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Implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: A retrospective study

BACKGROUND: The objective of this retrospective survey was to evaluate after one year, the conditions and impacts of a dental sealant intervention conducted in New Caledonia, within a health promotion program. A greater or at least equivalent quality and impact of the intervention was expected for c...

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Autores principales: Pichot, Hélène, Pereira, Bruno, Magnat, Elodie, Hennequin, Martine, Tubert-Jeannin, Stéphanie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093001/
https://www.ncbi.nlm.nih.gov/pubmed/32208466
http://dx.doi.org/10.1371/journal.pone.0230639
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author Pichot, Hélène
Pereira, Bruno
Magnat, Elodie
Hennequin, Martine
Tubert-Jeannin, Stéphanie
author_facet Pichot, Hélène
Pereira, Bruno
Magnat, Elodie
Hennequin, Martine
Tubert-Jeannin, Stéphanie
author_sort Pichot, Hélène
collection PubMed
description BACKGROUND: The objective of this retrospective survey was to evaluate after one year, the conditions and impacts of a dental sealant intervention conducted in New Caledonia, within a health promotion program. A greater or at least equivalent quality and impact of the intervention was expected for children living in socially deprived regions with the greatest health needs. METHODS: The study population was the schoolchildren, aged 6 years in 2016, who benefited from the dental sealant program (n = 2532). The study sample was randomly selected in 2017 from that population (n = 550). The children's dental status was evaluated at school in 2017 and compared with that recorded in 2016 during the sealant intervention allowing the calculation of the retention rates and one-year carious increment on first permanent molars. Socio-demographic variables (gender, public/private school) and conditions of sealant placement (school/dental office, presence of a dental assistant) were recorded. The carious increment was explained using a mixed multiple random-effects regression. A mediation analysis was conducted to assess the respective contributions of the retention rates and the region of origin on caries increment. RESULTS: The participation rate was very high (89%) and on average, children had 83% of their dental sealants present after one year, 31% fully and 52% partially present. Caries increment varied depending on the sealant retention rate as well as on the region (North, South, Islands). The mediation analysis showed that living in a deprived area (The Islands) was a strong determinant for high caries increment particularly when the retention rates were low. CONCLUSIONS: This study showed a high participation rate and acceptable effectiveness as measured with the one-year retention rates, for a fissure sealant intervention conducted in real-life conditions and integrated in a large health promotion program. Nevertheless, the intervention was not effective enough to totally balance the influence of health determinants, especially in socially deprived sectors characterized by greater dental needs.
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spelling pubmed-70930012020-04-01 Implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: A retrospective study Pichot, Hélène Pereira, Bruno Magnat, Elodie Hennequin, Martine Tubert-Jeannin, Stéphanie PLoS One Research Article BACKGROUND: The objective of this retrospective survey was to evaluate after one year, the conditions and impacts of a dental sealant intervention conducted in New Caledonia, within a health promotion program. A greater or at least equivalent quality and impact of the intervention was expected for children living in socially deprived regions with the greatest health needs. METHODS: The study population was the schoolchildren, aged 6 years in 2016, who benefited from the dental sealant program (n = 2532). The study sample was randomly selected in 2017 from that population (n = 550). The children's dental status was evaluated at school in 2017 and compared with that recorded in 2016 during the sealant intervention allowing the calculation of the retention rates and one-year carious increment on first permanent molars. Socio-demographic variables (gender, public/private school) and conditions of sealant placement (school/dental office, presence of a dental assistant) were recorded. The carious increment was explained using a mixed multiple random-effects regression. A mediation analysis was conducted to assess the respective contributions of the retention rates and the region of origin on caries increment. RESULTS: The participation rate was very high (89%) and on average, children had 83% of their dental sealants present after one year, 31% fully and 52% partially present. Caries increment varied depending on the sealant retention rate as well as on the region (North, South, Islands). The mediation analysis showed that living in a deprived area (The Islands) was a strong determinant for high caries increment particularly when the retention rates were low. CONCLUSIONS: This study showed a high participation rate and acceptable effectiveness as measured with the one-year retention rates, for a fissure sealant intervention conducted in real-life conditions and integrated in a large health promotion program. Nevertheless, the intervention was not effective enough to totally balance the influence of health determinants, especially in socially deprived sectors characterized by greater dental needs. Public Library of Science 2020-03-24 /pmc/articles/PMC7093001/ /pubmed/32208466 http://dx.doi.org/10.1371/journal.pone.0230639 Text en © 2020 Pichot et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Pichot, Hélène
Pereira, Bruno
Magnat, Elodie
Hennequin, Martine
Tubert-Jeannin, Stéphanie
Implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: A retrospective study
title Implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: A retrospective study
title_full Implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: A retrospective study
title_fullStr Implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: A retrospective study
title_full_unstemmed Implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: A retrospective study
title_short Implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: A retrospective study
title_sort implementation and impact of a dental preventive intervention conducted within a health promotion program on health inequalities: a retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093001/
https://www.ncbi.nlm.nih.gov/pubmed/32208466
http://dx.doi.org/10.1371/journal.pone.0230639
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