Intimate partner violence screening in the dental setting

Parish, Carrigan; Pereyra, Margaret; Abel, Stephen; Siegel, Karolynn; Pollack, Harold A.; Metsch, Lisa R.

doi:10.1016/j.adaj.2017.09.003

Cited by 19 publications

(43 citation statements)

References 59 publications

(64 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A study by Parish and colleagues revealed that few dentists reported screening for interpersonal violence and felt as though it should not be a part of their professional roles. 18 Similar results have been reported among dentists regarding discussions about human papillomavirus. 19 In a study of conducted at University of Iowa College of Dentistry, 96% of dental students reported patient resistance as a perceived barrier to provide tobacco interventions.…”

Section: Discussionsupporting

confidence: 76%

Dental students’ comfort discussing nutrition and obesity prevention with parents and caregivers

Smith¹,

Noorullah²,

Iqbal³

et al. 2021

Journal of Dental Education

View full text Add to dashboard Cite

Dentists can address childhood obesity by educating patients about mediating factors, such as nutrition and dietary habits, facilitating behavioral interventions, and participating in interprofessional collaborations. Dental schools are encouraged to prepare future dentists to address childhood obesity. The aim of this study was to assess dental students' attitudes, comfort, and perceived barriers discussing nutrition and obesity prevention with parents and caregivers of children aged 0-5, after a one-time service-learning experience in a pediatric primary care setting to promote oral health.Methods: Following conversations with parents and caregivers, students completed an 11-item survey via Qualtrics.Results: Of 144 second-year dental students that participated in the servicelearning experience over 2 years, 101 participated in the survey for a response rate of 70.1%. Most students agreed that dentists' roles include discussing nutrition (98.0%) and obesity prevention (83.2%). During the service-learning experience, 78.2 percent of students discussed nutrition, and 5.0% discussed obesity prevention, with 3.0% and 22.8% of students reporting some level of discomfort with each topic, respectively. The most reported barriers for discussing both nutrition and obesity prevention were concern for "appearing judgmental" and "fear of offending clients." Mean comfort scores among students who reported barriers of "appearing judgmental" (p = < 0.0001) and "fear of offending clients" (p = 0.017) for nutrition discussions, and a "lack of parental acceptance of guidance" as a barrier for discussing obesity prevention (p = 0.016), suggest that those barriers were associated with less comfort. Conclusion: Dental students' perceived barriers to discussing nutrition and obesity prevention with parents and caregivers may negatively influence dental students' comfort.

show abstract

Section: Discussionsupporting

confidence: 76%

Dental students’ comfort discussing nutrition and obesity prevention with parents and caregivers

Smith¹,

Noorullah²,

Iqbal³

et al. 2021

Journal of Dental Education

View full text Add to dashboard Cite

show abstract

“…In several other settings (eg, dental clinics and barber shops), screening for common health problems outside the primary care office has been shown to improve outcomes. [17][18][19] Given that nearly one-third of all dermatology patients experience some form of mental health disorder, there is an opportunity for dermatologists to incorporate routine screening into clinical practice. 20 However, depression screening is infrequently performed during visits for skin diseases, such as acne and psoriasis, that are commonly associated with mental health comorbidities.…”

Section: Discussionmentioning

confidence: 99%

“…In several other settings (eg, dental clinics and barber shops), screening for common health problems outside the primary care office has been shown to improve outcomes. 17 , 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

Use of primary care services among patients with chronic skin disease seen by dermatologists

et al. 2021

View full text Add to dashboard Cite

Background: Skin diseases, such as psoriasis, hidradenitis suppurativa, acne, and alopecia areata, have increasingly been linked to systemic and mental health comorbidities, such as depression. Although identification and management of these comorbidities is typically a part of primary care, some patients might not have an established relationship with a primary care provider and may only be seeing their dermatologist. Objective: To examine the frequency with which dermatologists are the main contact within a health care system for patients with these chronic skin conditions. Methods: We performed a retrospective cohort study using Optum's deidentified Clinformatics Data Mart Database. The primary outcome was the proportion of patients who established care with a dermatologist and had no encounters with a primary care provider during the subsequent year after this dermatology encounter. Results: Across each of the skin diseases evaluated, 21.6%-31.2% of men and 16.9%-26.2% of women had no primary care visits in the subsequent year after establishing care with their dermatologist. Conclusion and Relevance: For many patients with chronic skin diseases, their dermatologist might be their only source of contact with the health care system. There may be an opportunity for dermatologists to improve the quality of care for our patients by screening for associated comorbidities.

show abstract

“…In summary, in this study, we have been able to identify for the first time the relationship between TMD to exposure to IPV in women. This is particularly important as it may indicate a potential screening opportunity for individuals who present with TMD to a dental physician to explore a history of abuse, a discussion which recent literature suggests currently happens infrequently in this setting [18]. There are several, simple approaches which can be integrated into daily dental practice such as the AVDR approach; asking about abuse, validating it is not the survivor's fault, documenting and referring appropriately [19].…”

Section: Discussionmentioning

confidence: 99%

“…There are several, simple approaches which can be integrated into daily dental practice such as the AVDR approach; asking about abuse, validating it is not the survivor's fault, documenting and referring appropriately [19]. These approaches have been shown to work effectively in dental settings putting minimal strain on clinicians [18]. Further work is still required in other cohorts to identify if this relationship persists elsewhere and further work is needed to explain the pathway behind this relationship.…”

Section: Discussionmentioning

confidence: 99%

Intimate partner violence and temporomandibular joint disorder

Chandan

Thomas

Bradbury‐Jones

et al. 2019

Journal of Dentistry

View full text Add to dashboard Cite

Objective: To assess the relationship between Intimate partner violence (IPV) (a highly prevalent form of domestic abuse) with the subsequent development of Temporomandibular joint disorder (TMD). Methods: A retrospective open cohort study using a UK primary care database was undertaken. 18,547 women exposed to IPV were matched by age to 74,188 unexposed women. Defined through clinical codes the outcome of interest was TMD, and adjusted incidence rates (aIRR) were used to describe the relationship after considering covariates of interest. Results: 94 individuals in the exposed group were clinically coded with TMD during the study period translating to an incidence rate (IR) or 1.59 per 1,000 person years. This was in comparison to 342 outcomes in the unexposed group (IR 1.21 per 1,000 person years). The unadjusted IRR was 1.31 (95% CI 1.04-1.65; p<0.020) and after adjustment for important covariates increased to 1.45 (95% CI 1.14-1.84; p<0.002). Conclusion: Our results suggest that the development of TMD may be associated with exposure to IPV in women. Clinical significance In the first cohort to do so, we have identified a moderate association between Intimate partner violence exposure and subsequent development of TMD. This highlights an opportunity for screening of abuse in individuals presenting with TMD.

show abstract

Intimate partner violence screening in the dental setting

Cited by 19 publications

References 59 publications

Dental students’ comfort discussing nutrition and obesity prevention with parents and caregivers

Dental students’ comfort discussing nutrition and obesity prevention with parents and caregivers

Use of primary care services among patients with chronic skin disease seen by dermatologists

Intimate partner violence and temporomandibular joint disorder

Contact Info

Product

Resources

About