1 / 20

Adult Dental Health Survey 2009 So does it matter? Impacts

Adult Dental Health Survey 2009 So does it matter? Impacts. On behalf of the ADHS consortium. Georgios Tsakos. Key questions. What do people think about their oral health? What impact do oral conditions have on the quality of life of people? How many people are concerned?

erno
Download Presentation

Adult Dental Health Survey 2009 So does it matter? Impacts

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Adult Dental Health Survey 2009So does it matter? Impacts On behalf of the ADHS consortium Georgios Tsakos

  2. Key questions What do people think about their oral health? What impact do oral conditions have on the quality of life of people? How many people are concerned? How big a concern? Which are the main problems that lead to impacts? Which factors relate to these impacts?

  3. Outline • Focus on subjective perceptions • main data source: interviewer-administered questionnaire • Outcomes: • Self-rated health • General health • Dental health • “Oral Health Related Quality of Life” • Oral health Impact Profile (OHIP-14) - frequency • Oral Impacts on Daily Performances (OIDP) - severity • Variation by • Demographics • Socioeconomic position • Clinical dental status

  4. Self-rated health • High levels of reported good or very good health: • 80% for general health and 71% for oral health, but… • Considerable minority with “fair/bad/very bad” dental health • Dental health ratings not affected by being edentate (adaptation? expectations?)… • … but general health ratings are: broader importance of good dental health

  5. Self-rated health by dental status • Worse dental health perceptions for people that have some natural teeth and also denture(s) • This is a group that is going to be very common in future cohorts of older people: public health concern?

  6. Self-rated health by Occupation • Clear gradient in self-rated health (both general and dental)by socioeconomic classification of household among dentate people: • Better perceptions (higher proportion with “good” or “very good” ratings) for each higher socioeconomic position (SEP) group

  7. “Oral health related quality of life” measures: why use them? • Beyond clinical measures … into perceptions about how dental health affects quality of life • Measures of the extent that health status and conditions disrupt normal social-role functioning and bring about major changes in behaviour (Locker, 1989) • Subjective indicators that provide information on the impact of oral conditions on daily life of people • “OHRQoL” measures complement (not substitute)clinical measures

  8. Oral Health Impact Profile - 14 (OHIP-14) 14 items - 7 dimensions Functional limitation Physical pain Psychological discomfort Physical disability Psychological disability Social disability Handicap Oral Impacts on Daily Performances (OIDP) 9 activities of daily living Eating Speaking Cleaning teeth or dentures Going out Relaxing Smiling Carrying out major work or role Emotional instability Enjoying social contacts “Oral health related quality of life” measures

  9. Oral Health Impact Profile - 14 (OHIP-14) Frequency In the last 12 months, have you had trouble PRONOUNCING ANY WORDS because of problems with your teeth, mouth or dentures? (1) ....never (2) ....hardly ever (3) ....occasionally (4) ....fairly often (5) .... very often Prevalence, number of problems, OHIP-14 score Oral Impacts on Daily Performances (OIDP) Severity Using a scale from 0 to 5, where 0 is no effect and 5 is a very severe effect, can you tell us what effect DIFFICULTIES EATING caused by your mouth, teeth or false teeth have had on your daily life in the past 12 months? Perceived causes Which, if any, of the following have caused DIFFICULTIES EATING? Toothache, Loose tooth, Bad position of teeth, Broken / fractured tooth, … Prevalence, extent, OIDP score “Oral health related quality of life” measures

  10. Frequency of impacts (OHIP-14) • Considerable proportion with impacts (39% of dentate and 40% of edentate) • No difference in OHIP-14 between dentate and edentate people • Most common impacts: physical pain and psychological discomfort • Not very frequent, not many problems reported

  11. Trends in impacts (OHIP-14) among dentate in England • Along with improvement in health, lower levels of oral impacts • 51% had experienced impacts occasionally or more often in 1998 and 39% did so in 2009

  12. Severity of impacts (OIDP) • One third of adults with impacts (33% of dentate and 29% of edentate) • Most prevalent impacts: eating and smiling • No difference between dentate and edentate people overall, but for specific performances: dentate reported higher prevalence for smiling, cleaning teeth, and relaxing, while edentate had more impacts in relation to speaking

  13. Severity of impacts - a closer look • In general, impacts didnothave severe effects on the daily life of participants… • But 15% of dentate and 13% of edentate adults in the general population reported that their dental health had severe negative impacts on their daily life (OIDP rating > 3) • Among those that reported at least one oral impact, almost half (46%) reported a score of 3 or higher in the OIDP severity ratings • A minority with severe impacts: Who are they? What are their characteristics?

  14. Impacts by dental status • Worse quality of life (higher proportion with impacts) for dentate people that have some natural teeth and also denture(s) • This is a group that is going to be very common in future cohorts of older people: public health concern?

  15. Prevalence of impacts by Occupation among dentate • Socioeconomic position gradient , with worse quality of life at successively lower levels of household occupationamong dentate people • Gradient is steeper for more severe impacts • Lower socioeconomic position groups at disadvantage

  16. Impacts by clinical status • Impacts were associated with every clinical measure among dentate people: better clinical status - lower levels of impacts

  17. Which oral conditions were reported as “causes” of impacts? • Different pattern of “causes” for different impacts • Most common causes for most impacts: 1) Toothache / sensitive tooth / tooth decay, 2) gum problems … • Not necessarily so for impacts linked to psychological or social aspects of life (e.g. smiling, social contacts)

  18. Conclusions Quite positive general perception of dental health: Vast majority perceived their dental health as good / very good And for the majority of the population, their dental health did not have a negative impact on their life Compared to 1998, improvement in OHIP-14 prevalence However, a considerable proportion experienced impacts OHIP-14: 39% of dentate and 40% of edentate OIDP: 33% of dentate and 29% of edentate In general, impacts were neither very frequent (OHIP-14) nor very severe (OIDP)…

  19. Conclusions … but the impacts were severe among the minority that reported them: 46% of those with at least one oral impact reported a score of 3 or higher (scale: 0-5) in the OIDP severity ratings Higher levels of impacts among dentate adults with denture(s): increased importance in future? Among dentate, worse clinical status is linked to more impacts Clear and consistent socioeconomic position gradient, with worse dental health perception and higher levels of impacts at successively lower SEP levels Importance of addressing health inequalities

  20. Adult Dental Health Survey 2009 The Office for National Statistics (ONS) was the lead contractor working in partnership with the National Centre for Social Research, the Northern Ireland Statistic & Research Agency, and a team of academics from the Universities of Birmingham, Cardiff, Dundee, Newcastle and University College London The NHS Information Centre commissioned the survey, with funding provided by the Department of Health in England, the Welsh Assembly Government and the Department for Social Services and Public Safety in Northern Ireland.

More Related