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State-based oral health surveillance systems conceptual framework and operational definition
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10/01/2013
[PDF-845.61 KB]
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Description:The public health implications of poor oral health status are vast. Poor oral health impacts a person’s ability to eat, speak, work, communicate and learn. Although most oral diseases and conditions are preventable, virtually all adults - and many children – have experienced some oral disease. Serious oral health disparities exist by race, age, geography and income. The costs of oral disease treatment are significant. The Centers for Disease Control and Prevention (CDC) recommends that health-related events (in this case oral diseases and conditions) be considered for surveillance if they affect many people, require large expenditures of resources, are largely preventable, and are of public health importance. Based on these criteria, oral health outcomes, associated health behaviors, and other factors linked to oral health should be included in state-based public health surveillance systems.
In the 20th century, oral health surveillance was primarily the domain of the federal government. A few states collected oral health status data, but no state had a comprehensive system for oral health surveillance. The development of state-based oral health surveillance systems began in 1998-1999 when the Council of State and Territorial Epidemiologists (CSTE) approved nine oral health indicators for public health surveillance. The website hosting these indicators, the National Oral Health Surveillance System (NOHSS), was launched jointly by CDC and the Association of State and Territorial Dental Directors (ASTDD) in 2001.
Upon release of the Healthy People 2020 (HP2020) objectives, ASTDD formed a NOHSS workgroup of state dental directors and epidemiologists from ASTDD, CDC and CSTE. The workgroup was tasked with reviewing the original NOHSS indicators for alignment with HP2020 objectives and assessing whether state data sources were available for these or related objectives. In 2012, CSTE approved position statements submitted by the workgroup requesting that a wider array of state-level indicators be included in NOHSS and that CSTE develop a new operational definition for HP2020 Objective OH-16 “Increase the number of states and the District of Columbia that have an oral and craniofacial health surveillance system”.
This publication was supported by Cooperative Agreement Number 1U38HM000414 from CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.
state-based-oral-health-surveillance-systems-cste-whitepaper-oct-2013.pdf
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Pages in Document:I, 43 numbered pages
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