oral health for an ageing population partnership · each nda was asked a number of questions on...
TRANSCRIPT
Oral Health for an Ageing Population Partnership Results of a Survey on Oral Conditions in the Elderly
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INTRODUCTIONThisreportshowstheresultsofasurveyonoralconditionsintheelderly,conductedaspartofthe“OralHealthforanAgeingPopulation”(OHAP)partnership.OHAPisajointinitiativeofFDIWorldDentalFederation(FDI)andGCInternationalAG(GC).Launchedin2015,itaimstogiveaninsightintotheoralhealthrelatedchallengesposedbyageingpopulations.
SURVEYOVERVIEWThesurveywasconductedbyFDIbetweenJanuaryandDecember2016andwasaddressedtoNationalDentalAssociations(NDAs).EachNDAwasaskedanumberofquestionsonwhetherandhowtheycollectdataonelderlyoralhealthaswellasthemodelofelderlydentalcoverageintheircountry.
RESULTSAmongthe140RegularMemberNDAscontacted,62responded.Thisrepresentsa44%responserate,whichisahighlevelofengagementwhencomparedtopreviousNDAsurveysconductedbyFDI.Table1summarizesthenumberofresponsesperregioncomparedtothetotalnumberofNDAsinthatregionandthepercentresponserate(Resp.rate).
Table1–NDAresponserateperregion
Responsestoeachquestionaredescribedbelowandpresentedusinggraphics.Fromquestion2onwards,theresultsrefertonumberofanswersfromNDAsthathaveansweredtothespecificquestion.MiddleEastisincludedinAsiaPacific.
1. Doesyourcountrycollectdataonoral
conditionsofolderadults?63NDAsrespondedtothisquestion
Options Percent NumberofNDAs
Yes 46% 29No 54% 34
NDAsthatanswered
TotalNDAsinregion
Responserate
Europe 30 59 51%
AsiaPacific&MiddleEast 15 35 43%
Africa 10 28 36%
LatinAmerica 6 13 46%
NorthAmerica 2 5 40%
TOTAL 63 140 44%
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2. Ifyes,howoftendoyoucollectthedata?22NDAsrespondedtothisquestion
Options Percent NumberofNDAs
Annually 30% 7Everyfiveyears
57% 13
Everytenyears
13% 3
3. Whocollectsthedata?(chooseallthatapply)30NDAsrespondedtothisquestion
4. Isthereanexaminerorisitself-report?
34NDAsrespondedtothisquestion
5. Whatdatadoyoucollect?(chooseallthat
apply)33NDAsrespondedtothisquestion
47%
44%
6% 3%NationalAgency
DentalprogramsatUniversity
Stateorprovinces
73%
27%
Examiner Self-report
6
6
7
10
10
12
13
13
15
Mucosalintegrity
Numberofoccludingteeth
Severityofthecaries
Healthandoralhealthbehaviour
Reasonforlastvisit
Useofdentalcare
Numberofteethornumberofteethperarch
Periodontalconditions
Numberofteethwithcaries
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6. WhatAgegroupsdoyouinclude(chooseallthatapply)?33NDAsrespondedtothisquestion
7. Doyouincludeolderadultsinalong-term
carefacility,olderadultslivingathomeorboth?26NDAsrespondedtothisquestion
8. Isthedatapublished?27NDAsrespondedtothisquestion
Ifyes,whereisthedatapublished?Pleasedescribe14NDAsgavedetailaboutwherethedataispublished
Mostcommonresponseswere:
• Ministryandnationalbodies• Academictheses• Academicjournals
9. Listotherdataelementscollected
8NDAsrespondedtothisquestion
• Thepercentageofadultsthatneedprosthodontisttreatment.
• Thefrequencyofnon-diagnosedandnon-treateddiseasesoforalmucosainadults.
• Thefrequencyofcasesconcerningoralcavitydiseasesrequiringurgentintervention.
• Differencesinthepresenceofcariesandperiodontaldiseaseindifferentregionsofthecountry.
• Thepercentageofadultswithprosthodonticappliances(removableandfixed).
• Thepercentageoftemporo-mandibularjointdiseases.
• Adescriptionoftheattitudeofadultsinthe35–44and65–74yearagegroupsregardingtheirattitudetooralhealthandbehaviour.
• Evaluationandavailabilityforanduseofthehealthcaresystembyadults.
• Evaluationoforalhealthandqualityoflifeinoldage.
• Evaluationofhealthbehaviourinthe65–74yearagegroup.
• Levelofdependency,associatedgeneralpathologies.
• Statisticsonhealthonchildrenandyoungadults,lostteethperagegroup,gingivalorperiodontalcases,childrenpopulationwithoutmalocclusions,morbidityandmortalityrateduetooralcancer.
• Knowledgeofnursesonoralhealthonageingpopulationinlong-termcarefacilityoradultslivingathome.
• Conditionofprosthesis.
10. Doyouconductregularactivitiestopromoteoralhealthforageingpopulations?Kindlydescribe.
Amongthe55NDAswhorespondedtothisquestion,halfofthemreportednotcarryingout
14
17
26
16
14
45-54
55-64
65-74
75-84
85+
4
3
19
Olderadultslivingathome
Olderadultsinalong-termcarefacility
Both
0 5 10 15 20
AfricaAsiaPacific
EuropeLatinAmericaNorthAmerica
No
Yes
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anyspecificactivitytargetingolderpopulations.Amongthosethatdid,themostcommonactivitiesincludedspecifictrainingandconferencesaswellascampaignstargetingaffectedpopulations.
11. Whopaysfordentalcareofelderlyinyour
country(chooseallthatapply)?30NDAsrespondedtothisquestion
CONCLUSIONBasedontheresultsofthissurvey,itisevidentthatlessthanhalfoftheNDAscollectsomedataonelderlyoralhealth.ThisfigureislowerinAfrica,whereonlyoneNDAreportedcollectingsuchdata.AmongNDAsthatcollectdata,80%doitevery5yearsorless.
DataismainlycollectedthroughNationalAgenciesorUniversityDentalProgrammes,withtheroleofstatesandtownsbeingminor–only9%ofanswerscitedthemasameansofdatacollection.
Accordingtotheanswers,dataismostlycollectedthroughtheparticipationofanexaminer.Mostofitisdisseminated,mainlythroughacademicthesisandjournals.
Regardingcoverageoforalhealthcosts,NDAsreportdifferentnationalhealthsystemswithmodalitiesthatcombineuniversalcoverageorgovernmenthealthinsuranceswithmodelsbasedonprivateinsuranceornoinsurance.
DISCUSSIONThesurveyshowsroomforimprovementregardingdatacollectionanddissemination.Furtherdataonelderlyoralhealthcouldbecollectedifmoreself-reportingmodelswereputintoplace,aslessstaffwouldbeneededforthattask.Furthermore,moreandbetterdatacouldbecollectedthroughinstitutionsthatareclosertothepopulation,ratherthanthecurrentsituationinwhichmostdatacomesfromnationalagenciesoruniversities.
Ontheotherhand,amajorpartofthedisseminationisdonemainlythroughacademicjournalsandthesis,whichcanpreventanimportantpartofthepublicfromaccessingvaluableinformation.Here,moreopennesswithregardsaccesstodataonelderlyoralhealthcouldenablestakeholderstohaveabetterinsight.Thuseasingtheprocessintacklingthecurrentandfuturechallengesposedbyageingpopulationsinthecontextoforalhealth.
11
13
16
21
Universalhealthcoverage
Privatehealthinsurances
Governmentalhealthinsurances
Nohealthinsurance
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ANNEX–RESPONDENTNDAs
Afghanistan AfghanistanDentistAssociation
Australia AustralianDentalAssociation
Austria AustrianDentalChamber
Bangladesh BangladeshDentalSociety
Benin AssociationdesChirurgiensdentistesduBénin
Brasil ABCD/APCD
Bulgaria BulgarianDentalAssociation(BgDA)
BurkinaFaso L'associationdeschirurgiensdentistesduBurkina
Canada CDA
Chile ColegiodeCirujanoDentistadeChile
CostaRica UniversidadSantaPaula
Croatia CroatianDentalChamber
Croatia CroatianDentalSocietyCma
Cuba SociedadCubanadeEstomatología
CzechRepublic
CzechDentalChamber
Denmark DanishDentalAssociation
Egypt EgyptianDentalAssociation
Egypt EgyptianDentalSyndicate
Estonia EstonianDentalAssociation
Finland FinnishDentalAssociation
France UFSBD
Germany Bundeszahnärztekammer(GermanFederalChamberofDentists)
Greece HellenicDentalAssociation
Greece StomatologicalSocietyofGreece
Honduras ColegioDeCirujanosDentistasdeHonduras
HongKong HongKongDentalassociation
India IndianDentalAssociation
Iran IranianDentalAssociation
Ireland IrishDentalAssociation
Israel IsraelDentalAssociation
Japan JapanDentalAssociation
Lithuania LithuanianDentalChamber
Macedonia MacedonianDentalChamber
Macedonia MacedonianDentalSociety
Mali AOSMAAssociationDesChirurgiensDentistesDuMali
Mauritius MauritiusDentalAssociation
Norway TheNorwegianDentalAssociation
Pakistan OPD-OrganizationForPeople'sDevelopment
Pakistan PakistanDentalAssociation
Poland PolishDentalSociety
Portugal PortugueseDentalAssociation
RepublicDemocraticoftheCongo
ANCD(AssociationNationaleDesChirurgiensDentistes)
RepublicofKorea
KoreanDentalAssociation
SaudiArabia SaudiDentalSociety
Serbia DentistryOfPrimaryHealthCare
Serbia SerbianDentalSociety
Seychelles DentalAssociationofSeychelles
Singapore SingaporeDentalAssociation
Slovakia SlovakChamberofDentists
Slovenia SlovenianDentalAssociation
Spain ConsejoGeneraldeDentistasDeEspaña
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Srilanka SrilankaDentalAssociation
Sweden SwedishDentalAssociation
Switzerland SSO
Tanzania TanzaniaDentalAssociation
TheKyrgyzRepublic
Stomatological(Dental)AssociationofTheKyrgyzRepublic
Tunisia STMDLP
Turkey TurkishDentalAssociation
Ukraine UkrainianDentalAssociation
UnitedArabEmirates
EmiratesDentalAssociation
UnitedStatesofAmerica
AmericanDentalAssociation
Uruguay AsociaciónOdontológicaUruguaya
Zimbabwe ZiDA