{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T13:38:17Z","timestamp":1762954697451,"version":"build-2065373602"},"reference-count":48,"publisher":"Wiley","issue":"7S","license":[{"start":{"date-parts":[[2007,7,1]],"date-time":"2007-07-01T00:00:00Z","timestamp":1183248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:p>Public health surveillance has been defined as the ongoing systematic collection, analysis, interpretation, and dissemination of data regarding a health\u2010related event for use in public health action to reduce morbidity and mortality and to improve health. Surveillance is an essential element of public health program infrastructure. The desirable attributes of public health surveillance systems are simplicity, flexibility, data quality, acceptability, sensitivity, predictive value positive, representativeness, timeliness, and stability. However, surveillance for periodontal diseases is nearly non\u2010existent at state, county, or local levels in the United States. That void largely is the result of the current approach to monitoring periodontal diseases in populations, which generally requires resource\u2010intensive primary collection of clinical data using relatively invasive methods. One potential alternative to that approach to periodontal disease surveillance is the use of self\u2010reported data collected through population surveys. Seventeen identified studies have tested the validity of individual questionnaire items for their sensitivity, specificity, and predictive values positive and negative against a range of clinical operational definitions for periodontitis. No individual items seem to be robust or valid markers for clinically determined periodontitis. However, it is possible that a multivariable statistical modeling approach, which includes variables on signs, symptoms, and established risk factors, could improve the sensitivity and specificity of that approach. An example is given of a model\u2010based approach to public health surveillance that has been effective in quantifying the impact of a public health problem, monitoring trends between and within states, and supporting advocacy and policy development by state and local governments.<\/jats:p>","DOI":"10.1902\/jop.2007.060340","type":"journal-article","created":{"date-parts":[[2007,7,3]],"date-time":"2007-07-03T14:49:05Z","timestamp":1183474145000},"page":"1380-1386","source":"Crossref","is-referenced-by-count":17,"title":["Public Health Perspectives on Surveillance for Periodontal Diseases"],"prefix":"10.1002","volume":"78","author":[{"given":"Scott L.","family":"Tomar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,7]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"43","volume-title":"The Future of Public Health","author":"Institute of Medicine","year":"1988"},{"key":"e_1_2_9_3_1","first-page":"1","volume-title":"Principles and Practice of Public Health Surveillance","author":"Thacker SB","year":"2000"},{"key":"e_1_2_9_4_1","first-page":"435","volume-title":"Modern Epidemiology","author":"Buehler JW","year":"1998"},{"key":"e_1_2_9_5_1","first-page":"1","article-title":"Planning a public health surveillance system","volume":"16","author":"Teutsch SM","year":"1995","journal-title":"Epidemiol Bull"},{"key":"e_1_2_9_6_1","first-page":"1","article-title":"Guidelines for evaluating public health surveillance systems","volume":"50","author":"Centers for Disease Control and Prevention","year":"2001","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2003.tb03492.x"},{"key":"e_1_2_9_8_1","unstructured":"Centers for Disease Control and Prevention and Association of State and Territorial Dental Directors. 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