Oral Health Disparities Flashcards
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
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!!!
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
1.3. Barriers to Oral Health Care
Barriers to Oral Health Care
- ____
- ____
- ____
- ____
- _____
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
- Financial
- Language Barrier
- Geographical Location
- Education
- Ratio of providers/population
- 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
- How do we identify problems and oral health disparities?
____
___ ____
___ ____ of ____
•Surveys
•
•Epidemiological data
•
•Identifying patterns of diseases
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
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
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
Applying for HPSA
Applying for HPSA
____ Service Area
____ count
Health Services ___ count
Applying for HPSA
Rational Service Area
Population count
Health Services Provider count
US Healthy People 2010 and 2020
US Healthy People 2010 and 2020
Main objectives (2010):
- Improving ___ of ___ for all Americans
- As well as reducing ___ ___
Additional objectives (2020):
- Increase the proportion of adults who received ____ from a dentist or dental hygienist focusing on reducing ____ usage or smoking cessation.
- Increase the proportion of patients that receive oral health services at ___ ____ Health Centers each year.
US Healthy People 2010 and 2020
Main objectives (2010):
- Improving quality of life for all Americans
- As well as reducing health disparities.
Additional objectives (2020):
- Increase the proportion of adults who received information from a dentist or dental hygienist focusing on reducing tobacco usage or smoking cessation.
- Increase the proportion of patients that receive oral health services at Federally Qualified Health Centers each year.
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.
•
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
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
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
