in part to public misconceptions about its purpose, and about its efficacy and practicality in preventing tooth decay as compared with other preventive practices. This paper describes a public opinion survey conducted in Portland, Oregon in May 1980, immediately following a ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1983.tb01881.x
更新日期:1983-08-01 00:00:00
abstract:OBJECTIVE:To compare patient attendance rates 1 year before and after the introduction of free primary dental health services in Soweto, South Africa. METHODS:Monthly clinic records for clinic attendance, both casual and booked, and number of dental operators were recorded 1 year either side of April 1996. RESULTS:Pa...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1034/j.1600-0528.2003.00006.x
更新日期:2003-04-01 00:00:00
abstract::Of a random sample of dentists in Norway (n = 741), 83% responded to a questionnaire about their use of radiographs in and their opinions and knowledge about the diagnosis of approximal caries. There was great disparity in criteria for initiation of restorative treatment of approximal caries based on radiographic appe...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1985.tb00414.x
更新日期:1985-02-01 00:00:00
abstract:OBJECTIVES:To investigate ethnic-specific deprivation gradients in early childhood dental caries experience considering different domains of deprivation. METHODS:We used cross-sectional near whole population-level data on 318 321 four-year-olds attending the "B4 School check," a national health and development check i...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12364
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:Oral health is an important part of general health and well-being. Health behaviours may change throughout a person's life, but the stage from childhood to adolescence is critical because influences from peers increase while those from parents and other family members decrease. The objective of this study was...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12475
更新日期:2019-10-01 00:00:00