Dentists’ willingness to screen for cardiovascular disease in the dental care setting: Findings from a nationally representative survey

Richard H. Singer, Daniel J Feaster, Mark Stoutenberg, WayWay Hlaing, Margaret Pereyra, Stephen Abel, Harold Pollack, Marc Gellman, Neil Schneiderman, Lisa R. Metsch

Research output: Contribution to journalArticle

Abstract

Objective: Dental clinics offer an untapped health care setting to expand access to screening and early identification of cardiovascular disease (CVD) risk. This study examined the correlates of dentists’ willingness to provide CVD screening in the dental care setting. Methods: Private practice and public health general dentists in the U.S. participated in a nationally representative survey from 2010 to 2011. The survey examined dentists’ willingness to provide a finger stick test to support CVD screening and agreement that their professional role should include CVD screening. Results: Data analysed from 1802 respondents indicated that 46.6% of dentists were willing to provide CVD screening. The adjusted odds ratio (AOR) of dentists’ willingness to screen for CVD was associated with currently screening for hypertension (AOR = 1.49, 95% CI 1.01, 2.20), screening for obesity (AOR = 1.66, 95% CI 1.17, 2.36) and agreement that their role as health care professionals includes CVD screening (AOR = 3.03, 95% CI 2.15, 4.29). Dentists’ agreement that their role includes CVD screening was associated with self-rated knowledge of CVD (good vs none or limited) and CVD training during their professional education (5 to 8 hours of training vs none or limited), (AOR = 5.75, 95% CI 2.26, 14.62) and (AOR = 3.84, 95% CI 2.17, 6.80), respectively. Conclusions: Our study highlights strategies that may be employed to expand future access to early detection of CVD risk. Including CVD screening instruction and clinical screening experiences in dental school curriculum may serve as catalysts to reshape the future scope of dental practice.

Original languageEnglish (US)
JournalCommunity Dentistry and Oral Epidemiology
DOIs
StatePublished - Jan 1 2019

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Dental Care
Dentists
Cardiovascular Diseases
Odds Ratio
Surveys and Questionnaires
Delivery of Health Care
Dental Clinics
Professional Role
Dental Schools
Professional Education
Private Practice
Curriculum
Fingers
Early Diagnosis
Tooth
Public Health
Obesity

Keywords

  • dental health education
  • epidemiology
  • prevention
  • public health
  • risk assessment

ASJC Scopus subject areas

  • Dentistry(all)
  • Public Health, Environmental and Occupational Health

Cite this

Dentists’ willingness to screen for cardiovascular disease in the dental care setting : Findings from a nationally representative survey. / Singer, Richard H.; Feaster, Daniel J; Stoutenberg, Mark; Hlaing, WayWay; Pereyra, Margaret; Abel, Stephen; Pollack, Harold; Gellman, Marc; Schneiderman, Neil; Metsch, Lisa R.

In: Community Dentistry and Oral Epidemiology, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "Objective: Dental clinics offer an untapped health care setting to expand access to screening and early identification of cardiovascular disease (CVD) risk. This study examined the correlates of dentists’ willingness to provide CVD screening in the dental care setting. Methods: Private practice and public health general dentists in the U.S. participated in a nationally representative survey from 2010 to 2011. The survey examined dentists’ willingness to provide a finger stick test to support CVD screening and agreement that their professional role should include CVD screening. Results: Data analysed from 1802 respondents indicated that 46.6{\%} of dentists were willing to provide CVD screening. The adjusted odds ratio (AOR) of dentists’ willingness to screen for CVD was associated with currently screening for hypertension (AOR = 1.49, 95{\%} CI 1.01, 2.20), screening for obesity (AOR = 1.66, 95{\%} CI 1.17, 2.36) and agreement that their role as health care professionals includes CVD screening (AOR = 3.03, 95{\%} CI 2.15, 4.29). Dentists’ agreement that their role includes CVD screening was associated with self-rated knowledge of CVD (good vs none or limited) and CVD training during their professional education (5 to 8 hours of training vs none or limited), (AOR = 5.75, 95{\%} CI 2.26, 14.62) and (AOR = 3.84, 95{\%} CI 2.17, 6.80), respectively. Conclusions: Our study highlights strategies that may be employed to expand future access to early detection of CVD risk. Including CVD screening instruction and clinical screening experiences in dental school curriculum may serve as catalysts to reshape the future scope of dental practice.",
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AU - Pereyra, Margaret

AU - Abel, Stephen

AU - Pollack, Harold

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N2 - Objective: Dental clinics offer an untapped health care setting to expand access to screening and early identification of cardiovascular disease (CVD) risk. This study examined the correlates of dentists’ willingness to provide CVD screening in the dental care setting. Methods: Private practice and public health general dentists in the U.S. participated in a nationally representative survey from 2010 to 2011. The survey examined dentists’ willingness to provide a finger stick test to support CVD screening and agreement that their professional role should include CVD screening. Results: Data analysed from 1802 respondents indicated that 46.6% of dentists were willing to provide CVD screening. The adjusted odds ratio (AOR) of dentists’ willingness to screen for CVD was associated with currently screening for hypertension (AOR = 1.49, 95% CI 1.01, 2.20), screening for obesity (AOR = 1.66, 95% CI 1.17, 2.36) and agreement that their role as health care professionals includes CVD screening (AOR = 3.03, 95% CI 2.15, 4.29). Dentists’ agreement that their role includes CVD screening was associated with self-rated knowledge of CVD (good vs none or limited) and CVD training during their professional education (5 to 8 hours of training vs none or limited), (AOR = 5.75, 95% CI 2.26, 14.62) and (AOR = 3.84, 95% CI 2.17, 6.80), respectively. Conclusions: Our study highlights strategies that may be employed to expand future access to early detection of CVD risk. Including CVD screening instruction and clinical screening experiences in dental school curriculum may serve as catalysts to reshape the future scope of dental practice.

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