Socioeconomic differences in self-rated oral health and dental care utilisation after the dental care reform in 2008 in Sweden

Molarius, Anu; Engström, Sevek; Flink, Håkan; Simonsson, Bo G.; Tegelberg, Åke

doi:10.1186/1472-6831-14-134

Cited by 70 publications

(98 citation statements)

References 26 publications

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“…Nevertheless, these perceptions might correspond with the observation that individuals having refrained from dental treatment for financial reasons also reported poorer self-rated oral health [23]. However, in this sample the CA group had a shorter mean recall interval than the CI group which can be interpreted as no or very few of the participants had refrained from dental treatment for financial reasons [13], in spite the fact that they have answered that caries have been a problem for their economy.…”

Section: Discussionsupporting

confidence: 58%

Patient-reported negative experiences related to caries and its treatment among Swedish adult patients

et al. 2017

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BackgroundIt has been suggested that dental caries should be regarded as a chronic disease as many individuals repeatedly develop new caries lesions. How this is perceived by caries active patients is unclear. The aim of this study was to measure patient-reported attitudes and negative experiences related to caries and dental treatment.MethodsA questionnaire was mailed to 134 caries active (CA) and 40 caries inactive (CI) adult patients treated at a Swedish public dental service clinic. The questionnaire included items regarding patient-reported oral health; attitudes towards caries and efforts to prevent them; and negative experiences related to caries and dental treatment. Questionnaire data were supplemented with data on caries and caries prophylaxis from patients’ dental records. Exploratory factor analysis was conducted on items related to patients’ perceptions of problems to see whether scales could be created. Experiences, perceptions and dental records of CA and CI patients were compared.ResultsThe overall response rate was 69%. Dental records confirmed that CA patients had significantly more decayed teeth per year and a longer period of caries-active time than CI patients. Factor analysis resulted in 3 distinct scales measuring problems related to caries; 1) caries-related information; 2) negative experiences; and 3) negative treatment/staff attitudes. A fourth scale measuring perceived problems related to caries was also created. The CA group reported significantly more problems related to caries and dental treatment, received significantly more caries-related information, and reported significantly more negative treatment experiences compared to CI patients.ConclusionsCaries prophylaxis methods need to be improved in order to better meet the needs of caries active patients and to create a more positive experience with dental care.Electronic supplementary materialThe online version of this article (doi:10.1186/s12903-017-0384-3) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 58%

Patient-reported negative experiences related to caries and its treatment among Swedish adult patients

et al. 2017

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“…Although the low socioeconomic conditions are provenly associated with the negative oral health self-perception [6,8,13,14], in the present study, a significant association between income and negative self-perception did not occur, even with 69.9% of the individuals dissatisfied with the oral health received below two minimum wages. This lack of association may be related to the small sample size.…”

Section: Discussioncontrasting

confidence: 79%

“…While some studies agree with these findings indicating that the oldest individuals had a more negative oral health self-perception [12,13], other studies observe the contrary result. In a research performed with elderly aged from de 60 years, in which most (54.5%) of the participants were classified into low socioeconomic level, the oral health self-perception was considered as positive, even in low conditions of oral health.…”

Section: Discussionmentioning

confidence: 87%

“…Factors as low educational level, unemployment, long period since the last dental appointment, treatment requirements, lost teeth, dry mouth, and difficulty in eating are related to the negative self-perception [6,8,[12][13][14]. Other studies found that the positive oral health self-perception is associated with low ages, high income, higher educational level, low DMFT index and small time elapsed since the last appointment [4,11].…”

Section: Introductionmentioning

confidence: 97%

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Oral health self-perception among adults at a primary healthcare unit

Veras¹,

Dias-Pereira

Ferreira

2017

RSBO

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Introduction: Oral health self-perception is the individual assessment of the oral conditions. Objective: To evaluate the oral health selfperception of adults and the factors that influence this perception. Material and methods: A cross-sectional study was conducted at a primary healthcare unit in São Luís, Maranhão. Data were collected through the administration of a not validated questionnaire and a clinical examination at the dental office. The outcome was oral health self-perception and the independent variables were age, gender, ethnicity, marital status, schooling, monthly household income, dental treatment, the conclusion of treatment, last type of service used, toothache in the previous six months, untreated dental caries, missing teeth, the DMFT index, root caries and removable partial denture. Descriptive statistics and the chi-square tests were performed with a 5% level of significance. Results: The sample was composed by 129 adults aged 25 to 55 years. The female gender (80.6%), brown skin color (62.8%) and low income (55.8%) were the most prevalent independent variables. Ninety-three percent of the sample had undergone some type of dental treatment, but only 36.4% concluded treatment. Seventy-nine percent perceived their oral health as negative. No significant associations were found between a negative self-perception and the independent variables analyzed. Conclusion: Most of surveyed individuals had a negative self-perception of their oral health, however, the perception was not associated with any of the exploratory variables.

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“…This means the patients' costs for supportive and periodontal treatment over several years could be substantial and might discourage them from visiting dental care. A recent study reported that socio-economic differences in selfrated use of health and dental care did not improve after the 2008 dental care reform (34). In the present study, the break in the previous positive trend of decreasing prevalence of moderate ABL is very worrying and needs to be further investigated.…”

Section: Discussionmentioning

confidence: 52%

Trends over 30 years in the prevalence and severity of alveolar bone loss and the influence of smoking and socio‐economic factors – based on epidemiological surveys in Sweden 1983–2013

Edman

Öhrn

Nordström

et al. 2015

Int J Dental Hygiene

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ObjectiveEpidemiological studies of the prevalence of periodontitis over an extended time using the same methodology to investigate and classify periodontitis are sparse in the literature. Smoking and socio‐economic factors have been proven to increase the risk for periodontal disease. The objective of this study was to investigate 30‐year time trends, using the same methodology to classify the prevalence and severity in alveolar bone loss (ABL) and to investigate the influence of tobacco and socio‐economic factors.MethodsFour cross‐sectional epidemiological studies in an adult population were performed in the county of Dalarna, Sweden, in 1983, 2003, 2008 and 2013. Random samples of 787–1133 individuals aged 35–85 who answered a questionnaire about tobacco use and socio‐economic factors were radiographically and clinically examined. A number of teeth, ABL and calculus visible on radiographs were registered. The severity of ABL as detected on radiographs was classified into no bone loss, moderate or severe.ResultsThe prevalence of moderate ABL decreased from 45% in 1983 to 16% in 2008, but increased to 33% in 2013 (P < 0.05). The prevalence of severe ABL remained the same from 1983 (7%) to 2013 (6%). Calculus visible on radiographs increased from 22% in 2008 to 32% in 2013 (P < 0.05). Socio‐economic factors had limited impact on the severity of ABL.ConclusionModerate ABL and calculus visible on radiographs significantly increased between 2008 and 2013. Smoking was the strongest factor associated with ABL overall.

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Socioeconomic differences in self-rated oral health and dental care utilisation after the dental care reform in 2008 in Sweden

Cited by 70 publications

References 26 publications

Patient-reported negative experiences related to caries and its treatment among Swedish adult patients

Patient-reported negative experiences related to caries and its treatment among Swedish adult patients

Oral health self-perception among adults at a primary healthcare unit

Trends over 30 years in the prevalence and severity of alveolar bone loss and the influence of smoking and socio‐economic factors – based on epidemiological surveys in Sweden 1983–2013

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