TY - JOUR
T1 - Exploring health advice by dental professionals in USA
T2 - A secondary data analysis of NHANES (2015-2018)
AU - Jawad, Noora
AU - Hakeem, Faisal F
AU - Sabbah, Wael
N1 - Publisher Copyright:
© 2023 Elsevier B.V.
PY - 2024/2
Y1 - 2024/2
N2 - OBJECTIVES: To examine socioeconomic and ethnic variations in the provision of health advice by dental professionals.METHODS: Data were from the National Health and Examination Survey (NHANES) (2015-2018). Socioeconomic position (Poverty-income ratio and education) and ethnicity were the main exposures. The outcome variable of interest was whether participants received health advice regarding the "benefits of quitting cigarettes," "benefits of monitoring blood sugar levels," and "importance of oral cancer screening". Logistic regression analysis was used to examine the relationship between socioeconomic factors/ethnicity, and health advice after adjusting for covariates.RESULTS: The analysis included a total of 5524 people aged eighteen and above who had complete data. Black and Hispanic individuals had higher odds of receiving advice on smoking (OR = 1.49, 95% CI: 1.04-2.12 and OR = 1.48, 95% CI: 1.05-2.07, respectively) and glucose monitoring (OR = 3.00, 95% CI: 2.03-4.43 and OR = 3.14, 95% CI: 2.04-4.82, respectively), but no significant difference for cancer screening advice.Higher poverty-income ratios (PIR) were associated with lower odds of receiving smoking advice (OR = 0.91, 95% CI: 0.84-0.98), but no significant associations were observed for glucose monitoring or cancer screening advice. The study's findings reveal a social gradient in the provision of cancer advice, with individuals having higher education levels, particularly university education (OR = 1.69, 95% CI: 1.24-2.31), showing significantly higher odds of receiving cancer screening advice CONCLUSION: The study highlights significant variations in health advice provision in dental settings, with education level, ethnicity, and smoking status playing prominent roles, emphasizing the need for targeted interventions to promote equity and cultural competence in delivering health advice in dental settings.PRACTICE IMPLICATION: The results emphasize the importance of strong policies and ongoing education for dental professionals to ensure optimal treatment and prevention.
AB - OBJECTIVES: To examine socioeconomic and ethnic variations in the provision of health advice by dental professionals.METHODS: Data were from the National Health and Examination Survey (NHANES) (2015-2018). Socioeconomic position (Poverty-income ratio and education) and ethnicity were the main exposures. The outcome variable of interest was whether participants received health advice regarding the "benefits of quitting cigarettes," "benefits of monitoring blood sugar levels," and "importance of oral cancer screening". Logistic regression analysis was used to examine the relationship between socioeconomic factors/ethnicity, and health advice after adjusting for covariates.RESULTS: The analysis included a total of 5524 people aged eighteen and above who had complete data. Black and Hispanic individuals had higher odds of receiving advice on smoking (OR = 1.49, 95% CI: 1.04-2.12 and OR = 1.48, 95% CI: 1.05-2.07, respectively) and glucose monitoring (OR = 3.00, 95% CI: 2.03-4.43 and OR = 3.14, 95% CI: 2.04-4.82, respectively), but no significant difference for cancer screening advice.Higher poverty-income ratios (PIR) were associated with lower odds of receiving smoking advice (OR = 0.91, 95% CI: 0.84-0.98), but no significant associations were observed for glucose monitoring or cancer screening advice. The study's findings reveal a social gradient in the provision of cancer advice, with individuals having higher education levels, particularly university education (OR = 1.69, 95% CI: 1.24-2.31), showing significantly higher odds of receiving cancer screening advice CONCLUSION: The study highlights significant variations in health advice provision in dental settings, with education level, ethnicity, and smoking status playing prominent roles, emphasizing the need for targeted interventions to promote equity and cultural competence in delivering health advice in dental settings.PRACTICE IMPLICATION: The results emphasize the importance of strong policies and ongoing education for dental professionals to ensure optimal treatment and prevention.
KW - Humans
KW - Nutrition Surveys
KW - Secondary Data Analysis
KW - Blood Glucose Self-Monitoring
KW - Blood Glucose
KW - Dentists
UR - http://www.scopus.com/inward/record.url?scp=85176374775&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2023.108038
DO - 10.1016/j.pec.2023.108038
M3 - Article
C2 - 37951164
SN - 0738-3991
VL - 119
SP - 108038
JO - Patient Education and Counseling
JF - Patient Education and Counseling
M1 - 108038
ER -
