General health, wellbeing and oral health of patients older than 75 years attending health assessments

2018 ◽  
Vol 24 (2) ◽  
pp. 177 ◽  
Author(s):  
Dominic Keuskamp ◽  
Najith Amarasena ◽  
Madhan Balasubramanian ◽  
David S. Brennan
Keyword(s):  
Oral Health ◽  
General Health ◽  
Health Assessment ◽  
South Australia ◽  
Study Data ◽  
Community Dwelling ◽  
Oral Disease ◽  
Nutritional Risk ◽  
Health Assessments ◽  
General Practices

Annual health assessments by general practices for community-dwelling people aged 75 years and over are important for the early intervention and monitoring of chronic health conditions, including oral disease. Uptake of the health assessment to date has been poor, and little is known of the general and oral health profile of patients. Older patients attending health assessments at general practices in South Australia were sampled for this study. Data on demographic and socioeconomic characteristics, and patients’ general and oral health, were collected by mailed questionnaire from 459 respondents. By comparison with national estimates, patients attending health assessments fared worse in many of the measures, such as self-rated general health, quality of life and the prevalence of most chronic conditions, as well as their socioeconomic circumstances. Also identified were a high degree of nutritional risk and clear need for oral health treatment, with poor self-rated oral health being three-fold higher than the national age-eligible population. Patients attending health assessments would likely benefit from nutritional screening (by a validated tool) and specific assessment of their oral health and dentition, supported by appropriate referral or intervention.

scholarly journals Factors related to poor self-perceived oral health among community-dwelling elderly individuals in São Paulo, Brazil

2012 ◽  
Vol 28 (10) ◽  
pp. 1965-1975 ◽  
Author(s):  
Fabiola Bof de Andrade ◽  
Maria Lúcia Lebrão ◽  
Jair Lício Ferreira Santos ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Doralice Severo da Cruz Teixeira
Keyword(s):  
Oral Health ◽  
General Health ◽  
Dental Treatment ◽  
Health Assessment ◽  
Sao Paulo ◽  
Community Dwelling ◽  
São Paulo ◽  
Assessment Index ◽  
Elderly Individuals

The present study investigated the prevalence of poor self-perceived oral health and its association with oral health, general health and socioeconomic factors among elderly individuals from São Paulo, Brazil. The sample consisted of 871 elderly individuals enrolled in the Health, Wellbeing and Aging cohort study. Self-perceived oral health was measured by the question: "How would you rate your oral health?". Most subjects self-rated their oral health as good. Among dentate individuals, poor oral health was related to depression, poor self-rated health, dental treatment, dental checkups and the psychosocial subscale scores of the Geriatric Oral Health Assessment Index. Edentulous individuals were more likely to report poor oral health, whereas those with higher psychosocial scores were less likely to report poor self-rated oral health. Poor self-rated oral health is associated with general health factors and the psychosocial impact of oral health on quality of life, regardless of socioeconomic and clinical health measures.

Teamwork in Prevention: Possibilities and Barriers to Integrating Oral Health Into General Health

1995 ◽  
Vol 9 (2) ◽  
pp. 100-105 ◽  
Author(s):  
R.E. Nowjack-Raymer
Keyword(s):  
Oral Health ◽  
Health Professionals ◽  
General Health ◽  
Interdisciplinary Teams ◽  
Team Development ◽  
Oral Disease ◽  
Collaborative Teams ◽  
Knowledge And Skills ◽  
Primary Health ◽  
Successful Team

While the term "teamwork" has been used in preventive dentistry for decades, little work has been done in the area of integrating oral health into general health via participation in primary health care or interdisciplinary teams. Oral health professionals must be prepared at the pre-professional and professional levels with the knowledge and skills required to become effective members and leaders of collaborative teams. This paper describes guiding principles for successful team development that are derived from the experience of other disciplines. As oral health professionals take a more active part in interdisciplinary collaborative teams, they must be prepared for roles beyond that of clinician. Five additional roles and examples of their importance to the prevention of oral disease and conditions are discussed.

Evaluating the use of Enhanced Primary Care Health Assessments by general practices in north Queensland

2010 ◽  
Vol 16 (3) ◽  
pp. 221 ◽  
Author(s):  
Tracy Cheffins ◽  
Margaret Spillman ◽  
Clare Heal ◽  
Debbie Kimber ◽  
Maureen Brittain ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Assessment ◽  
Occult Blood ◽  
Faecal Occult Blood Test ◽  
Research Network ◽  
Screening Tests ◽  
Practice Nurses ◽  
The North ◽  
Health Assessments ◽  
General Practices

The Enhanced Primary Care (EPC) program funds GPs to provide preventative health assessments through a specific set of Medicare item numbers. The study aimed to show whether patients completing these health assessments had better recorded screening rates than those receiving usual care. A retrospective clinical record audit was undertaken in north Queensland general practices by practice nurses from the North Queensland Practice Based Research Network. Comparisons were made between the recorded screening test rates for patients who completed an over-75-years health assessment with those who did not. A questionnaire was also completed by practice nurses and practice principals. Screening tests were recorded more frequently in patients with a completed health assessment: notably urinalysis, visual acuity and faecal occult blood test/colonoscopy. Blood pressure was the most frequently recorded test with or without a health assessment. The questionnaires provided useful information on how health assessments are implemented and whether GPs believe they are useful.

scholarly journals Impact of Poor Oral Health on Community-Dwelling Seniors: A Scoping Review

2021 ◽  
Vol 14 ◽  
pp. 117863292198973
Author(s):  
Rana Badewy ◽  
Harkirat Singh ◽  
Carlos Quiñonez ◽  
Sonica Singhal
Keyword(s):  
Oral Health ◽  
Health Outcomes ◽  
Scoping Review ◽  
General Health ◽  
Population Group ◽  
Healthcare Services ◽  
Community Dwelling ◽  
Oral Diseases ◽  
Poor General Health ◽  
Mesh Terms

The aim of this scoping review was to determine health-related impacts of poor oral health among community-dwelling seniors. Using MeSH terms and keywords such as elderly, general health, geriatrics, 3 electronic databases—Medline, CINAHL, and Age Line were searched. Title and abstracts were independently screened by 3 reviewers, followed by full-texts review. A total of 131 articles met our inclusion criteria, the majority of these studies were prospective cohort (77%, n = 103), and conducted in Japan (42 %, n = 55). These studies were categorized into 16 general health outcomes, with mortality (24%, n = 34), and mental health disorders (21%, n = 30) being the most common outcomes linked with poor oral health. 90% (n = 120) of the included studies reported that poor oral health in seniors can subsequently lead to a higher risk of poor general health outcomes among this population. Improving access to oral healthcare services for elderly can help not only reduce the burden of oral diseases in this population group but also address the morbidity and mortality associated with other general health diseases and conditions caused due to poor oral health. Findings from this study can help identify shortcomings in existing oral healthcare programs for elderly and develop future programs and services to improve access and utilization of oral care services by elderly.

scholarly journals Poor self-rated oral health associated with poorer general health among Indigenous Australians

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiangqun Ju ◽  
Joanne Hedges ◽  
Gail Garvey ◽  
Megan Smith ◽  
Karen Canfell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
General Health ◽  
South Australia ◽  
Indigenous Australians ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Relationship

Abstract Background Oral diseases negatively impact general health, affecting physical, psychological, social and emotional wellbeing, and ability to give back to community. The relationship between poor oral health, and general health and wellbeing among Indigenous Australians has not been documented. Working in partnership with seven Indigenous communities in South Australia, this study aimed to: 1) quantify self-rated oral health and health-related quality of life and; 2) investigate associations between poor self-rated oral health and general health among Indigenous Australian adults. Methods Data was collected from a large convenience sample of Indigenous Australians aged 18+ years from Feb 2018 to Jan 2019. General health-related quality of life, as the main outcome variable, was measured by calculating disutility scores with the five individual EQ-5D dimensions (EuroQol instrument: EQ-5D-5L), then classified as ‘no problem’ and ‘at least one problem’. Self-reported oral health, as the main explanatory, was dichotomised into ‘fair or poor’ and ‘excellent, very good or good’. Multivariable log-Poisson regression models were used to estimate associations between poor self-rated oral health and general health by calculating mean rate ratios (MRR) for disutility scores and prevalence ratios (PR) for individual dimensions, after adjusting for social-demographic characteristics and health-related behaviours. Results Data were available for 1011 Indigenous South Australian adults. The prevalence of ‘fair or poor’ self-rated oral health was 33.5%. The mean utility score was 0.82 (95% CI: 0.81–0.83). Compared with those rating their oral health as ‘excellent or very good or good’, those who rated their oral health as ‘fair or poor’ had a mean disutility score that was 1.6 (95% CI: 1.1–2.2) times higher, and the prevalence of at least one problem ranged from 90 to 160% higher for individual EQ-5D dimensions. Conclusions Fair or poor self-rated oral health among Indigenous persons in South Australia was associated with poor general health as measured by EQ-5D-5L disutility. The relationship was especially evident with respect to mobility, self-care and anxiety/depression. The findings emphasise the importance of oral health as predictors of general health among Indigenous Australians.

scholarly journals Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults

2019 ◽  
Vol 20 (9) ◽  
pp. 1137-1142.e2 ◽  
Author(s):  
Johanna de Almeida Mello ◽  
Trung Dung Tran ◽  
Stefanie Krausch-Hofmann ◽  
Brigette Meehan ◽  
Hein van Hout ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
General Health ◽  
Community Dwelling ◽  
Cross Country ◽  
Community Dwelling Older Adults

scholarly journals Relationships between Geriatric Oral Health Assessment Index scores and general physical status in community-dwelling older adults

Gerodontology ◽  
2011 ◽  
Vol 29 (2) ◽  
pp. e998-e1004 ◽  
Author(s):  
Shingo Moriya ◽  
Kanchu Tei ◽  
Ayumi Murata ◽  
Masumi Muramatsu ◽  
Nobuo Inoue ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Health Assessment ◽  
Community Dwelling ◽  
Physical Status ◽  
Assessment Index ◽  
General Physical ◽  
Community Dwelling Older Adults

scholarly journals “What are we doing to our babies’ teeth?” Barriers to establishing oral health practices for Indigenous children in South Australia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Brianna Poirier ◽  
Joanne Hedges ◽  
Lisa Smithers ◽  
Megan Moskos ◽  
Lisa Jamieson
Keyword(s):  
Oral Health ◽  
South Australia ◽  
Nutrition Knowledge ◽  
Oral Disease ◽  
Future Research ◽  
Clinical Trial Registry ◽  
Oral Health Promotion ◽  
Health And Nutrition ◽  
Indigenous Children ◽  
Children In Care

Abstract Background During the 1970s, optimal oral health was experienced more frequently amongst Indigenous children in Australia than their non-Indigenous counterparts. As a result of public health interventions targeting oral disease, oral health has improved for most children; however, Indigenous children today experience oral disease at alarmingly high rates. A history of colonisation, assimilation, racism and cultural annihilation has had profound impacts on oral health for Indigenous peoples; compounded by environmental dispossession and a shift from traditional diets to one of processed and nutrient-poor foods, often high in sugar. Methods This project aimed to identify factors related to the increased occurrence of caries in Indigenous children. Using purposive sampling from the larger project, this paper thematically analyses 327 motivational interviews to explore current barriers impeding parental efforts to establish oral health and nutrition practices for Indigenous children. Representation of socioeconomic positions of families were compared across themes, as based on maternal age, employment, residency and number of children in care. Results Findings resulted in a conceptual model of barriers that exist across knowledge, social, structural and parental factors. Major thematic results include: social consumption of processed foods, busy households, misleading nutrition marketing, sugar cravings and lack of oral health and nutrition knowledge. Conclusion A discussion of the findings results in the following recommendations increased oral health promotion efforts in non-metropolitan areas; utilisation of community experiences in creating strategies that encourage oral health and nutrition knowledge; and the extension of oral health initiatives and future research to include all family members. Trial registration Australian New Zealand Clinical Trial Registry ACTRN12611000111976; registered 01/02/2011.

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