Knowledge, attitudes and practices of patients and healthcare professionals regarding oral health and COPD in São Paulo, Brazil: a qualitative study

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Knowledge, attitudes and practices of patients and healthcare professionals regarding oral health and COPD in São Paulo, Brazil : a qualitative study. / Riley, Matthew ; Swann, Amber ; Morris, Alexander J.; Martins, Sonia M. ; Adams, Rachel; Jordan, Rachel.

In: NPJ Primary Care Respiratory Medicine, Vol. 31, 20, 04.05.2021.

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@article{d21d3407435e43a98b2489d22b205b98,
title = "Knowledge, attitudes and practices of patients and healthcare professionals regarding oral health and COPD in S{\~a}o Paulo, Brazil: a qualitative study",
abstract = "Poor oral health is associated with worse clinical outcomes in Chronic Obstructive Pulmonary Disease (COPD). This qualitative study aimed to investigate the knowledge, attitudes and practices of COPD patients and primary health care professionals (HCPs) in Brazil - where there are high rates of COPD and periodontal disease. Semi-structured interviews with COPD patients (n=9) and three semi-structured focus groups with HCPs (n=25) were conducted in S{\~a}o Paulo. Interviews were thematically analysed using The Framework Method. Despite a high prevalence of edentulism, patients viewed tooth loss and decay as a norm and neglected preventative oral health practices. HCPs blamed patients for avoiding preventative opportunities, whilst patients discussed significant barriers to oral healthcare. Knowledge of the relationship between oral health and COPD was lacking among HCPs and patients, but all participants were receptive to oral health education. Practitioners identified the need for a COPD primary care pathway that integrates oral health protocols. This study indicates that Brazil must incorporate preventative oral health into COPD management and expand public dental services to increase uptake. ",
author = "Matthew Riley and Amber Swann and Morris, {Alexander J.} and Martins, {Sonia M.} and Rachel Adams and Rachel Jordan",
year = "2021",
month = may,
day = "4",
doi = "10.1038/s41533-021-00235-x",
language = "English",
volume = "31",
journal = "NPJ Primary Care Respiratory Medicine",
issn = "2055-1010",
publisher = "Nature Publishing Group",

}

RIS

TY - JOUR

T1 - Knowledge, attitudes and practices of patients and healthcare professionals regarding oral health and COPD in São Paulo, Brazil

T2 - a qualitative study

AU - Riley, Matthew

AU - Swann, Amber

AU - Morris, Alexander J.

AU - Martins, Sonia M.

AU - Adams, Rachel

AU - Jordan, Rachel

PY - 2021/5/4

Y1 - 2021/5/4

N2 - Poor oral health is associated with worse clinical outcomes in Chronic Obstructive Pulmonary Disease (COPD). This qualitative study aimed to investigate the knowledge, attitudes and practices of COPD patients and primary health care professionals (HCPs) in Brazil - where there are high rates of COPD and periodontal disease. Semi-structured interviews with COPD patients (n=9) and three semi-structured focus groups with HCPs (n=25) were conducted in São Paulo. Interviews were thematically analysed using The Framework Method. Despite a high prevalence of edentulism, patients viewed tooth loss and decay as a norm and neglected preventative oral health practices. HCPs blamed patients for avoiding preventative opportunities, whilst patients discussed significant barriers to oral healthcare. Knowledge of the relationship between oral health and COPD was lacking among HCPs and patients, but all participants were receptive to oral health education. Practitioners identified the need for a COPD primary care pathway that integrates oral health protocols. This study indicates that Brazil must incorporate preventative oral health into COPD management and expand public dental services to increase uptake.

AB - Poor oral health is associated with worse clinical outcomes in Chronic Obstructive Pulmonary Disease (COPD). This qualitative study aimed to investigate the knowledge, attitudes and practices of COPD patients and primary health care professionals (HCPs) in Brazil - where there are high rates of COPD and periodontal disease. Semi-structured interviews with COPD patients (n=9) and three semi-structured focus groups with HCPs (n=25) were conducted in São Paulo. Interviews were thematically analysed using The Framework Method. Despite a high prevalence of edentulism, patients viewed tooth loss and decay as a norm and neglected preventative oral health practices. HCPs blamed patients for avoiding preventative opportunities, whilst patients discussed significant barriers to oral healthcare. Knowledge of the relationship between oral health and COPD was lacking among HCPs and patients, but all participants were receptive to oral health education. Practitioners identified the need for a COPD primary care pathway that integrates oral health protocols. This study indicates that Brazil must incorporate preventative oral health into COPD management and expand public dental services to increase uptake.

U2 - 10.1038/s41533-021-00235-x

DO - 10.1038/s41533-021-00235-x

M3 - Article

VL - 31

JO - NPJ Primary Care Respiratory Medicine

JF - NPJ Primary Care Respiratory Medicine

SN - 2055-1010

M1 - 20

ER -