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      Risk indicators of oral health status among young adults aged 18 years analyzed by negative binomial regression

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          Abstract

          Background

          Limited information on oral health status for young adults aged 18 year-olds is known, and no available data exists in Hong Kong. The aims of this study were to investigate the oral health status and its risk indicators among young adults in Hong Kong using negative binomial regression.

          Methods

          A survey was conducted in a representative sample of Hong Kong young adults aged 18 years. Clinical examinations were taken to assess oral health status using DMFT index and Community Periodontal Index (CPI) according to WHO criteria. Negative binomial regressions for DMFT score and the number of sextants with healthy gums were performed to identify the risk indicators of oral health status.

          Results

          A total of 324 young adults were examined. Prevalence of dental caries experience among the subjects was 59% and the overall mean DMFT score was 1.4. Most subjects (95%) had a score of 2 as their highest CPI score. Negative binomial regression analyses revealed that subjects who had a dental visit within 3 years had significantly higher DMFT scores (IRR = 1.68, p < 0.001). Subjects who brushed their teeth more frequently (IRR = 1.93, p < 0.001) and those with better dental knowledge (IRR = 1.09, p = 0.002) had significantly more sextants with healthy gums.

          Conclusions

          Dental caries experience of the young adults aged 18 years in Hong Kong was not high but their periodontal condition was unsatisfactory. Their oral health status was related to their dental visit behavior, oral hygiene habit, and oral health knowledge.

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          Most cited references22

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          The analysis of count data: a gentle introduction to poisson regression and its alternatives.

          Count data reflect the number of occurrences of a behavior in a fixed period of time (e.g., number of aggressive acts by children during a playground period). In cases in which the outcome variable is a count with a low arithmetic mean (typically < 10), standard ordinary least squares regression may produce biased results. We provide an introduction to regression models that provide appropriate analyses for count data. We introduce standard Poisson regression with an example and discuss its interpretation. Two variants of Poisson regression, overdispersed Poisson regression and negative binomial regression, are introduced that may provide more optimal results when a key assumption of standard Poisson regression is violated. We also discuss the problems of excess zeros in which a subgroup of respondents who would never display the behavior are included in the sample and truncated zeros in which respondents who have a zero count are excluded by the sampling plan. We provide computer syntax for our illustrations in SAS and SPSS. The Poisson family of regression models provides improved and now easy to implement analyses of count data. [Supplementary materials are available for this article. Go to the publisher's online edition of Journal of Personality Assessment for the following free supplemental resources: the data set used to illustrate Poisson regression in this article, which is available in three formats-a text file, an SPSS database, or a SAS database.].
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            Orthodontic treatment and its impact on oral health-related quality of life in Brazilian adolescents.

            To assess whether Brazilian adolescents who had completed orthodontic treatment had lower levels of impacts on their oral health-related quality of life. A cross-sectional study. The study was conducted in public and private secondary schools in Bauru-SP, Brazil. 1675 randomly selected adolescents aged between 15 and 16 years. Adolescents were clinically examined using the Index of Orthodontic Treatment Need (IOTN). Two oral health-related quality of life measures, namely the Oral Impacts on Daily Performance (OIDP) and the shortened version of the Oral Health Impacts Profile (OHIP-14) were used to assess adolescents' oral health-related impacts. Multiple logistic regression was used in the data analysis. A response rate of 100% was obtained. Adolescents who had completed orthodontic treatment had fewer oral health-related impacts compared to the other two groups. They were 1.85 times (95% CI 1.30 to 2.62) less likely to have an oral health impact on their daily life activities than adolescents currently under treatment or 1.43 (1.01 to 2.02) times than those who never had treatment. Adolescents who had completed orthodontic treatment had a better oral health-related quality of life than those currently under treatment or those who never had treatment.
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              The second national survey of oral health status of children and adults in China.

              To describe the oral health status of Chinese children and adults at national level in relation to location and province and to highlight changes in dental caries experience. Cross-sectional study, oral epidemiological survey based on WHO methodology, clinical examinations. National survey by National Committee for Oral Health. Representative samples of provinces, districts, townships; cluster sampling including subjects aged 5,12,15,18, 35-44 and 65-74. Each age group consisted of 23,452 participants, i.e. total of 140,712 individuals. At age 5, 76.6% were affected by dental caries and mean dmft was 4.5. Mean DMFT varied from 1.0 in 12-year-olds, 1.4 in 15-year-olds, 1.6 in 18-year-olds, 2.1 in 35-44-year-olds to 12.4 in 65-74-year-olds. In adults, caries experience was higher in females than in males. The effect of urbanisation on caries prevalence in children varied by province and age. Among adolescents and young adults caries levels were high in urban areas while caries experience was high for old-age people of rural areas. At national level, changes in dental caries prevalence of 12- and 15-year-olds were small. However, some provinces with extensive oral health programmes (e.g. Love Teeth Day) showed declining caries experience whereas provinces with limited preventive activities had increasing levels of caries. For all age groups, gingival bleeding and calculus were most frequent. Severe periodontal conditions were relatively rare. The systematic implementation of preventive oral care and community-oriented health programmes are needed for the continuous promotion of oral health in China.
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                Author and article information

                Journal
                BMC Oral Health
                BMC Oral Health
                BMC Oral Health
                BioMed Central
                1472-6831
                2013
                19 August 2013
                : 13
                : 40
                Affiliations
                [1 ]Department of Preventive Dentistry, Ninth People’s Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China
                [2 ]Dental Public Health, Faculty of Dentistry, University of Hong Kong, 34 Hospital Road, Hong Kong, China
                Article
                1472-6831-13-40
                10.1186/1472-6831-13-40
                3765426
                23957895
                b95209e5-e9d2-41c4-85ee-9890cd7efb51
                Copyright ©2013 Lu et al.; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 24 April 2013
                : 14 August 2013
                Categories
                Research Article

                Dentistry
                dental caries,periodontal disease,negative binomial regression
                Dentistry
                dental caries, periodontal disease, negative binomial regression

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