Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review.
Identifieur interne : 000081 ( Main/Exploration ); précédent : 000080; suivant : 000082Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review.
Auteurs : Prakash Poudel [Australie] ; Rhonda Griffiths [Australie] ; Vincent W. Wong [Australie] ; Amit Arora [Australie] ; Jeff R. Flack [Australie] ; Chee L. Khoo [Australie] ; Ajesh George [Australie]Source :
- BMC public health [ 1471-2458 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- épidémiologie : Diabète.
- Connaissances, attitudes et pratiques en santé, Humains, Santé buccodentaire.
English descriptors
- KwdEn :
- MESH :
- epidemiology : Diabetes Mellitus.
- Health Knowledge, Attitudes, Practice, Humans, Oral Health.
Abstract
BACKGROUND
People with uncontrolled diabetes are at greater risk for several oral health problems, particularly periodontal (gum) disease. Periodontal disease also impacts diabetes control. Good oral hygiene and regular dental visits are recommended to prevent and manage oral health problems. Several studies have been conducted to assess the oral health knowledge, attitudes, and practices of people with diabetes yet a review of these findings has not yet been undertaken. The aim of this systematic review was to synthesize current evidence on the knowledge, attitudes and practices of people with diabetes in relation to their oral health care.
METHODS
A systematic search of all literature was carried out in five databases using key search terms. The inclusion criteria were: 1) published in the English language; 2) from 2000 to November, 2017; 3) conducted on persons with any type of diabetes and of all ages; 4) explored at least one study outcome (knowledge or attitude or practices toward oral health care); and 5) used quantitative methods of data collection. No restrictions were placed on the quality and setting of the study.
RESULTS
A total of 28 studies met the inclusion criteria. The studies included a total of 27,894 people with diabetes and were conducted in 14 countries. The review found that people with diabetes have inadequate oral health knowledge, poor oral health attitudes, and fewer dental visits. They rarely receive oral health education and dental referrals from their care providers. Provision of oral health education by diabetes care providers and referral to dentists when required, was associated with improved oral health behaviours among patients.
CONCLUSIONS
Overall, people with diabetes have limited oral health knowledge and poor oral health behaviours. It is therefore essential to educate patients about their increased risk for oral health problems, motivate them for good oral health behaviours and facilitate access to dental care.
DOI: 10.1186/s12889-018-5485-7
PubMed: 29716561
PubMed Central: PMC5930945
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Wong</name><affiliation wicri:level="1"><nlm:affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Local Health District, Liverpool, 2170, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052</wicri:regionArea><wicri:noRegion>2052</wicri:noRegion></affiliation></author><author><name sortKey="Arora, Amit" sort="Arora, Amit" uniqKey="Arora A" first="Amit" last="Arora">Amit Arora</name><affiliation wicri:level="1"><nlm:affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Local Health District, Liverpool, 2170, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Oral Health Services and Sydney Dental Hospital, Sydney Local Health District, Surry Hills, NSW, 2010, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Oral Health Services and Sydney Dental Hospital, Sydney Local Health District, Surry Hills, NSW, 2010</wicri:regionArea><wicri:noRegion>2010</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Discipline of Child and Adolescent Health, Sydney Medical School, Westmead, NSW, 2145, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Discipline of Child and Adolescent Health, Sydney Medical School, Westmead, NSW, 2145</wicri:regionArea><wicri:noRegion>2145</wicri:noRegion></affiliation></author><author><name sortKey="Flack, Jeff R" sort="Flack, Jeff R" uniqKey="Flack J" first="Jeff R" last="Flack">Jeff R. 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University, Locked Bag 1797, Penrith, 2751, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia. 18537606@student.westernsydney.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia. 18537606@student.westernsydney.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia. 18537606@student.westernsydney.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Local Health District, Liverpool, 2170, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation></author><author><name sortKey="Griffiths, Rhonda" sort="Griffiths, Rhonda" uniqKey="Griffiths R" first="Rhonda" last="Griffiths">Rhonda Griffiths</name><affiliation wicri:level="1"><nlm:affiliation>School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation></author><author><name sortKey="Wong, Vincent W" sort="Wong, Vincent W" uniqKey="Wong V" first="Vincent W" last="Wong">Vincent W. Wong</name><affiliation wicri:level="1"><nlm:affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Local Health District, Liverpool, 2170, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052</wicri:regionArea><wicri:noRegion>2052</wicri:noRegion></affiliation></author><author><name sortKey="Arora, Amit" sort="Arora, Amit" uniqKey="Arora A" first="Amit" last="Arora">Amit Arora</name><affiliation wicri:level="1"><nlm:affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Local Health District, Liverpool, 2170, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Oral Health Services and Sydney Dental Hospital, Sydney Local Health District, Surry Hills, NSW, 2010, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Oral Health Services and Sydney Dental Hospital, Sydney Local Health District, Surry Hills, NSW, 2010</wicri:regionArea><wicri:noRegion>2010</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Discipline of Child and Adolescent Health, Sydney Medical School, Westmead, NSW, 2145, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Discipline of Child and Adolescent Health, Sydney Medical School, Westmead, NSW, 2145</wicri:regionArea><wicri:noRegion>2145</wicri:noRegion></affiliation></author><author><name sortKey="Flack, Jeff R" sort="Flack, Jeff R" uniqKey="Flack J" first="Jeff R" last="Flack">Jeff R. Flack</name><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Local Health District, Liverpool, 2170, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052</wicri:regionArea><wicri:noRegion>2052</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW, 1797, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW, 1797</wicri:regionArea><wicri:noRegion>1797</wicri:noRegion></affiliation></author><author><name sortKey="Khoo, Chee L" sort="Khoo, Chee L" uniqKey="Khoo C" first="Chee L" last="Khoo">Chee L. Khoo</name><affiliation wicri:level="1"><nlm:affiliation>Health Focus Family Practice, The Royal Australian College of General Practitioners (RACGP), National Association of Diabetes Centres (NADC), Ingleburn, NSW, 2565, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Health Focus Family Practice, The Royal Australian College of General Practitioners (RACGP), National Association of Diabetes Centres (NADC), Ingleburn, NSW, 2565</wicri:regionArea><wicri:noRegion>2565</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Diabetes , Obesity and Metabolism Translational Research Unit (DOMTRU), Western Sydney University, Campbelltown, NSW, 2560, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Diabetes , Obesity and Metabolism Translational Research Unit (DOMTRU), Western Sydney University, Campbelltown, NSW, 2560</wicri:regionArea><wicri:noRegion>2560</wicri:noRegion></affiliation></author><author><name sortKey="George, Ajesh" sort="George, Ajesh" uniqKey="George A" first="Ajesh" last="George">Ajesh George</name><affiliation wicri:level="1"><nlm:affiliation>School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>South Western Sydney Local Health District, Liverpool, 2170, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Faculty of Dentistry, University of Sydney, Camperdown, 2050, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Faculty of Dentistry, University of Sydney, Camperdown, 2050, NSW</wicri:regionArea><orgName type="university">Université de Sydney</orgName><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diabetes Mellitus (epidemiology)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Humans (MeSH)</term><term>Oral Health (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Diabète (épidémiologie)</term><term>Humains (MeSH)</term><term>Santé buccodentaire (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Diabetes Mellitus</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Diabète</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Oral Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé</term><term>Humains</term><term>Santé buccodentaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>People with uncontrolled diabetes are at greater risk for several oral health problems, particularly periodontal (gum) disease. Periodontal disease also impacts diabetes control. Good oral hygiene and regular dental visits are recommended to prevent and manage oral health problems. Several studies have been conducted to assess the oral health knowledge, attitudes, and practices of people with diabetes yet a review of these findings has not yet been undertaken. The aim of this systematic review was to synthesize current evidence on the knowledge, attitudes and practices of people with diabetes in relation to their oral health care.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A systematic search of all literature was carried out in five databases using key search terms. The inclusion criteria were: 1) published in the English language; 2) from 2000 to November, 2017; 3) conducted on persons with any type of diabetes and of all ages; 4) explored at least one study outcome (knowledge or attitude or practices toward oral health care); and 5) used quantitative methods of data collection. No restrictions were placed on the quality and setting of the study.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 28 studies met the inclusion criteria. The studies included a total of 27,894 people with diabetes and were conducted in 14 countries. The review found that people with diabetes have inadequate oral health knowledge, poor oral health attitudes, and fewer dental visits. They rarely receive oral health education and dental referrals from their care providers. Provision of oral health education by diabetes care providers and referral to dentists when required, was associated with improved oral health behaviours among patients.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Overall, people with diabetes have limited oral health knowledge and poor oral health behaviours. It is therefore essential to educate patients about their increased risk for oral health problems, motivate them for good oral health behaviours and facilitate access to dental care.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29716561</PMID><DateCompleted><Year>2019</Year><Month>04</Month><Day>10</Day></DateCompleted><DateRevised><Year>2019</Year><Month>04</Month><Day>10</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>1</Issue><PubDate><Year>2018</Year><Month>05</Month><Day>02</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review.</ArticleTitle><Pagination><MedlinePgn>577</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12889-018-5485-7</ELocationID><Abstract><AbstractText Label="BACKGROUND">People with uncontrolled diabetes are at greater risk for several oral health problems, particularly periodontal (gum) disease. Periodontal disease also impacts diabetes control. Good oral hygiene and regular dental visits are recommended to prevent and manage oral health problems. Several studies have been conducted to assess the oral health knowledge, attitudes, and practices of people with diabetes yet a review of these findings has not yet been undertaken. The aim of this systematic review was to synthesize current evidence on the knowledge, attitudes and practices of people with diabetes in relation to their oral health care.</AbstractText><AbstractText Label="METHODS">A systematic search of all literature was carried out in five databases using key search terms. The inclusion criteria were: 1) published in the English language; 2) from 2000 to November, 2017; 3) conducted on persons with any type of diabetes and of all ages; 4) explored at least one study outcome (knowledge or attitude or practices toward oral health care); and 5) used quantitative methods of data collection. No restrictions were placed on the quality and setting of the study.</AbstractText><AbstractText Label="RESULTS">A total of 28 studies met the inclusion criteria. The studies included a total of 27,894 people with diabetes and were conducted in 14 countries. The review found that people with diabetes have inadequate oral health knowledge, poor oral health attitudes, and fewer dental visits. They rarely receive oral health education and dental referrals from their care providers. Provision of oral health education by diabetes care providers and referral to dentists when required, was associated with improved oral health behaviours among patients.</AbstractText><AbstractText Label="CONCLUSIONS">Overall, people with diabetes have limited oral health knowledge and poor oral health behaviours. It is therefore essential to educate patients about their increased risk for oral health problems, motivate them for good oral health behaviours and facilitate access to dental care.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Poudel</LastName><ForeName>Prakash</ForeName><Initials>P</Initials><Identifier Source="ORCID">0000-0001-9848-3749</Identifier><AffiliationInfo><Affiliation>School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia. 18537606@student.westernsydney.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia. 18537606@student.westernsydney.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia. 18537606@student.westernsydney.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia. 18537606@student.westernsydney.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Griffiths</LastName><ForeName>Rhonda</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wong</LastName><ForeName>Vincent W</ForeName><Initials>VW</Initials><AffiliationInfo><Affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arora</LastName><ForeName>Amit</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Oral Health Services and Sydney Dental Hospital, Sydney Local Health District, Surry Hills, NSW, 2010, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Discipline of Child and Adolescent Health, Sydney Medical School, Westmead, NSW, 2145, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Flack</LastName><ForeName>Jeff R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW, 1797, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khoo</LastName><ForeName>Chee L</ForeName><Initials>CL</Initials><AffiliationInfo><Affiliation>Health Focus Family Practice, The Royal Australian College of General Practitioners (RACGP), National Association of Diabetes Centres (NADC), Ingleburn, NSW, 2565, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Diabetes , Obesity and Metabolism Translational Research Unit (DOMTRU), Western Sydney University, Campbelltown, NSW, 2560, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>George</LastName><ForeName>Ajesh</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Dentistry, University of Sydney, Camperdown, 2050, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>05</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public Health</MedlineTA><NlmUniqueID>100968562</NlmUniqueID><ISSNLinking>1471-2458</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003920" MajorTopicYN="N">Diabetes Mellitus</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009909" MajorTopicYN="Y">Oral Health</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Diabetes mellitus</Keyword><Keyword MajorTopicYN="Y">Health knowledge, attitudes, practice</Keyword><Keyword MajorTopicYN="Y">Oral health</Keyword><Keyword MajorTopicYN="Y">Review</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>10</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>04</Month><Day>19</Day></PubMedPubDate><PubMedPubDate 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