Serveur d'exploration sur le patient édenté (maquette)

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Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999–2008

Identifieur interne : 000778 ( Ncbi/Merge ); précédent : 000777; suivant : 000779

Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999–2008

Auteurs : Bei Wu [États-Unis] ; Jersey Liang [États-Unis] ; Huabin Luo [États-Unis] ; Robert Furter [États-Unis]

Source :

RBID : PMC:3866511

Abstract

Objective: This study examined recent trends of preventive dental care utilization among Americans aged 50 and above, focusing on variations across racial and ethnic groups including Whites, Blacks, Hispanics, American Indians/Alaska Natives, and Asians.

Methods: Self-reported information on oral health behaviors was collected from 644,635 participants in the Behavioral Risk Factor Surveillance System between 1999 and 2008.

Results: Despite a significant upward trend of frequency of dental cleaning from 1999 to 2008 (OR = 1.02), in 2008 still only 56–77% of any ethnic or racial group reported having had a dental cleaning in the previous 12 months. Relative to Whites, Blacks (OR = 0.65) were less likely to have a dental cleaning in the previous 12 months. These variations persisted even when SES, health conditions, health behaviors, and number of permanent teeth were controlled. In contrast, Hispanics, Asians, and American Indians/Alaskan Natives did not differ from Whites in dental cleanings.

Discussion: This is the first study to provide national estimates of the frequency of dental cleaning and associated trends over time for five major ethnic groups aged 50 and above in the U.S. simultaneously. Our findings suggest that public health programs with an emphasis on educating middle-aged and older minority populations on the benefits of oral health could have a large impact, as there is much room for improvement. Given the importance of oral health and a population that is rapidly becoming older and more diverse, the need for improved dental care utilization is significant.


Url:
DOI: 10.3389/fpubh.2013.00065
PubMed: 24386632
PubMed Central: 3866511

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PMC:3866511

Le document en format XML

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<bold>Objective:</bold>
This study examined recent trends of preventive dental care utilization among Americans aged 50 and above, focusing on variations across racial and ethnic groups including Whites, Blacks, Hispanics, American Indians/Alaska Natives, and Asians.</p>
<p>
<bold>Methods:</bold>
Self-reported information on oral health behaviors was collected from 644,635 participants in the Behavioral Risk Factor Surveillance System between 1999 and 2008.</p>
<p>
<bold>Results:</bold>
Despite a significant upward trend of frequency of dental cleaning from 1999 to 2008 (OR = 1.02), in 2008 still only 56–77% of any ethnic or racial group reported having had a dental cleaning in the previous 12 months. Relative to Whites, Blacks (OR = 0.65) were less likely to have a dental cleaning in the previous 12 months. These variations persisted even when SES, health conditions, health behaviors, and number of permanent teeth were controlled. In contrast, Hispanics, Asians, and American Indians/Alaskan Natives did not differ from Whites in dental cleanings.</p>
<p>
<bold>Discussion:</bold>
This is the first study to provide national estimates of the frequency of dental cleaning and associated trends over time for five major ethnic groups aged 50 and above in the U.S. simultaneously. Our findings suggest that public health programs with an emphasis on educating middle-aged and older minority populations on the benefits of oral health could have a large impact, as there is much room for improvement. Given the importance of oral health and a population that is rapidly becoming older and more diverse, the need for improved dental care utilization is significant.</p>
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<journal-id journal-id-type="nlm-ta">Front Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Front Public Health</journal-id>
<journal-id journal-id-type="publisher-id">Front. Public Health</journal-id>
<journal-title-group>
<journal-title>Frontiers in Public Health</journal-title>
</journal-title-group>
<issn pub-type="epub">2296-2565</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24386632</article-id>
<article-id pub-id-type="pmc">3866511</article-id>
<article-id pub-id-type="doi">10.3389/fpubh.2013.00065</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Public Health</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999–2008</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Bei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/93940"></uri>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liang</surname>
<given-names>Jersey</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Luo</surname>
<given-names>Huabin</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/108237"></uri>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Furter</surname>
<given-names>Robert</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/125718"></uri>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>School of Nursing, Global Health Institute, Duke University</institution>
,
<addr-line>Durham, NC</addr-line>
,
<country>USA</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>School of Public Health, University of Michigan</institution>
,
<addr-line>Ann Arbor, MI</addr-line>
,
<country>USA</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>East Carolina University</institution>
,
<addr-line>Greenville, NC</addr-line>
,
<country>USA</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>University of North Carolina at Greensboro</institution>
,
<addr-line>Greensboro, NC</addr-line>
,
<country>USA</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Jie Hu, University of North Carolina at Greensboro, USA</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Lei Quan, Roswell Park Cancer Institute, USA; Yingchen Wang, University of North Carolina at Greensboro, USA</p>
</fn>
<corresp content-type="corresp" id="cor1">*Correspondence: Bei Wu, School of Nursing, Global Health Institute, Duke University, 307 Trent Drive, Durham, NC 27710, USA e-mail:
<email>bei.wu@duke.edu</email>
</corresp>
<fn fn-type="other" id="fn001">
<p>This article was submitted to Epidemiology, a section of the journal Frontiers in Public Health.</p>
</fn>
</author-notes>
<pub-date pub-type="epreprint">
<day>23</day>
<month>9</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>17</day>
<month>12</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="collection">
<year>2013</year>
</pub-date>
<volume>1</volume>
<elocation-id>65</elocation-id>
<history>
<date date-type="received">
<day>04</day>
<month>9</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>11</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2013 Wu, Liang, Luo and Furter.</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>
<bold>Objective:</bold>
This study examined recent trends of preventive dental care utilization among Americans aged 50 and above, focusing on variations across racial and ethnic groups including Whites, Blacks, Hispanics, American Indians/Alaska Natives, and Asians.</p>
<p>
<bold>Methods:</bold>
Self-reported information on oral health behaviors was collected from 644,635 participants in the Behavioral Risk Factor Surveillance System between 1999 and 2008.</p>
<p>
<bold>Results:</bold>
Despite a significant upward trend of frequency of dental cleaning from 1999 to 2008 (OR = 1.02), in 2008 still only 56–77% of any ethnic or racial group reported having had a dental cleaning in the previous 12 months. Relative to Whites, Blacks (OR = 0.65) were less likely to have a dental cleaning in the previous 12 months. These variations persisted even when SES, health conditions, health behaviors, and number of permanent teeth were controlled. In contrast, Hispanics, Asians, and American Indians/Alaskan Natives did not differ from Whites in dental cleanings.</p>
<p>
<bold>Discussion:</bold>
This is the first study to provide national estimates of the frequency of dental cleaning and associated trends over time for five major ethnic groups aged 50 and above in the U.S. simultaneously. Our findings suggest that public health programs with an emphasis on educating middle-aged and older minority populations on the benefits of oral health could have a large impact, as there is much room for improvement. Given the importance of oral health and a population that is rapidly becoming older and more diverse, the need for improved dental care utilization is significant.</p>
</abstract>
<kwd-group>
<kwd>racial disparity</kwd>
<kwd>dental care utilization</kwd>
<kwd>older adults</kwd>
<kwd>middle-aged</kwd>
<kwd>trends</kwd>
</kwd-group>
<counts>
<fig-count count="0"></fig-count>
<table-count count="3"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="39"></ref-count>
<page-count count="8"></page-count>
<word-count count="6337"></word-count>
</counts>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
</list>
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<country name="États-Unis">
<noRegion>
<name sortKey="Wu, Bei" sort="Wu, Bei" uniqKey="Wu B" first="Bei" last="Wu">Bei Wu</name>
</noRegion>
<name sortKey="Furter, Robert" sort="Furter, Robert" uniqKey="Furter R" first="Robert" last="Furter">Robert Furter</name>
<name sortKey="Liang, Jersey" sort="Liang, Jersey" uniqKey="Liang J" first="Jersey" last="Liang">Jersey Liang</name>
<name sortKey="Luo, Huabin" sort="Luo, Huabin" uniqKey="Luo H" first="Huabin" last="Luo">Huabin Luo</name>
</country>
</tree>
</affiliations>
</record>

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