Community dentistry and oral epidemiology
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Community Dent Oral Epidemiol · Oct 2009
Orofacial pain in young adults and associated childhood and adulthood factors: results of the population study, Wales, United Kingdom.
The aim of the study was to investigate the prevalence of orofacial pain (OFP) among young adults (30-31 years old) and to determine the effect of childhood and adulthood risk factors on the occurrence of OFP. ⋯ This study shows that OFP is frequently reported by young adults aged 30-31 and supports a multifactorial etiology with factors from many domains, including local mechanical factors, psychological and co-morbidities. However, none of the childhood factors considered in this study were associated with OFP in adulthood.
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Community Dent Oral Epidemiol · Aug 2009
Oral health disparities and food insecurity in working poor Canadians.
This study explored oral health disparities associated with food insecurity in working poor Canadians. ⋯ This study identified oral health disparities within an already marginalized group not alleviated by access to professional dental care. Working poor persons regarded professional dental care as a competing financial demand.
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Community Dent Oral Epidemiol · Aug 2009
Emergency department visits for dental care of nontraumatic origin.
To explore the nature of emergency department (ED) visits for dental problems of nontraumatic origin in Canada's largest province, Ontario. ⋯ ED visits for dental problems of nontraumatic origin are not insignificant. Over the study period, these visits were greater than for diabetes and hypertensive diseases. Policy efforts are needed to provide alternative options for seeking emergency dental care in Ontario.
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Community Dent Oral Epidemiol · Jun 2009
Determinants of general dentists' decisions to accept capitation payment: a conceptual model and empirical estimates.
Shifts in payment options for dental care over several decades have resulted in more dental expenditures being paid through health maintenance organizations (HMOs), preferred provider organizations (PPOs), and capitation arrangements. Patients' and employers' choices to participate in these arrangements is determined in part by dentists' willingness to participate in plans, and plan choices may be influenced by patient satisfaction, self-reported oral health, and/or quality or cost of care. ⋯ Dentists' behavior regarding payment acceptance is generally consistent with microeconomic theory of provider behavior. Study findings should inform practitioners, plan managers, and researchers in examining dentist payment decisions.
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Community Dent Oral Epidemiol · Jun 2009
Comparative StudyPredictors of dental care utilization among working poor Canadians.
This study used the Gelberg-Andersen Behavioral Model for Vulnerable Populations to identify predictors of dental care utilization by working poor Canadians. ⋯ This study identified predisposing and enabling vulnerabilities that jeopardize the dental care-seeking practices of working poor persons. Dental care utilization was associated with relinquishing spending on other goods and services, which suggests that dental care utilization is a competing financial demand for economically constrained adults.