> Details

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

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

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  • Media type: E-Article
  • Title: Dentists’ willingness to screen for cardiovascular disease in the dental care setting: Findings from a nationally representative survey
  • Contributor: Singer, Richard H.; Feaster, Daniel J.; Stoutenberg, Mark; Hlaing, WayWay M.; Pereyra, Margaret; Abel, Stephen; Pollack, Harold; Gellman, Marc D.; Schneiderman, Neil; Metsch, Lisa R.
  • imprint: Wiley, 2019
  • Published in: Community Dentistry and Oral Epidemiology
  • Language: English
  • DOI: 10.1111/cdoe.12457
  • ISSN: 0301-5661; 1600-0528
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>Dental clinics offer an untapped health care setting to expand access to screening and early identification of cardiovascular disease (<jats:styled-content style="fixed-case">CVD</jats:styled-content>) risk. This study examined the correlates of dentists’ willingness to provide <jats:styled-content style="fixed-case">CVD</jats:styled-content> screening in the dental care setting.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>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 <jats:styled-content style="fixed-case">CVD</jats:styled-content> screening and agreement that their professional role should include <jats:styled-content style="fixed-case">CVD</jats:styled-content> screening.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Data analysed from 1802 respondents indicated that 46.6% of dentists were willing to provide <jats:styled-content style="fixed-case">CVD</jats:styled-content> screening. The adjusted odds ratio (<jats:styled-content style="fixed-case">AOR</jats:styled-content>) of dentists’ willingness to screen for <jats:styled-content style="fixed-case">CVD</jats:styled-content> was associated with currently screening for hypertension (<jats:styled-content style="fixed-case">AOR</jats:styled-content> = 1.49, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.01, 2.20), screening for obesity (<jats:styled-content style="fixed-case">AOR</jats:styled-content> = 1.66, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.17, 2.36) and agreement that their role as health care professionals includes <jats:styled-content style="fixed-case">CVD</jats:styled-content> screening (<jats:styled-content style="fixed-case">AOR</jats:styled-content> = 3.03, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 2.15, 4.29). Dentists’ agreement that their role includes <jats:styled-content style="fixed-case">CVD</jats:styled-content> screening was associated with self‐rated knowledge of <jats:styled-content style="fixed-case">CVD</jats:styled-content> (good vs none or limited) and <jats:styled-content style="fixed-case">CVD</jats:styled-content> training during their professional education (5 to 8 hours of training vs none or limited), (<jats:styled-content style="fixed-case">AOR</jats:styled-content> = 5.75, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 2.26, 14.62) and (<jats:styled-content style="fixed-case">AOR</jats:styled-content> = 3.84, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 2.17, 6.80), respectively.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Our study highlights strategies that may be employed to expand future access to early detection of <jats:styled-content style="fixed-case">CVD</jats:styled-content> risk. Including <jats:styled-content style="fixed-case">CVD</jats:styled-content> screening instruction and clinical screening experiences in dental school curriculum may serve as catalysts to reshape the future scope of dental practice.</jats:p></jats:sec>