ORCID Profile
0000-0002-4243-2392
Current Organisations
University of Adelaide
,
Second University of Naples
,
Istituto Dermopatico dell'Immacolata, Istituto di Ricovero e Cura a Carattere Scientifico; IDI-IRCCS
,
University of Leeds
,
University of Otago
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Publications
Performance of the Index of Dental Anxiety and Fear in a population‐based sample of adults
Publisher: Wiley
Date: 24-07-2017
DOI: 10.1111/ADJ.12541
Abstract: The Index of Dental Anxiety and Fear (IDAF-4C) was introduced to overcome the theoretical and practical shortcomings of previously developed dental fear measures. This new scale has not been tested on population s les other than in its country of origin, Australia. The aim of this study was to validate the IDAF-4C in a different cultural setting and to determine the prevalence and sociodemographic associations of dental anxiety. A cross sectional study of a representative New Zealand adult population s le was undertaken. The questionnaire was mailed to 523 randomly-selected participants. Data were collected on sociodemographic characteristics, oral and general health care, and dental anxiety using both the IDAF-4C and the Dental Anxiety Scale (DAS). The response rate was 51.8%. The factor structure of the IDAF-4C was confirmed. The prevalence estimates for high dental anxiety and fear were 18.6% using the DAS and 13.0% using the IDAF-4C. Mean scores for the IDAF-4C and DAS were higher among episodic dental visitors and those without a recent dental visit. The performance of the IDAF-4C in this New Zealand community s le supports its use for dental anxiety measurement.
Study of Mothers' and Infants' Life Events Affecting Oral Health (SMILE) birth cohort study
Publisher: BMJ
Date: 10-2020
DOI: 10.1136/BMJOPEN-2020-041185
Abstract: The long-term goal of the Study of Mothers’ and Infants’ Life Events Affecting Oral Health (SMILE) birth cohort study is to identify and evaluate the relative importance and timing of critical factors that shape the oral health of young children. It will then evaluate those factors in their inter-relationship with socioeconomic influences. SMILE is a single-centre study conducted in Adelaide, Australia. All newborns at the main three public hospitals between July 2013 and August 2014 were eligible for inclusion. The final recruited s le at birth was 2181 mother/infant dyads. Participants were followed up with questionnaires when the child was 3 and 6 months of age, and 1, 2 and 5 years of age. Oral epidemiological examinations and anthropometric assessments were conducted at age 2 and 5 years. SMILE has contributed comprehensive data on dietary patterns of young children. Intakes of free sugars, core and discretionary foods and drinks have been detailed. There was a sharp increase in free sugars intake with age. Determinants of dietary patterns, oral health status and body weight during the first 5 years of life have been evaluated. Socioeconomic characteristics such as maternal education and household income and area-level socioeconomic profile influenced dietary patterns and oral health behaviours and status. Funding has been obtained to conduct oral epidemiological examinations and anthropometric assessments at age 7–8 years. Plans are being developed to follow the cohort into adolescent years.
Inequalities in Indigenous Oral Health: Findings from Australia, New Zealand, and Canada
Publisher: SAGE Publications
Date: 28-07-2016
Abstract: The objective was to compare absolute differences in the prevalence of Indigenous-related inequalities in dental disease experience and self-rated oral health in Australia, Canada, and New Zealand. Data were sourced from national oral health surveys in Australia (2004 to 2006), Canada (2007 to 2009), and New Zealand (2009). Participants were aged ≥18 y. The authors measured age- and sex-adjusted inequalities by estimating absolute prevalence differences and their corresponding 95% confidence intervals (95% CIs). Clinical measures included the prevalence of untreated decayed teeth, missing teeth, and filled teeth self-reported measures included the prevalence of “fair” or “poor” self-rated oral health. The overall pattern of Indigenous disadvantage was similar across all countries. The summary estimates for the adjusted prevalence differences were as follows: 16.5 (95% CI: 11.1 to 21.9) for decayed teeth (all countries combined), 18.2 (95% CI: 12.5 to 24.0) for missing teeth, 0.8 (95% CI: –1.9 to 3.5) for filled teeth, and 17.5 (95% CI: 11.3 to 23.6) for fair oor self-rated oral health. The I 2 estimates were small for each outcome: 0.0% for decayed, missing, and filled teeth and 11.6% for fair oor self-rated oral health. Irrespective of country, when compared with their non-Indigenous counterparts, Indigenous persons had more untreated dental caries and missing teeth, fewer teeth that had been restored (with the exception of Canada), and a higher proportion reporting fair oor self-rated oral health. There were no discernible differences among the 3 countries.
Impact of dental visiting trajectory patterns on clinical oral health and oral health‐related quality of life
Publisher: Wiley
Date: 10-10-2011
DOI: 10.1111/J.1752-7325.2011.00281.X
Abstract: Previous studies have shown variation in long-term dental visiting but little is known about the oral health outcomes of such variation. The objective of this study is to determine the association of different dental visiting trajectories with dental clinical and oral health-related quality of life (OHRQoL) indicators. This study utilized data from the Dunedin Multidisciplinary Health and Development Study, a continuing longitudinal study of 1,037 babies born in Dunedin (New Zealand) between April 1, 1972 and March 31, 1973. Data presented here were collected at ages 15, 18, 26, and 32 years. Three categories of dental attendance were identified in earlier research, namely: regulars (n = 285, 30.9 percent of the cohort), decliners (441, 55.9 percent), and opportunistic users (107, 13.1 percent). There was a statistically significant association between opportunistic dental visiting behavior and decayed missing and filled surfaces score (Beta = 3.9) as well as missing teeth because of caries (Beta = 0.7). Nonregular dental visiting trajectories were associated with higher Oral Health Impact Profile (OHIP-14) scores (Beta = 2.1) and lower self-rated oral health scores (prevalence ratio = 0.8). Long-term, postchildhood dental attendance patterns are associated with oral health in adulthood, whether defined by clinical dental indicators or OHRQoL. Improving dental visiting behavior among low socioeconomic status groups would have the greatest effect on improving oral health and reducing oral health impacts.
Common risk factor approach to address socioeconomic inequality in the oral health of preschool children – a prospective cohort study
Publisher: Springer Science and Business Media LLC
Date: 06-05-2014
Maternal caries experience influences offspring’s early childhood caries—a birth cohort study
Publisher: Wiley
Date: 10-08-2020
DOI: 10.1111/CDOE.12568
Construct Validity of Locker’s Global Oral Health Item
Publisher: SAGE Publications
Date: 13-09-2012
Abstract: With clinical oral examinations not always possible in health surveys, researchers may instead be invited to add questions to a wider health survey. In such situations, an item is needed which adequately represents both clinical and self-reported oral health. This study investigated the clinical validity of Locker’s global self-reported oral health item among young middle-aged adults in populations in New Zealand and Australia. Clinical examination and self-report data (including the OHIP-14) were obtained from recent national dental surveys in NZ and Australia, and from age-38 assessments in the Dunedin Multidisciplinary Health and Development Study. National dataset analyses involved 35- to 44-year-olds. Caries and tooth-loss experience showed mostly consistent, statistically significant gradients across the Locker item responses those responding ‘Excellent’ had the lowest scores, and those responding ‘Poor’ the highest. Periodontitis experience gradients in the NZ national s le were mainly as hypothesized those rating their oral health as ‘Poor’ had the highest disease experience. OHIP-14 gradients across the Locker item responses were consistent and as hypothesized. The proportion of disease in the population borne by those ‘Fair’ or ‘Poor’ ranged from 26% to 72%. These findings provide preliminary support for the measure’s validity as a global self-reported oral health measure in young middle-aged adults.
Oral health of children in Aotearoa New Zealand–time for change
Publisher: Informa UK Limited
Date: 18-05-2022
Dietary Patterns and Risk of Obesity and Early Childhood Caries in Australian Toddlers: Findings from an Australian Cohort Study
Publisher: MDPI AG
Date: 19-11-2019
DOI: 10.3390/NU11112828
Abstract: We examined associations between dietary patterns at 12 months, characterised using multiple methodologies, and risk of obesity and early childhood caries (ECC) at 24–36 months. Participants were Australian toddlers (n = 1170) from the Study of Mothers’ and Infants’ Life Events affecting oral health (SMILE) birth cohort. Principal Components Analysis (PCA) and the Dietary Guideline Index for Children and Adolescents (DGI-CA) were applied to dietary intake data (1, 2 or 3-days) at 12 months, and regression analysis used to examine associations of dietary patterns with body mass index Z-score and presence of ECC at 24–36 months. Two dietary patterns were extracted using PCA: family diet and cow’s milk and discretionary combination. The mean DGI-CA score was 56 ± 13 (out of a possible 100). No statistically significant or clinically meaningful associations were found between dietary pattern or DGI-CA scores, and BMI Z-scores or ECC (n = 680). Higher cow’s milk and discretionary combination pattern scores were associated with higher energy and free sugars intakes, and higher family diet pattern scores and DGI-CA scores with lower free sugars intakes. The association between dietary patterns and intermediate outcomes of free sugars and energy intakes suggests that obesity and/or ECC may not yet have manifested, and thus longitudinal investigation beyond two years of age is warranted.
Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition)
Publisher: Informa UK Limited
Date: 02-01-2016
Social inequalities in tooth loss: A multinational comparison
Publisher: Wiley
Date: 10-02-2017
DOI: 10.1111/CDOE.12285
Abstract: To conduct cross-national comparison of education-based inequalities in tooth loss across Australia, Canada, Chile, New Zealand and the United States. We used nationally representative data from Australia's National Survey of Adult Oral Health Canadian Health Measures Survey Chile's First National Health Survey Ministry of Health US National Health and Nutrition Examination Survey and the New Zealand Oral Health Survey. We examined the prevalence of edentulism, the proportion of in iduals having <21 teeth and the mean number of teeth present. We used education as a measure of socioeconomic position and measured absolute and relative inequalities. We used random-effects meta-analysis to summarize inequality estimates. The USA showed the widest absolute and relative inequality in edentulism prevalence, whereas Chile demonstrated the largest absolute and relative social inequality gradient for the mean number of teeth present. Australia had the narrowest absolute and relative inequality gap for proportion of in iduals having <21 teeth. Pooled estimates showed substantial heterogeneity for both absolute and relative inequality measures. There is a considerable variation in the magnitude of inequalities in tooth loss across the countries included in this analysis.
Dental visiting trajectory patterns and their antecedents
Publisher: Wiley
Date: 28-09-2010
DOI: 10.1111/J.1752-7325.2010.00196.X
Abstract: This study aimed to test whether socioeconomic status (SES) in childhood may affect dental visiting patterns between ages 18 and 32 years. Using data from a complete birth cohort, childhood SES status was measured (using the New Zealand Elley-Irving index) at each study stage between birth and 15 years. Longitudinal dental visiting data were available for 833 study participants from ages 15, 18, 26, and 32, and these were analyzed by trajectory analysis. Three separate dental visiting trajectories were identified these were categorized as opportunists (13.1%), decliners (55.9%), and routine attenders (30.9%). Bivariate analyses showed low SES in childhood, male sex, and dental anxiety to be associated with membership of the "opportunist" dental visiting trajectory. Multinomial logistic regression showed that low childhood SES and dental anxiety were statistically significant predictors for membership in the opportunist or decliner trajectories after accounting for potential confounding variables. In iduals who grew up experiencing low childhood SES were less likely to adopt a routine dental visiting trajectory in adulthood than those with a high childhood SES. Dental anxiety was also an important predictor of dental visiting patterns.
Related Organisations
Istituto Dermopatico Dell'Immacolata, Istituto Di Ricovero E Cura A Carattere Scientifico; IDI-IRCCS
Location: Italy
University Of Leeds
Location: United Kingdom of Great Britain and Northern Ireland
Related Funding Activities
No related grants have been discovered for Antonio Facchiano.