Health Prevention & Promotion II Ch. 4
The _____________________________ has released a comprehensive set of national public health objectives each decade since 1980.
U.S. Department of Health and Human Services (HHS)
An oral health surveillance system should contain, at a minimum:
a core set of oral health measures that describe the status of important oral health conditions.
The six domains that describe core aspects of quality of life cross culturally are physical, psychological, and social relationships and:
level of independence, environment, and personal beliefs.
The Healthy People 2020 initiative includes a vision of a society in which all people:
live long, healthy lives.
The Orofacial Pain Questionnaire and Orofacial Pain Examination in the National Health and Nutrition Examination Survey (NHANES) includes an extraoral examination to assess orofacial pain by measuring the ___________________ and palpating the muscles of mastication and the temporomandibular joint region for tenderness.
maximal incisal opening, in millimeters
The etiology and pathogenesis of diseases and disorders affecting craniofacial structures are ___________ and ___________.
multifactorial; complex
The overarching goals for Healthy People 2020 provide a general direction for the development of a set of __________ that will measure progress in population health within a specified time period.
objectives
For the Association of State and Territorial Dental Directors (ASTDD) Basic Screening Survey (BSS), ___________ are considered to be untreated decay.
only cavitated lesions
Common oral and craniofacial diseases that can be assessed include:
oral and pharyngeal cancer.
Several agencies and national organizations have stressed the importance of _____________________ to collect data routinely on oral health outcomes, risk factors, and intervention strategies for the whole population or representative samples of the population.
oral health surveillance systems
Selection of a data collection method for a community oral health assessment should be based on information of interest, social and demographics of the population and the community, and:
purpose of the assessment.
Which of the following represent long-term goals of oral health surveillance systems?
(A) Continuous monitoring or oral health at the national, state, and community levels AND (B) An expansion of indicators in oral health surveillance systems (A and B)
Which of the following is true concerning the topic areas in the Healthy People 2020 objectives for the United States?
(A) Oral health is a specific topic area in Healthy People 2020. AND (B) Oral health is integrated into other topic areas in the Healthy People 2020 objectives for the United States. (A and B)
The National Health and Nutrition Examination Survey (NHANES) oral health impact profile (OHIP):
(A) is a cross-sectional survey of a nationally representative sample of U.S. adults, AND (B) used a computer-assisted personal interviewing (CAPI) system in the home. (A and B)
The proportion of oral and pharyngeal cancer lesions diagnosed at the earliest stage is collected through:
(A) state cancer registries. and (B) the Surveillance, Epidemiology, and End Results (SEER) of the National Cancer Institute (NCI) of the National Institutes of Health (NIH). (A and B)
Which of the following is true of the measurement of incisor trauma in the National Health and Nutrition Examination Survey (NHANES)?
(B) Individuals age 6 to 29 years received the Incisor Trauma assessment. and (C) The examiner examines the selected teeth for evidence of traumatic injury. (B and C)
Endeavors in the United States to formulate a systematic approach for oral health data collection and reporting have resulted in: 1. the development of standard ways to monitor the national oral health objectives. 2. an oral health needs assessment model. 3. documentation of uniform methods to measure community oral health. 4. a national data bank.
1, 2, 3
The Dental, Oral, and Craniofacial Data Resource Center (DRC) is sponsored by: 1. the National Institute for Dental and Craniofacial Research (NIDCR). 2. the National Institutes for Health (NIH). 3. the Division of Oral Health, Centers for Disease Control and Prevention (CDC).
1, 2, 3
The purpose of the National Oral Health Surveillance System (NOHSS) is to help public health programs monitor: 1. the burden of oral disease. 2. use of the oral health care delivery system. 3. status of community water fluoridation.
1, 2, 3
When the health of a community is assessed, oral health is found to be an important concern for (1) children, (2) adults, and (3) elderly people.
1, 2, 3
Healthy People provides national ________ health targets aimed at improving the health of all Americans.
10-year
One of the goals of the National 2010 Objectives for Leading Health Indicators is that __% of children and adults (younger than 65 years of age) have health insurance.
100
The Association of State and Territorial Dental Directors (ASTDD) Basic Screening Survey (BSS) manual outlines two approaches for assessing severity related to dental caries. These include: 1. facial or buccal surface decay. 2. rampant decay. 3. number of quadrants with untreated decay. 4. depth of decay.
2, 3
Healthy People 2020 has established national objectives to be reached by the year _____.
2020
Which of the following correctly represents the sequence of the Institute of Medicine's model of the multiple determinants of health from the innermost circle outward? 1. Living and working conditions 2. Social, family, and community networks 3. Innate individual traits 4. Individual behavior
3, 4, 2, 1
Which of the following is one of the National 2010 Objectives for Leading Health Indicators?
90% of pregnant women receive prenatal care during the first trimester.
Which of the following is true for the Association of State and Territorial Dental Directors (ASTDD) Basic Screening Survey method for evaluation of sealants?
A dichotomous measure is used to assess for the presence or absence of dental sealants.
The Basic Screening Survey (BSS) is published by:
Association of State and Territorial Dental Directors (ASTDD).
Which of the following is a clinical data collection method for a community oral health assessment?
Basic screenings
Adult indicators for the interactive Internet-based oral health maps that present state or county level data come from the ______________.
Behavioral Risk Factor Surveillance System (BRFSS)
According to the Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020, what requirements are needed for health equity?
Continuous efforts focused on elimination of health disparities and continuous efforts to maintain a desired state of equity
Which of the following is true of basic screenings and epidemiologic examinations?
Epidemiologic examinations do not constitute a thorough clinical examination.
The United States has developed plans for the prevention of diseases and the promotion of health embodied in the initiative known as:
Healthy People.
Which of the following is true for the conventional decayed, missing, filled (DMF) index?
It is limited in its ability to measure the characteristics of dental caries thoroughly.
Which of the following is true of the International Caries Detection and Assessment System (ICDAS)?
It was developed as a clinical scoring system.
Which of the following is a collaborative effort between the Centers for Disease Control and Prevention (CDC), Division of Oral Health, and the Association of State and Territorial Dental Directors (ASTDD)?
National Oral Health Surveillance System (NOHSS)
Which of the following teeth are evaluated for fluorosis in the National Health and Nutrition Examination Survey (NHANES)?
The maxillary anterior teeth
What is the difference between the df and DMF indexes?
The df index does not include missing teeth because of the difficulty in distinguishing primary tooth loss as a result of dental caries from those lost by natural exfoliation.
The National Oral Health Surveillance System (NOHSS) currently tracks the number of _______________ who have visited a dentist or dental clinic in the past year.
adults age 18 years and older
The Water Fluoridation Reporting System (WFRS) is:
an interactive Internet-based monitoring and surveillance program
According to the Association of State and Territorial Dental Directors Basic Screening Survey methods, untreated dental caries is generally detected:
by visual inspection.
The Community Periodontal Index (CPI):
calls for a specially designed lightweight probe with a 0.5-mm ball at its tip.
The Healthy People 2020 oral health objectives:
combine current information with contemporary public health principles to benefit the largest number of people in the United States.
Healthy People 2020 has been designed to redirect attention from health care to health:
determinants
The concepts of health equity and health _________ are inseparable in their practical implementation.
disparity
According to the Institute of Medicine's model of the multiple determinants of health, the innermost circle represents:
innate individual traits.
Healthy People 2020 targets reductions in adverse social and physical determinants as important areas for assessment and _______ to improve health in the coming decade.
intervention
A complete separation of oral health-related quality of life and health-related quality of life:
is not possible because oral health is one aspect of overall health.
Health determinants are:
the range of personal, social, economic, and environmental factors that determine the health status of individuals or populations.
The oral health indicator in the National Oral Health Surveillance System (NOHSS) measures dental sealants by assessing the percentage of ___________ with dental sealants on at least one permanent molar tooth.
third-grade students
In the U.S. public health community, and as defined by the Advisory Committee, the term health disparity refers to a particular type of health difference among individuals or groups that is:
unfair because it is caused by social or economic disadvantage.