nevada oral health summary: nevada's status in oral health vs. healthy people 2020 objectives
TRANSCRIPT
Nevada Oral Health Summit
June 22, 2012
John Whitehill, Jr., MPHOral Health Program Evaluator
Oral Health’s Importance Oral Health Plan HP 2010 HP 2020 Nevada’s Status on HP2020 Objectives Positive Trends in Nevada Future Implications
Outline
Oral Health in America: A Report of the Surgeon
General
Published May 2000
“Oral health is essential to general health and well-being and can be achieved”.
Message
One component of an oral health plan is a set of measureable and achievable objectives on key indicators of oral health burden, oral health promotion, and oral disease prevention.
Oral Health Plan
Designed to serve as a roadmap for improving health of all people in US
Objectives for key structures, processes, and outcomes related to improving oral health
Healthy People 2010
Vision is to “advance the general health and well-being of all programs by creating critical partnerships at all levels of society to engage in programs to promote oral health and prevent disease”
A National Call to Action to Promote Oral Health, 2003
Call to action reflected in HP 2020◦ To promote oral health◦ To improve quality of life ◦ To eliminate oral health disparities
Healthy People 2020
Many changes added to HP 2020 – many of which Nevada “Does Not Collect (DNC)”
There were new objectives added so no national or Nevada statues
Also changes due to age breakdown changes (i.e. – 2 to 4, 6 to 8, Aged 15 now are 3 to 5, 6 to 9, 13 to 15)
Data is published in April 2012 Burden Document
Healthy People 2020
4 Objectives exceed the National Target 5 Objectives are “NEW” 11 Objectives fall short of National Target 13 Objectives the data is “DNC” or the data
is being collected but not reported**
33 Objectives
** Data could be collected in audience, but please hold commenting until after the presentation, one of the agenda items is addressing “Where is the data?”, “Is it collected?”, and “Should data be centralized for future use?”
OH 1.10
10
20
30
40
50
60
33.330
54
National BaselineNational TargetNevada StatusP
erc
en
tOH 1.1) Reduce the proportion of young children aged 3 to 5 years with dental caries experience in their primary teeth
Source: Healthy Smile Happy Child Oral Health Survey of Head Start Students – Nevada 2008
OH 1.20
10
20
30
40
50
60
70
80
54.449
72
National BaselineNational TargetNevada StatusP
erc
en
t
OH 1.2) Reduce the proportion of young children aged 6 to 9 years with dental caries experience in their primary teeth and permanent teeth
Source: Healthy Smile Happy Child Oral Health Survey of Third-Grade Children – Nevada 2006
OH 1.30
10
20
30
40
50
60
70
53.748.3
62
National BaselineNational TargetNevada StatusP
erc
en
tOH 1.3) Reduce the proportion of adolescents aged 13 to 15 years with dental caries experience in their permanent teeth
Crackdown on Cancer Program, School Year 2007-2008
OH 2.10
5
10
15
20
25
30
35
23.821.4
32
National BaselineNational TargetNevada StatusP
erc
en
tOH 2.1) Reduce the proportion of young children aged 3 to 5 with untreated dental decay in their primary teeth
OH 2.20
5
10
15
20
25
30
35
40
45
50
28.825.9
44
National BaselineNational TargetNevada StatusP
erc
en
tOH 2.2) Reduce the proportion of children aged 6 to 9 with untreated dental decay in their primary and permanent teeth
OH 2.30
5
10
15
20
25
30
35
1715.3
33
National BaselineNational TargetNevada StatusP
erc
en
tOH 2.3) Reduce the proportion of adolescents aged 13 to 15 with untreated dental decay in their permanent teeth
OH 3.10
5
10
15
20
25
30 27.8
25
DNC
National BaselineNational TargetNevada StatusP
erc
en
tOH 3.1) Reduce the proportion of adults aged 35 to 44 years with untreated dental decay
OH 3.10
2
4
6
8
10
12
14
16
18 17.1
15.4
DNC
National BaselineNational TargetNevada StatusP
erc
en
tOH 3.2) Reduce the proportion of adults aged 65 to 74 years with untreated coronal caries
OH 3.30
5
10
15
20
25
30
35
40 37.9
34.1
DNC
National BaselineNational TargetNevada StatusP
erc
en
tOH 3.3) Reduce the proportion of adults aged 75 years and older with untreated root surface caries
OH 4.10
10
20
30
40
50
60
70
80
90
76.468.8
DNC
National BaselineNational TargetNevada StatusP
erc
en
t
OH 4.1) Reduce the proportion of adults aged 45 to 64 years who have ever had a permanent tooth extracted because of dental caries or periodontitis
OH 4.20
5
10
15
20
25
30
2421.6
17National BaselineNational TargetNevada StatusP
erc
en
tOH 4.2) Reduce the proportion of adults aged 65 to 74 years who have lost all of their natural teeth
OH 50
2
4
6
8
10
12
1412.7
11.4
DNC
National BaselineNational TargetNevada StatusP
erc
en
tOH 5) Reduce the proportion of adults aged 45 to 74 years with moderate or severe periodontitis
OH 628
29
30
31
32
33
34
35
36
37
32.5
35.8
31
National BaselineNational TargetNevada StatusP
erc
en
tOH 6) Increase the proportion of oral and pharyngeal cancers detected at the earliest stage
OH 736
38
40
42
44
46
48
50
44.5
49
41
National BaselineNational TargetNevada StatusP
erc
en
tOH 7) Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year
OH 80
5
10
15
20
25
30
35
26.729.4
DNC
National BaselineNational TargetNevada StatusP
erc
en
tOH 8) Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year
OH 9.10
5
10
15
20
25
30
24.126.5
0.45
National BaselineNational TargetNevada StatusP
erc
en
tOH 9.1) Increase the proportion of school-based health centers with an oral health component that includes dental sealants
OH 9.20
2
4
6
8
10
12
10.111.1
0
National BaselineNational TargetNevada StatusP
erc
en
tOH 9.2) Increase the proportion of school-based health centers with an oral health component that includes dental care
OH 9.3 Increase the proportion of school-based health centers with an oral health component that includes topical fluoride DNC
OH 10.1 Increase the proportion of Federally Qualified Health Centers that have an oral health care program DNC
OH 10.2 Increase the proportion of local health departments that have oral health prevention or care programs DNC
OH 11 Increase the proportion of patients who receive oral health services at Federally Qualified Health Centers each year DNC
OH 12.1 Increase the proportion of children 3 to 5 years who have received dentals sealants on one or more of their primary molar teeth DNC
OH 12.20
5
10
15
20
25
30
35
40
45
25.528.1
41
National BaselineNational TargetNevada StatusP
erc
en
t
OH 12.2) Increase the proportion of children aged 6 to 9 years who have received dental sealants on one or more of their permanent first molar teeth
OH 12.30
10
20
30
40
50
60
19.9 21.9
54
National BaselineNational TargetNevada StatusP
erc
en
t
OH 12.3) Increase the proportion of adolescents aged 13 to 15 years who have received dental sealants on one or more of their permanent first molar teeth
OH 1368
70
72
74
76
78
80
82
72.4
79.6
74National BaselineNational TargetNevada StatusP
erc
en
tOH 13) Increase the proportion of the U.S. population served by community water systems with optimally fluoridated water
OH 14.1 Increase the proportion of adults who received information from a dentist or dental hygienist focusing on reducing tobacco use or smoking cessation in the past year (NEW)
OH 14.2 Increase the proportion of adults who received an oral and pharyngeal cancer screening from a dentist or dental hygienist in the past year (NEW)
OH 14.3 Increase the proportion of adults who are tested or referred for glycemic control from a dentist or dental hygienist in the past year (NEW)
OH 15.1 Increase the number of states and DC that have a system for recording cleft lips and cleft palates (NEW)
OH 15. 2 Increase number of states and DC that have a system for referral for cleft lips and cleft palates to rehabilitation teams (NEW)
OH 16 Increase the number of states and the District of Columbia that have an oral and craniofacial health surveillance system (DNC)
OH 17.1 Increase the proportion of states (including DC) and local health agencies that serve jurisdictions of 250,000 or more persons with a dental public health program directed by a dental professional with public health training
OH 17.2 Increase the number of Indian Health Service Areas and Tribal health programs that serve jurisdictions of 30,000 or more persons with a dental public health program directed by a dental professional with public health training (DNC)
33 Total HP 2020 Objectives 4 Objectives exceed the National Target 5 Objectives are “NEW” 11 Objectives fall short of National Target 13 Objectives the data is “DNC” or the data
is being collected but not reported
Objective Summary
02'-03' 05'-06' 08'-09'0
10
20
30
40
50
60
70
80
6771
64.9
39 44
28.133 41
37.5
58 60
69.2
11 98.5
Positive Trends in Nevada’s 3rd Grade Population
Decay Expe-rience
Untreated Decay
Dental Sealants
Dentist Visit Within Last year
Never Seen a Dentist
Perc
en
t
Source: Healthy Smile Happy Child Oral Health Survey of Third-Grade Students 2002-2009
Source: Healthy Smile Happy Child Oral Health Survey of Third-Grade Students 2002-2009
02'-03' 05'-06' 08'-09'0
10
20
30
40
50
60
70
80
90
Good Trends in Nevada’s 3rd Grade Popu-lation
Caries Experience - ECaries Experience - NEUntreated Decay - EUntreated Decay - NESealants - ESealants - NE
Perc
en
t
Meeting the needs of the HP 2020 objectives
Starting to collect data that needs to be track in order to try and meet needs of HP 2020
Collaborating efforts to move Nevada forward
Oral Health Program’s Future