Identifying common factors of functioning, participation and environment amongst adults requiring specialist oral health care using the International Classification of Functioning, disability and health

Persons unable to access oral health care in the conventional primary health care setting suffer from inequalities in oral health, particularly in terms of unmet dental need. The International Classification of Functioning, disability and health (ICF) is designed to look beyond medical diagnosis and...

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Autores principales: Dougall, Alison, Martinez Pereira, Francisca, Molina, Gustavo Fabián, Eschevins, Caroline, Daly, Blánaid, Faulks, Denise
Formato: article
Lenguaje:Inglés
Publicado: 2022
Materias:
Disbility and oral health
Classification
Health services
Rehabilitation
Acceso en línea:http://hdl.handle.net/11086/29875
http://dx.doi.org/10.1371/journal.pone.0199781
Aporte de:
Repositorio Digital Universitario (UNC) de Universidad Nacional de Córdoba
id I10-R141-11086-29875
record_format dspace
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-141
collection Repositorio Digital Universitario (UNC)
language Inglés
topic Disbility and oral health
Classification
Health services
Rehabilitation
spellingShingle Disbility and oral health
Classification
Health services
Rehabilitation
Dougall, Alison
Martinez Pereira, Francisca
Molina, Gustavo Fabián
Eschevins, Caroline
Daly, Blánaid
Faulks, Denise
Identifying common factors of functioning, participation and environment amongst adults requiring specialist oral health care using the International Classification of Functioning, disability and health
topic_facet Disbility and oral health
Classification
Health services
Rehabilitation
description Persons unable to access oral health care in the conventional primary health care setting suffer from inequalities in oral health, particularly in terms of unmet dental need. The International Classification of Functioning, disability and health (ICF) is designed to look beyond medical diagnosis and to describe individuals or populations in terms of their ability to function and participate in a social environment. The objective of the study was to describe an adult population requiring specialist oral health care using the ICF and to identify common factors of functioning, participation and environmental context.MethodThe ICF Checklist for Oral Health was completed for 246 participants from five specialist dental services in five countries (mean age 36 ±16.44 years; 16±92). `Developmental disability´ and `Medically compromised´ groups were identified (72% and 28%).ResultsParticipants presented with oral disease (92%) and dysfunction (66% impaired chewing). 33 ICF items were affected in over 50% of participants in both groups. Impaired body functions included `ingestion functions´, `energy and drive functions´ and `emotional functions´. Participation was restricted for ªAcquiring, keeping and terminating a jobº, ªIntimate relationshipsº,ªHandling stress and psychological demandsº, ªEconomic self-sufficiencyº, ªCarrying out a daily routineº, ªRecreation and leisureº, ªCommunity lifeº and ªLooking after one´s healthº. In the environment domain, ªSupport and relationshipsº and ªAttitudesº were rated as facilitators.Environmental barriers reported for over 25% of the whole group were related to ªServices,systems and policiesº including, health, social security, general support, transportation, and labour and employment.Discussion and perspectivesCommon aspects of functioning, participation and environment were found amongst a heterogeneous population of adults attending specialist dental services, alongside poor oral health and function. The ICF may be used to describe populations that suffer inequality in oral health in order to develop services that effectively target those in need of additional means.
format article
author Dougall, Alison
Martinez Pereira, Francisca
Molina, Gustavo Fabián
Eschevins, Caroline
Daly, Blánaid
Faulks, Denise
author_facet Dougall, Alison
Martinez Pereira, Francisca
Molina, Gustavo Fabián
Eschevins, Caroline
Daly, Blánaid
Faulks, Denise
author_sort Dougall, Alison
title Identifying common factors of functioning, participation and environment amongst adults requiring specialist oral health care using the International Classification of Functioning, disability and health
title_short Identifying common factors of functioning, participation and environment amongst adults requiring specialist oral health care using the International Classification of Functioning, disability and health
title_full Identifying common factors of functioning, participation and environment amongst adults requiring specialist oral health care using the International Classification of Functioning, disability and health
title_fullStr Identifying common factors of functioning, participation and environment amongst adults requiring specialist oral health care using the International Classification of Functioning, disability and health
title_full_unstemmed Identifying common factors of functioning, participation and environment amongst adults requiring specialist oral health care using the International Classification of Functioning, disability and health
title_sort identifying common factors of functioning, participation and environment amongst adults requiring specialist oral health care using the international classification of functioning, disability and health
publishDate 2022
url http://hdl.handle.net/11086/29875
http://dx.doi.org/10.1371/journal.pone.0199781
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