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1.1 Oral Health Disparities - Definition

Oral Health Disparities – Definition

“Systematic differences in__ ___  that occur among___ groups”

“Differences in health between ____  defined groups assumed to be ____”

A central goal of ___ ___ ___

____  setting

 

Oral Health Disparities – Definition

“Systematic differences in health status that occur among population groups”

“Differences in health between socially defined groups assumed to be correctable”

A central goal of population health policy

Priority setting

 

2

What are the reasons for these differences?

___ ___

___

____ variation attributable to a particular ___

If can be corrected, there is an opportunity for____

 

What are the reasons for these differences?

Random variation

Chance

Systematic variation attributable to a particular cause

If can be corrected, there is an opportunity for ACTION!!!

 

3

1.2. The Facts

The Facts

__ ___ Americans lack dental health___

___ ___ Americans living in rural or poor areas with limited number of ___ ___

Tooth decay is the most common ___ ___ 

Medical insurance is a strong predictor of ___ to ___

For every adult without health insurance, approximately ___  do not have dental insurance

 

The Facts

100 million Americans lack dental health insurance

49 million Americans living in rural or poor areas with limited number of dental providers

Tooth decay is the most common childhood disease

Medical insurance is a strong predictor of access to care

For every adult without health insurance, approximately three do not have dental insurance

 

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1.3. Barriers to Oral Health Care

Barriers to Oral Health Care

1. ____

2. ____

3.____

4. ____

5. _____

6___ : when doing pedo, it’s a problem to find patients bc of time. They are in school. Parent has to miss work. If you have more than one child you want to bring them together back to back

 

 

Barriers to Oral Health Care

1. Financial

2. Language Barrier

3. Geographical Location

4. Education

5. Ratio of providers/population

6.Time: when doing pedo, it’s a problem to find patients bc of time. They are in school. Parent has to miss work. If you have more than one child you want to bring them together back to back

 

 

5

 

2. How do we identify problems and oral health disparities?

 

____

___ ____

___ ____ of ____


•Surveys

•Epidemiological data

•Identifying patterns of diseases
 

6

Disparities in Houston, TX

Disparities in Houston, TX

___ of ___ 2010

___ ___ survey under planning

____  survey

Provide health information about Houston

 

Disparities in Houston, TX

Disparities in Houston, TX

Health of Houston 2010

Follow-up survey under planning

Household survey

Provide health information about Houston

 

7

Oral Health in Texas

Oral Health in Texas

Compared to the national average:

Texas had ____ proportions of children with teeth in ___ or ___ ___ condition

Texas had ___ prevalence of ___ experience, including ___ decay, among six-to-eight-year-old children

No difference was noted at the ____  socio-economic status level

Take out low income and compare to US

 

Oral Health in Texas

Compared to the national average:

Texas had lower proportions of children with teeth in excellent or very good condition

Texas had higher prevalence of caries experience, including untreated decay, among six-to-eight-year-old children

No difference was noted at the highest socio-economic status level

Take out low income and compare to US

 

8

Health Professional Shortage Areas (HPSAs)

Health Professional Shortage Areas (HPSAs)

___ number of specific health___ to serve the ___ in the county

 

 

Definition:

Inadequate number of specific

health providers to serve the population in the county

 

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Applying for HPSA

Applying for HPSA

____ Service Area

____ count

Health Services ___ count

 

Applying for HPSA

Rational Service Area

Population count

Health Services Provider count

 

10

US Healthy People 2010 and 2020

US Healthy People 2010 and 2020

Main objectives (2010):

1. Improving ___ of ___  for all Americans

2. As well as reducing ___ ___ 

Additional objectives (2020):

1. Increase the proportion of adults who received ____ from a dentist or dental hygienist focusing on reducing ____ usage or smoking cessation.

2. Increase the proportion of patients that receive oral health services at ___ ____ Health Centers each year.

 

US Healthy People 2010 and 2020

Main objectives (2010):

1. Improving quality of life for all Americans

2. As well as reducing health disparities.

Additional objectives (2020):

1. Increase the proportion of adults who received information from a dentist or dental hygienist focusing on reducing tobacco usage or smoking cessation.

2. Increase the proportion of patients that receive oral health services at Federally Qualified Health Centers each year.

 

11

Healthy People 2020

Healthy People 2020

Increase awareness of the___ of___ health to ___ health and well-being (example).

Increase ____ and adoption of effective ___ ___ (examples).

Reduce____s in access to effective preventive and dental treatment services.

 


•Increase awareness of the importance of oral health to overall health and well-being (example).

•Increase acceptance and adoption of effective preventive interventions (examples).

•Reduce disparities in access to effective preventive and dental treatment services.

 

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13

3.1. Reserch
National Institute of Dental and Craniofacial Research (NIDCR)


•Better oral health--->better ___ ___ 

•Interventions to address oral health inequalities must address the context of___ ___

•Think global health!

•Partnership with research institutions, universities, private and public organizations, professional associations, foundations
 


•Better oral health--->better life  expectancy

•Interventions to address oral health inequalities must address the context of emerging diseases

•Think global health!

•Partnership with research institutions, universities, private and public organizations, professional associations, foundations
 

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NIDCR Strategic Plan 2009-2013

NIDCR Strategic Plan 2009-2013

National Institute of Dental and Craniofacial Research

National Institutes of Health (NIH)

GOAL FOUR: Apply rigorous, multidisciplinary research approaches to ___ ____  in oral, dental and craniofacial health.

Goal FOUR works based on 4 objectives: ____ of the ___ ; support___ ; provide ___ to  target audience and ___ the oral health status

 

 

NIDCR Strategic Plan 2009-2013

National Institute of Dental and Craniofacial Research

National Institutes of Health (NIH)

GOAL FOUR: Apply rigorous, multidisciplinary research approaches to eliminate disparities in oral, dental and craniofacial health.

Goal FOUR works based on 4 objectives: identification of the problem; support research; provide information to target audience and monitor the oral health status

 

 

15

3.2. Partnerships

Partnerships

___ ___ ___ ___ ____ (NCOHF)

America’s ___ ___

____  materials

____ affiliate network

___ ___ ___ ___  (CIS):

__ ___ prevention program

provide ___ services to at-risk students

connect students with available ___ ___

 

 

Partnerships

National Children’s Oral Health Foundation (NCOHF)

America’s ToothFairy

Educational materials

National affiliate network

Community In Schools District (CIS):

drop-out prevention program

provide social services to at-risk students

connect students with available community resources

 

 

16

Community In Schools District (CIS):
•Partners with UTSD for:

1.___ ____

-Dental ___ (dental van)
-___ and basic ___  procedures (dental van)
-Services provided by ___ ___ and dental hygienists under supervision
-Extensive restorative services provided by ____ ___ ___s (category ___ patients)-

2. ___ ___ ___ 

-Assist in the____  of elementary schools to received oral health education messages

-  In 2014 approximately ___ elementary school students will receive oral health education during the Fall semester


•Partners with UTSD for:
 •

1.Pediatric services
-Dental screening (dental van)
-Preventive and basic restorative procedures (dental van)
-Services provided by dental student and dental hygienists under supervision
-Extensive restorative services provided by pediatric dentist residents (category III patients)-
 

Partners with UTSD for:

2.    Elementary School Rotations

-Assist in the selection of elementary schools to received oral health education messages

-  In 2014 approximately 500 elementary school students will receive oral health education during the Fall semester

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Disparity

Disparity

Condition or fact of being ____

“Research on ___ ____”

Looking into social inequities and that has a tremendous impact on ____

 

 

Disparity

Condition or fact of being unequal

“Research on social inequities”

Looking into social inequities and that has a tremendous impact on health

 

 

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Why it is so difficult?

Why it is so difficult?

U.S. population is ___ and socially___ 

No easy, _____ __  ___ ___ solutions

Approaches need to be tailored and targeted to ___, ___ and socio-environmental-level factors to have a ___ impact

 

Why it is so difficult?

U.S. population is diverse and socially dynamic

No easy, one-size-fits-all solutions

Approaches need to be tailored and targeted to individual, community and socio-environmental-level factors to have a positive impact

 

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“Social System”


•Social ___

____  resources

____ systems

___ institutions

____  unit
 


•Social services

•Healthcare resources

•Educational systems

•Religious institutions

•Family unit
 

20

“Sustainability”


•“Can I sustain this community resource when the research is completed?”
 

21

Question:At what stage of the life course would a public health practitioner seek to intervene to prevent the greatest amount of illness?

22

Conclusions

Conclusions

The impact of oral disease ____  affected ___ groups

Complex reality

Focus on ___ and not only ___ 

____ model of care delivery

Better quality of life and quality of oral health can be achieved through ___ 

 



•The impact of oral disease disproportionately affected disadvantaged groups

•Complex reality


•Focus on life and not only disease


•Integrated model of care delivery


•Better quality of life and quality of oral health can be achieved through prevention