Oral Health Research Across the Lifespan: A Systematic Mapping Review of Cohort Studies in Australia and New Zealand

Abstract

Objectives Oral health plays a crucial role in maintaining overall health and well-being, affecting over one-fifth of the population in Australia and New Zealand. Numerous cohort studies utilise The Life Course Health Development (LCHD) framework to explore oral health, highlighting the complex relationships among various influencing factors. However, a comprehensive synthesis of evidence on oral health-related cohort studies across the lifespan in Australia and New Zealand, which have unique demographic and environmental characteristics, is necessary to enhance the understanding of the diverse existing research in these regions. Therefore, this systematic mapping review aims to identify oral health-related cohort studies in Australia and New Zealand, providing details on their demographics, methods, oral health measurements, and a framework of the investigated outcomes and explanatory factors.

Methods A systematic search was conducted across five electronic databases: MEDLINE (OVID), Embase (OVID), Web of Science (ISI), Scopus, and CINAHL followed by backward citation chasing. Oral health-related cohort studies conducted in Australia and New Zealand were included. A descriptive synthesis approach was employed to summarise the studies, and results were reported in accordance with PRISMA-ScR guidelines.

Results From the 226 included publications, a total of 37 cohort studies involving primary data collection and ten independent data linkage studies were identified. The geographical distribution, general characteristics, and design aspects of the identified studies were summarised. Seventy oral health measurements employed in these studies were identified and categorised. Additionally, an Evidence and Gap Map (EGM) was presented to illustrate links between 38 themes for explanatory factors and 32 themes for outcomes in the identified studies.

Conclusion Numerous oral health-related cohort studies in Australia and New Zealand reveal significant variations. Over-represented study populations and measurements provide opportunities for secondary research, while under-represented areas should be the focus of future primary research. This review serves as a roadmap for researchers, policymakers, and clinicians in making evidence-based decisions to improve oral health.

Competing Interest Statement

The authors have declared no competing interest.

Clinical Protocols

https://osf.io/2948n

Funding Statement

This study did not receive any funding

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

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I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

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I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

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I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

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Data Availability

All data produced in the present study are available upon reasonable request to the authors

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