Hi Bruce,
If you are not already aware, you may wish to contact the dental clinic at
Mount Carmel Clinic in Winnipeg.
http://www.mountcarmel.ca/about/history.php
This inner-city community health centre has been offering free or low-cost
dental care since the late 1960s.
Cheers,
Laura Donatelli
Knowledge Development & Exchange Analyst
Public Health Agency of Canada
Telephone: (204) 789-7407
Fax.: (204) 789-7878
[log in to unmask]
Mailing Address:
Manitoba and Saskatchewan Regional Office
1015 Arlington Street
Winnipeg, MB R3E 3R2
Bruce Wallace
<[log in to unmask]
UBC.CA> To
Sent by: Social [log in to unmask]
Determinants of cc
Health
<[log in to unmask]> Subject
Re: [SDOH] abstract: Socio-economic
status and head and neck cancer
2010-02-10 11:51 incidence in Canada: A case-control
AM study
Please respond to
Social
Determinants of
Health
<[log in to unmask]>
Hello,
I have also been working on access to dental care for low income people,
and
specifically the possibility of sustaining community dental clinics within
community health centres. My objective has been to collect evidence on the
responses rather than continued documentation of the need and barriers.
Also, when communities observe that many people are living with untreated
dental pain, the responses are often charitable/volunteer and limited to
relief of pain. My research seeks to determine if basic dental care
(including prevention and restorative) can be provided within CHCs by paid
dental staff in fiscally sustainable organizations - and what could be the
government's role in funding these responses.
If helpful, a case study of five dental clinics in BC is in the link below,
and below that a link to earlier reports that I have worked on through the
Victoria Cool Aid Community Health Centre here in Victoria.
Bruce
http://www.coolaid.org/publications/dental_case_studies_2009.pdf
http://www.coolaid.org/index.php?option=com_content&task=view&id=215&Itemid=
197
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Cynthia Roodzant
Sent: Wednesday, February 10, 2010 5:24 AM
To: [log in to unmask]
Subject: Re: [SDOH] abstract: Socio-economic status and head and neck
cancer
incidence in Canada: A case-control study
I appreciate your perspective on Dental Health! Many of us working
within Community Health Centres and the Association of Ontario Health
Centres have been working diligently on advocacy efforts to try to get
the Ministry to "Put the Mouth Back into the Body" so to speak and
encourage funding for Oral Health Care!!
Cynthia Roodzant
Health Promoter
West Elgin Community Health Centre
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Melissa Raven
Sent: Tuesday, February 09, 2010 5:18 PM
To: [log in to unmask]
Subject: Re: [SDOH] abstract: Socio-economic status and head and neck
cancer incidence in Canada: A case-control study
I am surprised that they apparently did not also control for alcohol
intake.
Alcohol is a carcinogen that increases the risk of cancer in all tissues
it
comes into direct contact with from the beginning of the digestive tract
(the mouth) - as well as increasing the risk of more distant tissues
such as
the breast.
The dental care link is interesting. I have long believed that basic
dental
care should be included in medical care coverage. Dental health IS
medical
health. And of course it is poor people who miss out on dental care.
Oral Oncol. 2010 Feb 5. [Epub ahead of print]
Socio-economic status and head and neck cancer incidence in Canada: A
case-control study.
Johnson S, McDonald JT, Corsten M, Rourke R.
Department of Otolaryngology - Head and Neck Surgery, The University of
Ottawa, The Ottawa Hospital, S3, 501 Smyth Rd., Ottawa, ON, Canada K1H
8L6.
In an earlier study we identified an increased incidence of head and
neck
cancer (HNC) in individuals with lower socio-economic status (SES) in
the
United States. The objective of this study was to determine if lower SES
is
associated with a similar increase in the incidence of HNC in Canadian
patients. We obtained data on SES (income, education and immigration
status), demographic characteristics, frequency of dental visits and
smoking
behavior for adult patients residing in the Eastern Ontario region who
were
referred to the Ottawa Regional Cancer Centre with HNC. We compared the
SES
and frequency of dental visits of these HNC patients with the SES and
frequency of dental visits of a control sample in the same region from
the
2004-2005 Statistics Canada Canadian Community Health Survey (CCHS 3.1).
We
then performed a logistic regression analysis on the combined sample of
patients and controls using incidence of HNC as the dependent variable.
This
allowed us to eliminate confounding variables such as tobacco intake and
to
isolate the effect of SES, frequency of dental visits, and immigration
status on HNC incidence. There was a statistically significant decrease
in
the incidence of HNC among adults with a higher median family income
(OR=0.5429, CI=[.3352, .8795]). Also, adults with less than grade 8
education had significantly higher rates of HNC than adults who had
completed high school (OR 3.65, CI=[1.88, 7.08]). As well, immigrants
had a
significantly lower incidence of HNC than Canadian born adults
(OR=0.3825,
CI=[.2063, .7090]). Lastly, we found that individuals who typically
visited
a dentist less than once per year had a significantly higher incidence
of
HNC than individuals who typically visited a dentist at least once per
year
(OR=1.69, CI=[1.01, 2.83]). Even when controlling for tobacco intake,
the
incidence of HNC in Eastern Ontario was higher in patients with lower
median
family income and less than grade 8 education. It was higher in
individuals
who visited a dentist less than once per year, and lower in immigrants
to
Canada. This was similar to what has been observed in the United States.
Further study into the reason for this increased incidence of HNC in
patients with lower SES is warranted. Copyright C 2009 Elsevier Ltd. All
rights reserved.
Melissa
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Sandi Pniauskas
Sent: Wednesday, 10 February 2010 12:58 AM
To: [log in to unmask]
Subject: [SDOH] abstract: Socio-economic status and head and neck cancer
incidence in Canada: A case-control study
"This was similar to what has been observed in the United States"
http://www.ncbi.nlm.nih.gov/pubmed/20138799?itool=Email.EmailReport.Pubm
ed_R
eportSelector.Pubmed_RVDocSum&ordinalpos=8
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