Australian Research Centre For Population Oral Health
Australian Research Centre forPopulation Oral HealthAnnual Report 2011Life Impact ǀ The University of Adelaide
Further information can be obtained from:Australian Research Centre for Population Oral HealthSchool of DentistryThe University of AdelaideSouth Australia 5005AUSTRALIAPhone: 61 8 8313 4051Fax: 61 8 8313 3070E-mail: ICOS Provider Number: 00123MPrepared by:Lorna Lucas, Publications CoordinatorAustralian Research Centre for Population Oral HealthPublished by:Australian Research Centre for Population Oral HealthThe University of AdelaideLayout by:Lauren Munro-Chambers, Arris Pty Ltd, http://www.arris.com.au Printed by:Hyde Park PressCover design:Sharon Miller, ARCPOH.Cover images:Professor John Spencer and Professor Kaye F Roberts-Thomson.All images courtesy of P Liu, ARCPOH.
Contents2Introduction3ARCPOH – foundation and mission334678AimsContributors to the ARCPOH research programARCPOH managementGovernanceARCPOH Expert Advisory CommitteeResearch program10 Director’s Report1010111111111213141515151516171820202121The environmentHighlightsChangesLowlightsNew challengesWork programTeachingARCPOH project summaryStaff listStaffing changesSecuring key research staffAccommodation and facilitiesVisiting researchersFinancesSupportGrant statusFellowshipsPostgraduate studentsHonours studentsUniversity of Adelaide Scholarships22 Features22 Professor A John Spencer: Farewell22 Festschrift: ‘Challenges in Population OralHealth for the 21st Century’23242628ARCPOH Celebrates 10-year AnniversaryEstablishment of the IOHU at ARCPOHNHMRC Partnership Grant Success: NCOHSGrant Success: Centre of Research Excellencein Dental Health Services Research28 Grant Success: Career Development Award28 Scholarship Awards28 Recognition of Journal Article28 Promotion29 Publications32 Presentations
IntroductionPopulation oral health is concerned with thecommunity’s oral health, access to dentalcare, provision of dental care and thelabour force which produces dental care.It is that part of research in dentistry whichfocuses on the population as the patient,rather than on the individual. Through suchresearch, improvements in oral healthand better dental care are sought for allAustralians.Collectively, oral diseases and disorderscreate substantial impact and disability. Thechallenges of improving oral health andproviding better dental care are far fromfully addressed and warrant attention aspublic health issues. Oral health problemsshare many risk factors and directionsfor intervention with wider general healthproblems, including health promotion andaccess to primary care. Special attentionneeds to be paid to particular groups in thecommunity; for example, those dwellingin rural and remote areas, Indigenouspersons, migrants, the aged and thedisadvantaged.For oral health to make a strongercontribution to public health in Australia,improved information and understandingof oral health and dental care is neededas a prerequisite for the development andimplementation of informed public healthpolicy.The Australian Research Centre forPopulation Oral Health (ARCPOH) wasestablished by The University of Adelaidein 2001 to undertake research and researchtraining in population oral health at astandard that is internationally recognisedto be of the highest quality.
Annual Report 2011ARCPOH –foundation and missionInternal collaboratorsSchool of Dentistry Social and Preventive Dentistry Oral Epidemiology Geriatric Oral Health AIHW Dental Statistics and ResearchUnit (DSRU) Colgate Oral Care Dental PracticeEducation Research Unit (DPERU) National Oral Health PromotionClearinghouse (NOHPC) Colgate Australian Clinical DentalResearch Centre (CACDRC)AimsARCPOH aims to: continue to extend the research programand associated research training that iscurrently undertaken in Adelaide and withcolleagues elsewhere in Australia andoverseas extend and strengthen collaborativerelationships with researchers in Australiaand overseas, bringing distinguishedand stimulating visitors to Adelaide and,through ongoing interaction, fosteringsynergies that will increase the centre’sscholarly output attract postgraduate research studentsof the highest potential, and increase and diversify the financialsupport for the centre’s research,including necessary infrastructure.Contributors to theARCPOH researchprogramThe hub of ARCPOH is The University ofAdelaide School of Dentistry’s academicareas of Social and Preventive Dentistry,Oral Epidemiology and Geriatric OralHealth. In addition to core teaching andresearch personnel, ARCPOH includesthe Australian Institute of Health andWelfare’s Dental Statistics and ResearchUnit (DSRU), the Dental Practice EducationResearch Unit (DPERU), funded by ColgateOral Care, and the National Oral HealthPromotion Clearinghouse (NOHPC).Research collaborators include TheUniversity of Adelaide Discipline of PublicHealth, Centre for Military and Veterans’Health, Monash University Centre for HealthEconomics, Deakin University, and MenziesSchool for Health Research; the dentalschools of several universities (particularlyMelbourne, Sydney, North Carolina atChapel Hill and Otago, NZ); major healthagencies such as the Australian Institute ofHealth and Welfare (AIHW), the AustralianGovernment Department of Health andAgeing (AGDHA), the South AustralianDepartment of Health (SADH) and theSouth Australian Dental Service (SADS);and commercial entities including ColgateOral Care.Faculty of Health Sciences (FHS) Discipline of Public Health, School ofPopulation Health and Clinical Practice Centre for Military and Veterans’ Health(The University of Adelaide)External collaboratorsUniversities Melbourne, Sydney, Monash, Deakin,Otago, North Carolina, Menzies Schoolfor Health Research, Centre for Militaryand Veterans’ Health (The University ofAdelaide)Health agencies Australian Institute of Health and Welfare(AIHW) Australian Government Department ofHealth and Ageing (AGDHA) South Australian Department of Health(SADH) South Australian Dental Service (SADS)3
22011 Australian Research Centre for Population Oral HealthARCPOH ManagementAcross the last seven years ARCPOH hashad a team approach to its management.In 2011 ARCPOH had the followingmanagement positions: Professor Kaye Roberts-Thomson(Director, ARCPOH; Director, DPERU;Director, NOHPC) Associate Professor David Brennan(Deputy Director, ARCPOH) Dr Jane Harford (Co-Director,AIHW DSRU) Dr Liana Luzzi (Co-Director,AIHW DSRU) Associate Professor Lisa Jamieson(Director, IOHU).Professor Kaye F Roberts-ThomsonAssociate Professor David S BrennanDirector, ARCPOHDirector, DPERUDirector, NOHPCProfessorDeputy Director, ARCPOHPrincipal Research FellowKaye Roberts-Thomson BDSc, MPH hasresearch interests in oral epidemiologyand dental public health, particularlyin inequality in oral health and accessto dental care. Her recent work has aparticular focus on the oral health ofIndigenous Australian’s, and healthpromotion for oral health.David Brennan, BA (Hons), Grad. Dip.(Computer & Information Science), MPH,PhD, undertakes health services researchand oral epidemiological analysis.Originally from a biological sciencesbackground, he also has qualifications incomputer and information science and inpublic health.Her research is largely funded by NHMRCand involves an examination of thedeterminants of periodontal disease in anurban Aboriginal population, the testing ofsilver fluoride to manage deciduous cariesin a preschool population, and the NationalChild Oral Health Survey.He held a NHMRC Public HealthPostgraduate Research Scholarship atThe University of Adelaide in 1997–99,where he conducted his PhD researchinvestigating the influence of provider,practice and patient factors on variation inrates of service provision. He has workedon projects involving both cross-sectionaland longitudinal analysis of dental serviceprovision, such as the Longitudinal Studyof Dentists’ Practice Activity. In 2010 hewas awarded a Career Development Awardfellowship in population health from theNHMRC to investigate use of services andoral health outcomes over the period 2010to 2013.Kaye also leads the National Oral HealthPromotion Clearinghouse and the DentalPractice Education Research Unit, bothof which seek to provide information onthe latest research findings to a wideraudience.He has served as Associate Editor for BMCResearch Notes and sat on the editorialboard of the Journal of Dental Research.In 2011 his research included investigationof the impact of dental insurance on use ofservices and oral health.4
Annual Report 2011Dr Jane E HarfordDr Liana LuzziAssociate Professor Lisa M JamiesonCo-Director, AIHW DSRUResearch FellowCo-Director, AIHW DSRUResearch FellowDirector, IOHU (from December)Principal Research FellowJane Harford B.Bus., Dip.Soc.Sci., GDPH,Dip.App.Ec., PhD is a Research Fellow atARCPOH. She joined ARCPOH in early2003. She has a background in publichealth, health policy and health economics.Her research interests include the impactof population ageing on oral public healthand on the provision of oral health care,strengthening a public health/primary careapproach to oral health, the impact ofvarious funding arrangements includinggovernment subsidies on oral healthservice delivery and status, and accessto and priority setting in oral health careservices. Jane currently holds an NHMRCproject grant with other staff in ARCPOH tostudy changes in oral health amongst olderSouth Australians.Liana Luzzi is a Research Fellow atARCPOH. Liana has been at ARCPOHsince January 1999. She has completeda PhD in Dentistry (in 2005) and has abackground in statistics (BSc (Ma.&Comp.Sc.)(Hons)).Lisa Jamieson BDS, MComDent, PhD, hasa keen interest in oral health research ofIndigenous populations, both in Australiaand internationally. In 2011 Lisa wasinvolved in establishing The Universityof Adelaide’s Indigenous Oral HealthUnit (IOHU) which is embedded withinARCPOH. She is the Director of the IOHUand is currently leading three randomisedcontrolled trials involving Indigenousoral health. These studies are based inSouth Australia, the Northern Territoryand internationally, respectively. She isadditionally involved in oral health researchinitiatives involving homeless populationsin South Australia. She received her PhDfrom the University of Otago, New Zealand,after completing her Masters and Bachelordegrees there. Lisa is the recipient of anNHMRC Career Development Award and amember of the International Association forDental Research. Lisa spent considerabletime working as a dental volunteer indeveloping countries before completing herPhD and joining ARCPOH in 2004.Jane is the ARCPOH representative onthe Dental School’s Curriculum ReviewImplementation Committee and contributesto teaching in the areas of populationoral health, health inequalities andevidence-based practice in the School’sundergraduate programs as well asteaching in the postgraduate Dental PublicHealth course.Liana has been involved in dental healthservices research and in analysing datarelating to oral health and access todental care. She has worked on a rangeof projects involving both cross-sectionaland longitudinal analysis of service usesuch as research examining public dentalservice utilisation in South Australia. Herareas of interest include use of dentalhealth services, access to dental care,factors influencing dental expenditure anddentist job satisfaction. Liana is a chiefinvestigator on two NHMRC grants 1)Prevention and control of caries in olderadults in residential aged care and 2)Intergenerational change in oral health inAustralia.Liana has been involved in undergraduateteaching at The University of Adelaidesince 2002. She currently co-coordinatesand teaches a course to first year BDSand BOH students called ‘Evidence BasedDentistry’.5
2011 Australian Research Centre for Population Oral HealthGovernanceIn formal terms ARCPOH is organisationallya component of The University of Adelaide.Its Director, like the heads of departments,other centres and academic units in theuniversity, is responsible through the Deanof the School of Dentistry and ExecutiveDean of the Faculty of Health Sciences(FHS) to the Vice-Chancellor and Council.The three component units of ARCPOHare also responsible to their respectivestakeholders. Through the Director ofThe Dental Practice Education ResearchUnit (DPERU) there is a responsibility toColgate-Palmolive Australia, and throughthe Co-Directors of DSRU there is aresponsibility to the Director and Boardof the Australian Institute of Health andWelfare (AIHW).The National Oral Health PromotionClearinghouse (NOHPC) is also locatedwithin ARCPOH. The Clearinghouse hasa separate Advisory Committee. It hasa responsibility to state/territory dentalauthorities and the Monitoring Groupfor Australia’s National Oral Health Plan(NOHP) which reports to the AustralianHealth Ministers’ Advisory Council(AHMAC) via the Australian PopulationHealth Development Principal Comittee(APHDPC).However, ARCPOH is intended to play animportant national role, and the universitytherefore is guided in its management byan Expert Advisory Committee that has thebest possible appreciation of the state ofpopulation oral health research and majorpublic policy issues that might be informedby that research.The Indigenous Oral Health Unit (IOHU)was formally established within ARCPOHin December 2011. The Unit is governedby an Advisory Committee comprisingrepresentatives of several aboriginalorganisations.ARCPOH governanceCouncilVice-ChancellorDeputy Vice-Chancellor(Research)AHMAC-APHDPCAIHW BoardMonitoring Group,NOHPDirector, AIHWColgate-PalmoliveAustraliaExecutive Dean, FHSAdvisory CommitteeColgate Oral CareDean, School of DentistryState/TerritoryDental AuthoritiesHead, Health &Functioning Group,AIHWDirector, IOHUDirector, DPERUDirector, ARCPOHDirector, NOHPCCo-Directors, DSRUIndigenousOral Health Unit(IOHU)Dental PracticeEducationResearchUnit (DPERU)Australian ResearchCentre forPopulation OralHealth (ARCPOH)National OralHealth PromotionClearinghouse(NOHPC)AIHW DentalStatistics andResearch Unit(DSRU)ARCPOH Expert Advisory Committee6
Annual Report 2011ARCPOH ExpertAdvisory CommitteeFunctionsTo advise The University of Adelaide,the Director of ARCPOH and, whereappropriate, collaborating organisationson: the important research questionsin population oral health that couldbeneficially be addressed by ARCPOH,and the relative priority of those issues the formulation and regular updatingof an appropriate strategic plan for theresearch program of ARCPOH operational planning for the researchprogram of ARCPOH that encompassescollaboration and cooperation betweenrelevant organisations, and the avenuesthrough which resources can be found tosupport the program the means by which the outcomes of thecentre’s research can be disseminatedto inform public policy and professionalpractice the development and enhancementof the centre’s postgraduate researchtraining activities, within the researchprogram.Membership Vice-Chancellor of The Universityof Adelaide or nominee (Convener)(Prof. Johann de Vries, Prof. Julie Owens) Director of the Australian Institute ofHealth and Welfare or nominee(Ms Teresa Dickinson /Mr David Braddock) Nominee of the Australian GovernmentDepartment of Health and Ageing(Ms Veronica Hancock) Nominee of Colgate Oral Care,Colgate-Palmolive Australia(Dr Susan Cartwright)ARCPOH ExpertAdvisory CommitteeThe University of AdelaideAustralian Instituteof Health and WelfareAustralian Government Departmentof Health and Ageing Nominee of the South AustralianDepartment of Health(Mr David Banham)Colgate Oral Care Nominee of State and Territory DentalServices (Dr Martin Dooland)SA Department of Health Nominee of the Universities of Melbourneand/or Otago (Prof. Murray Thomson) Nominee of The University ofAdelaide, Discipline of Public Health(Prof. Annette Braunack-Meyer) Community representative nominated bythe Australian Council of Social Services(ACOSS) (Dr Tessa Boyd-Caine) Such other persons having expertise inpublic health including oral public healthas may be thought desirable, includingin the first instance a nominee of theAustralian Dental Association (ADA):»» Dr Karin Alexander (ADA)»» Prof. Clive Wright»» Prof. Bruce Hollingsworth /Prof. Tony Harris»» Prof. John LynchState and Territory Dental ServicesUniversities of Melbourneand/or OtagoThe University of AdelaideDiscipline of Public HealthAustralian Council of Social Service– Community representativeOther expertsDirector and other ARCPOH staff The Director of ARCPOH(Prof. Kaye Roberts-Thomson) Deputy Director of ARCPOH(Assoc. Prof. David Brennan) andCo-Directors of the AIHW DSRU(Dr Jane Harford, Dr Liana Luzzi).7
2011 Australian Research Centre for Population Oral HealthResearch programARCPOH is pursuing a broad strategy ofcoordinating the relevant research activitiesof the contributing components so as toenhance progress in the following mainareas.Distribution and determinants of oralhealthOral diseases and disorders remainwidespread and extensive in thepopulation. There is a fundamentalrequirement for research in documentingand exploring trends in oral diseasesand their distribution in the population.Research that seeks to understandthe determinants of change over timeor variation between subgroups in thepopulation is fundamental to the processof improving oral well-being.Burden and impact of oral diseaseOral disease has traditionally beendescribed in terms of clinical measures; forexample, teeth with experience of disease.This research area extends the capacity tomeasure oral disease experience throughmeasures of oral-health-related qualityof life / wellbeing, and how oral diseaseimpacts on daily living; for example,disability-adjusted life years. Such researchhas become crucial to identifying priorityareas in national health agendas.Research has identified marked variationsin oral disease measures; for example,social gradients in oral health-relatedquality of life. An increased researcheffort is exploring factors underlying suchvariation, including individual behavioursand the individual, school/work andcommunity circumstances that ultimatelydetermine oral health.Effectiveness of population oral healthinterventionsPrevious research on water fluoridationand the prevention of dental caries anddental fluorosis continues, with additionalemphasis on effectiveness in adult andolder adult age groups. Findings ofresearch on the determinants of oraldisease will be tested in demonstrationinterventions; for example, support forcarers of functionally dependent olderadults. Research will continue on theeffectiveness of office-based distanceeducation of dental care providers inreorienting dental service provisiontowards preventive services.8Oral health services and labour forceresearchAccess to high-quality dental care isfundamental to oral health-related qualityof life and improved oral health. Too littleresearch has been conducted on whatworks and why in the effective and efficientdelivery of dental services. The particularfocus in this research is on public dentalcare program evaluation, private dentalinsurance and dental provider behaviour.The dental labour force necessary toprovide dental services is an area ofincreasing attention, given concerns overhealth labour force supply and distribution.Oral health policy analysisResearch in population oral health hasconcentrated on documentation ofproblems and analysis of their distributionand influences. There is great need for anextension of this research into the areaof policy analysis, related especially tothe provision of public dental care. Suchanalysis is directed into cost analysisof public dental care programs under arange of assumptions and with differingapproaches to the management ofdemand and patient flows.These five research areas encompassan extensive range of potential projects.Research agenda setting meetings of theARCPOH participants (Expert AdvisoryCommittee) are held, together with otherconsultations, to determine the best meansof pursuing the research, and thus arriveat an operational research program (workprograms) for the immediate future andprovisional plans for the medium to longerterm.Oral health promotion data warehouseand information clearinghouseIn addition to the five research areas,ARCPOH functions as a data warehouseand an information clearinghouse.
Annual Report 2011Framework for the research program and work programs within ARCPOHResearchprogram ARCPOHWork programDSRUWork programDPERUWork programNOHPCDistribution and determinantsof oral healthAIHW DSRUDental health statisticsBurden and impact oforal diseaseEffectiveness of populationoral health interventionsDPERUOral health services andlabour force researchAIHW DSRUDental labour force statisticsOral health policy analysisOral health promotiondata warehouse andinformation clearinghouseNational Oral HealthPromotion Clearinghouse9
2011 Australian Research Centre for Population Oral HealthDirector’s ReportThe environmentThe environment in which ARCPOHoperated across 2011 was shaped by anumber of key events: The May 2011 Federal Budget containedan announcement about a NationalAdvisory Council on Dental Health.This Council met and a draft report wasprepared. Professor John Spencer wasappointed Deputy Chair of the Council. There were a number of retirements inthe second half of 2011. In addition toProfessor John Spencer, one ResearchOfficer, Ms Anne Ellershaw, retired, asdid Mrs Leonie Jeffery, a member ofthe administrative staff who supportedresearch over many years. The May 2011 Federal Budget alsoannounced the commencement ofa Dental Intern Program from 2013.An advisory committee has beenestablished for that program. ProfessorEmeritus John Spencer and ProfessorKaye Roberts-Thomson are members. Frequent requests for data and datasets were received and processes wereestablished to manage these. A number of events were held tocelebrate the career of ProfessorJohn Spencer. There was editorial comment inpublications from the Australian DentalAssociation (ADA) critical of findingsin ARCPOH research and surveillance.The first biannual meeting betweenrelevant staff and members of the ADAexecutive to improve understandingand communication was held in earlyDecember 2011. It was a helpful meetingat which the models used by ARCPOH toundertake labour force projections wereexplained. ARCPOH celebrated its 10th birthday inNovember and a successful celebrationwas held.10 There were some changes in the fluorideenvironment. There were proposalsto change recommended levels offluoride in water in the USA and areview of effectiveness of low fluoridetoothpaste, as well as possible changesto the concentration of fluoride in someAustralian toothpastes.HighlightsIn 2011, there were some notablehighlights: ARCPOH had success with an NHMRCGrant and a Career DevelopmentFellowship. The award as an NHMRCCentre of Research Excellence is in thearea of Health Services Research underthe leadership of Assoc. Professor DavidBrennan. The grant provides five-yearfunding for five research staff and twoPhD students. The grant will support anumber of projects using existing datasets as well as new initiatives. A CareerDevelopment Fellowship was awarded toDr Loc Do and provides funding for fouryears. ARCPOH now has four holders ofNHMRC fellowships or awards. A very successful Festschrift forProfessor John Spencer was held overtwo days in July 2011. About 40 peopleattended including 16 from overseas,most of whom spoke. The event wassupported by the University, the Facultyand the School of Dentistry as well asColgate Oral Care. The presentationshave been written and, after peerreview, will be published as a journalsupplement. ARCPOH and the University of Talca,Chile, recently won funding to allowDr Gloria Mejia to visit the University ofTalca and work with Loreto Nunez Franz,Director of the Public Health Departmentof the University of Talca, on developinga line of research in populationhealth. Chile’s National Commissionon Scientific and TechnologicalResearch (Conicyt) makes awards forregional universities in Chile to host aninternational academic with expertise ina particular field to support teaching andresearch. The University of Adelaide and theFaculty of Health Sciences reviewedUniversity Research Centres in October2011. ARCPOH was reviewed as part ofthat process and received some positivefeedback. ARCPOH received a donation froma family of a deceased oral surgeonwhose wife had died after a long periodin a nursing home. The family asked fordonations to ARCPOH instead of flowersat the funeral. ARCPOH received 565which was put towards the residentialcare research project. The new Indigenous Oral Health Unit wasestablished and formally opened on 16December 2011 with some corporate aswell as University support. Colgate OralCare has pledged its financial support ofthe Unit. Peter Foo, with a project titled ‘Generaland oral health-related quality of lifeamong Australians with cleft comparedwith population norms’ (LM Jamiesonco-supervisor), won the 1,000 prizesponsored by the Faculty of HealthSciences for outstanding posterpresentation on research results. Professor Kaye Roberts-Thomson wasa keynote speaker at the ‘6th AsianConference on oral health promotion forschool children’ held in Hanoi, Vietnam inNovember 2011. ARCPOH is working with HealthWorkforce Australia on projections ofthe dental labour force and some newor additional data collections are beingdiscussed.
Annual Report 2011ChangesNew challenges Professor John Spencer stepped downas Director of ARCPOH at the endof 2010 after an outstanding careerin that role. His contribution to theestablishment of AIHW DSRU, andlater ARCPOH, and his leadership ofthose bodies, as well as his mentorshipthrough supervision of postgraduatestudents and staff throughout histime in Adelaide, have resulted in aninternationally renowned centre. With the resignation of Dr Peter Arrowand his return to Perth, considerationwas given to the establishment of a‘satellite’ unit in Western Australia. Hewill come to ARCPOH for eight one weekperiods in 2012. The fieldwork for an NHMRC ProjectGrant involving a clinical trial of cariesmanagement techniques for residentsin aged care facilities commenced.Recruitment of subjects continues toprove a complex task. The retirement of Anne Ellershaw andthe reduction in hours by Judy Stewart,both of whom took responsibility for therunning of the National Dental TelephoneInterview Survey (NDTIS), and Anne forsampling and weighting of major studies,were significant losses which need to bemanaged. Dr Liana Luzzi andMr Sergio Chrisopolous will undertakethe sampling and weighting tasks andDr Liana Luzzi will take on the overallmanagement of NDTIS. The Australian arm of the internationalcollaborative project on early childhoodcaries began. Again, recruitment provedvery difficult. The possible change in arrangements forDSRU from a new agreement betweenthe University of Adelaide and the AIHWwill need to be managed. As a complementary activity to the 2010NDTIS, a Dental Expenditure PanelSurvey (DEPS) commenced with 5,344people participating. A smaller number(1,642) of the 2010 NDTIS intervieweeswere asked to complete a FinancialImpact of Dental Services (FIDS)questionnaire. Six-month collection wascompleted for DEPS resulting in 1,790responses. The second logbook wasdistributed. The FIDS data collection wascompleted. In August Associate ProfessorDavid Brennan relinquished the role ofDirector of DSRU in order to concentrateon the research program under hisNHMRC CDA. In August 2010 Drs Jane Harfordand Liana Luzzi accepted the role ofCo-Directors of DSRU through to theend of 2011. This shared role will enablethem to contribute their complementaryskills while both gaining the experienceof managing an important part ofARCPOH’s activities.Lowlights Staff worked hard to address thepublication backlog and adjust tochanges in processes for publicationsthrough AIHW. This continued andresulted in considerable pressure andstress for some staff. Frequent contact from the antifluoridation lobby including a numberof Freedom of Information requestscontinued to require significant amountsof time. The Electoral Roll has been used byARCPOH for obtaining a random samplefor various studies including the NationalDental Telephone Interview Survey.Our recent experience is that this maybecome increasingly more difficult whichis a cause for concern.Work programOverall After a period of overly demanding workprograms with AIHW and the AustralianGovernment Department of Health andAging (AGDoHA), the new work planshave a more realistic set of deliverablesand achievable timelines. However, thereare a number of AIHW publications in theproduction queue. Finalising these wasquite difficult.Distribution and determinants oforal health Participation in research is decliningin many parts of the world and isa particular problem in Indigenousresearch.Burden and impact of oral disease A developing focus of recent analyseshas been social gradients in oral health.This has involved caries and periodontaldisease in adults using the NationalSurvey of Adult Oral Health (NSAOH)data set and caries in children usingthe Child Fluoride Study (CFS) M2 dataset. Factors associated with the socialgradient have been explored. Socialinequality was the focus of a symposiumorganized by Dr Loc Do at the IADRmeeting in San Diego which was verywell received.Effectiveness of population oral healthinterventions The NHMRC funded fieldwork for the trialof a non-invasive treatment for deciduouscaries began and is going smoothly.Oral health services and labour forceresearch A report on practice characteristics andprojections (2006–2025) for oral healthpractitioners will be published in 201
Phone: 61 8 8313 4051 Fax: 61 8 8313 3070 E-mail: arcpoh@adelaide.edu.au www.arcpoh.adelaide.edu.au CRICOS Provider Number: 00123M Prepared by: Lorna Lucas, Publications Coordinator Australian Research Centre for Population Oral Health Published by: Australian Research Centre for Population Oral Health The University of Adelaide Layout by:
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