A Review of the Oral Health of American Indian and Alaska Native Elders
Identifieur interne : 007358 ( Istex/Corpus ); précédent : 007357; suivant : 007359A Review of the Oral Health of American Indian and Alaska Native Elders
Auteurs : David B. Jones ; William J. Niendorff ; Eric B. BroderickSource :
- Journal of Public Health Dentistry [ 0022-4006 ] ; 2000-12.
English descriptors
- KwdEn :
- Alaska natives, American indian, American indians, American population, Care barriers, Collaborative study, Complete tooth loss, Dent, Dental care, Dental patients, Dental program, Dental research, Dentistry, Diabetes, Diabetes care, Diabetes mellitus, Diabetic status, Federal government, Geriatric dentistry, Health care resources, Health programs, Health services, Health statistics, Health status, Health survey, Human services, Indian health, Indian health service, National center, National indian council, National institute, Native american, Native american elders, Native american population, Native americans, Natural teeth, Navajo reservations, Nhanes, Nidr survey, Nursing centers, Nursing facilities, Nutrition examination survey, Omnibus budget reconciliation, Oral health, Oral health outcomes, Oral health services, Oral health survey, Patient survey, Pima indians, Public health dent, Public health dentistry, Public health service, Random sample, Regional differences, Rural areas, Special issue, Tooth loss.
- Teeft :
- Alaska natives, American indian, American indians, American population, Care barriers, Collaborative study, Complete tooth loss, Dent, Dental care, Dental patients, Dental program, Dental research, Dentistry, Diabetes, Diabetes care, Diabetes mellitus, Diabetic status, Federal government, Geriatric dentistry, Health care resources, Health programs, Health services, Health statistics, Health status, Health survey, Human services, Indian health, Indian health service, National center, National indian council, National institute, Native american, Native american elders, Native american population, Native americans, Natural teeth, Navajo reservations, Nhanes, Nidr survey, Nursing centers, Nursing facilities, Nutrition examination survey, Omnibus budget reconciliation, Oral health, Oral health outcomes, Oral health services, Oral health survey, Patient survey, Pima indians, Public health dent, Public health dentistry, Public health service, Random sample, Regional differences, Rural areas, Special issue, Tooth loss.
Abstract
Objectives: This paper reviews the demographics, access to care barriers, and the oral health of American Indian and Alaska Native (Native American) elders aged 65 years and older using complete tooth loss as a measure to compare with the US population. Strategies for improving oral health and increasing access to care for Native American elders also are discussed. Methods: We reviewed the results from patient surveys conducted by the Indian Health Service (1983‐84 and 1991) and data from other sources, including the second International Collaborative Study of Oral Health Outcomes (ICS‐II) conducted in 1990 on the Sioux and Navajo reservations. We compared complete tooth loss data from these studies with findings of the 1985 National Institute of Dental Research Oral Health Survey of US Employed Adults and Seniors and the Third National Health and Nutrition Examination Survey (NHANES III). Results: The 1991 Indian Health Service (IHS) patient survey reported a complete tooth loss prevalence of 42 percent among elders. Although it is based on a patient sample, this finding is comparable to the rate of 40 percent found among a random sample of Navajo and Lakota adults aged 65–74 years reported in the ICS‐II study. The 1991 IHS patient survey also found complete tooth loss among diabetics to be much higher than among nondiabetics. Conclusions: The prevalence of complete tooth loss for Native American elders is higher than in population surveys of US elders based on random samples. The actual prevalence of complete tooth loss is probably even higher in Native American elders because estimates presented in this paper are clinic based.
Url:
DOI: 10.1111/j.1752-7325.2000.tb04071.x
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ISTEX:E8ED7C15EFDC782788F033B5F41D7772607BB4D9Le document en format XML
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Broderick</name></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Public Health Dentistry</title><title level="j" type="alt">JOURNAL OF PUBLIC HEALTH DENTISTRY</title><idno type="ISSN">0022-4006</idno><idno type="eISSN">1752-7325</idno><imprint><biblScope unit="vol">60</biblScope><biblScope unit="page" from="256">256</biblScope><biblScope unit="page" to="260">260</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2000-12">2000-12</date></imprint><idno type="ISSN">0022-4006</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-4006</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alaska natives</term><term>American indian</term><term>American indians</term><term>American population</term><term>Care barriers</term><term>Collaborative study</term><term>Complete tooth loss</term><term>Dent</term><term>Dental care</term><term>Dental patients</term><term>Dental program</term><term>Dental research</term><term>Dentistry</term><term>Diabetes</term><term>Diabetes care</term><term>Diabetes mellitus</term><term>Diabetic status</term><term>Federal government</term><term>Geriatric dentistry</term><term>Health care resources</term><term>Health programs</term><term>Health services</term><term>Health statistics</term><term>Health status</term><term>Health survey</term><term>Human services</term><term>Indian health</term><term>Indian health service</term><term>National center</term><term>National indian council</term><term>National institute</term><term>Native american</term><term>Native american elders</term><term>Native american population</term><term>Native americans</term><term>Natural teeth</term><term>Navajo reservations</term><term>Nhanes</term><term>Nidr survey</term><term>Nursing centers</term><term>Nursing facilities</term><term>Nutrition examination survey</term><term>Omnibus budget reconciliation</term><term>Oral health</term><term>Oral health outcomes</term><term>Oral health services</term><term>Oral health survey</term><term>Patient survey</term><term>Pima indians</term><term>Public health dent</term><term>Public health dentistry</term><term>Public health service</term><term>Random sample</term><term>Regional differences</term><term>Rural areas</term><term>Special issue</term><term>Tooth loss</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Alaska natives</term><term>American indian</term><term>American indians</term><term>American population</term><term>Care barriers</term><term>Collaborative study</term><term>Complete tooth loss</term><term>Dent</term><term>Dental care</term><term>Dental patients</term><term>Dental program</term><term>Dental research</term><term>Dentistry</term><term>Diabetes</term><term>Diabetes care</term><term>Diabetes mellitus</term><term>Diabetic status</term><term>Federal government</term><term>Geriatric dentistry</term><term>Health care resources</term><term>Health programs</term><term>Health services</term><term>Health statistics</term><term>Health status</term><term>Health survey</term><term>Human services</term><term>Indian health</term><term>Indian health service</term><term>National center</term><term>National indian council</term><term>National institute</term><term>Native american</term><term>Native american elders</term><term>Native american population</term><term>Native americans</term><term>Natural teeth</term><term>Navajo reservations</term><term>Nhanes</term><term>Nidr survey</term><term>Nursing centers</term><term>Nursing facilities</term><term>Nutrition examination survey</term><term>Omnibus budget reconciliation</term><term>Oral health</term><term>Oral health outcomes</term><term>Oral health services</term><term>Oral health survey</term><term>Patient survey</term><term>Pima indians</term><term>Public health dent</term><term>Public health dentistry</term><term>Public health service</term><term>Random sample</term><term>Regional differences</term><term>Rural areas</term><term>Special issue</term><term>Tooth loss</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Objectives: This paper reviews the demographics, access to care barriers, and the oral health of American Indian and Alaska Native (Native American) elders aged 65 years and older using complete tooth loss as a measure to compare with the US population. Strategies for improving oral health and increasing access to care for Native American elders also are discussed. Methods: We reviewed the results from patient surveys conducted by the Indian Health Service (1983‐84 and 1991) and data from other sources, including the second International Collaborative Study of Oral Health Outcomes (ICS‐II) conducted in 1990 on the Sioux and Navajo reservations. We compared complete tooth loss data from these studies with findings of the 1985 National Institute of Dental Research Oral Health Survey of US Employed Adults and Seniors and the Third National Health and Nutrition Examination Survey (NHANES III). Results: The 1991 Indian Health Service (IHS) patient survey reported a complete tooth loss prevalence of 42 percent among elders. Although it is based on a patient sample, this finding is comparable to the rate of 40 percent found among a random sample of Navajo and Lakota adults aged 65–74 years reported in the ICS‐II study. The 1991 IHS patient survey also found complete tooth loss among diabetics to be much higher than among nondiabetics. Conclusions: The prevalence of complete tooth loss for Native American elders is higher than in population surveys of US elders based on random samples. The actual prevalence of complete tooth loss is probably even higher in Native American elders because estimates presented in this paper are clinic based.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>native americans</json:string><json:string>oral health</json:string><json:string>complete tooth loss</json:string><json:string>native american elders</json:string><json:string>native american</json:string><json:string>indian health service</json:string><json:string>nhanes</json:string><json:string>patient survey</json:string><json:string>american indian</json:string><json:string>diabetes care</json:string><json:string>tooth loss</json:string><json:string>health statistics</json:string><json:string>nidr survey</json:string><json:string>natural teeth</json:string><json:string>native american population</json:string><json:string>nutrition examination survey</json:string><json:string>public health dent</json:string><json:string>national center</json:string><json:string>dentistry</json:string><json:string>diabetes mellitus</json:string><json:string>public health dentistry</json:string><json:string>rural areas</json:string><json:string>health programs</json:string><json:string>dental patients</json:string><json:string>oral health outcomes</json:string><json:string>diabetes</json:string><json:string>dental research</json:string><json:string>federal government</json:string><json:string>random sample</json:string><json:string>indian health</json:string><json:string>american population</json:string><json:string>public health service</json:string><json:string>national indian council</json:string><json:string>health care resources</json:string><json:string>health services</json:string><json:string>dental program</json:string><json:string>special issue</json:string><json:string>american indians</json:string><json:string>care barriers</json:string><json:string>dental care</json:string><json:string>alaska natives</json:string><json:string>oral health survey</json:string><json:string>diabetic status</json:string><json:string>navajo reservations</json:string><json:string>geriatric dentistry</json:string><json:string>collaborative study</json:string><json:string>health status</json:string><json:string>health survey</json:string><json:string>pima indians</json:string><json:string>oral health services</json:string><json:string>nursing centers</json:string><json:string>nursing facilities</json:string><json:string>omnibus budget reconciliation</json:string><json:string>human services</json:string><json:string>regional differences</json:string><json:string>national institute</json:string><json:string>dent</json:string></teeft></keywords><author><json:item><name>David B. 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Broderick DDS, MPH</name></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>American Indians</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Alaska Natives</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>elders</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>geriatric dentistry</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tooth loss</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>access.</value></json:item></subject><articleId><json:string>JPHD256</json:string></articleId><arkIstex>ark:/67375/WNG-PRVZ2NL5-H</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Objectives: This paper reviews the demographics, access to care barriers, and the oral health of American Indian and Alaska Native (Native American) elders aged 65 years and older using complete tooth loss as a measure to compare with the US population. Strategies for improving oral health and increasing access to care for Native American elders also are discussed. Methods: We reviewed the results from patient surveys conducted by the Indian Health Service (1983‐84 and 1991) and data from other sources, including the second International Collaborative Study of Oral Health Outcomes (ICS‐II) conducted in 1990 on the Sioux and Navajo reservations. We compared complete tooth loss data from these studies with findings of the 1985 National Institute of Dental Research Oral Health Survey of US Employed Adults and Seniors and the Third National Health and Nutrition Examination Survey (NHANES III). Results: The 1991 Indian Health Service (IHS) patient survey reported a complete tooth loss prevalence of 42 percent among elders. Although it is based on a patient sample, this finding is comparable to the rate of 40 percent found among a random sample of Navajo and Lakota adults aged 65–74 years reported in the ICS‐II study. The 1991 IHS patient survey also found complete tooth loss among diabetics to be much higher than among nondiabetics. Conclusions: The prevalence of complete tooth loss for Native American elders is higher than in population surveys of US elders based on random samples. 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E‐mail: davidbj@earthlink.net.</affiliation></author><author xml:id="author-0001"><persName><forename type="first">William J.</forename><surname>Niendorff</surname><roleName type="degree">DDS, MPH</roleName></persName></author><author xml:id="author-0002"><persName><forename type="first">Eric B.</forename><surname>Broderick</surname><roleName type="degree">DDS, MPH</roleName></persName></author><idno type="istex">E8ED7C15EFDC782788F033B5F41D7772607BB4D9</idno><idno type="ark">ark:/67375/WNG-PRVZ2NL5-H</idno><idno type="DOI">10.1111/j.1752-7325.2000.tb04071.x</idno><idno type="unit">JPHD256</idno><idno type="toTypesetVersion">file:JPHD.JPHD256.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Public Health Dentistry</title><title level="j" type="alt">JOURNAL OF PUBLIC HEALTH DENTISTRY</title><idno type="pISSN">0022-4006</idno><idno type="eISSN">1752-7325</idno><idno type="book-DOI">10.1111/(ISSN)1752-7325</idno><idno type="book-part-DOI">10.1111/jphd.2000.60.issue-s1</idno><idno type="product">JPHD</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">60</biblScope><biblScope unit="page" from="256">256</biblScope><biblScope unit="page" to="260">260</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2000-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p>
<hi rend="bold">Objectives:</hi> This paper reviews the demographics, access to care barriers, and the oral health of American Indian and Alaska Native (Native American) elders aged 65 years and older using complete tooth loss as a measure to compare with the US population. Strategies for improving oral health and increasing access to care for Native American elders also are discussed. <hi rend="bold">Methods:</hi> We reviewed the results from patient surveys conducted by the Indian Health Service (1983‐84 and 1991) and data from other sources, including the second International Collaborative Study of Oral Health Outcomes (ICS‐II) conducted in 1990 on the Sioux and Navajo reservations. We compared complete tooth loss data from these studies with findings of the 1985 National Institute of Dental Research Oral Health Survey of US Employed Adults and Seniors and the Third National Health and Nutrition Examination Survey (NHANES III). <hi rend="bold">Results:</hi> The 1991 Indian Health Service (IHS) patient survey reported a complete tooth loss prevalence of 42 percent among elders. Although it is based on a patient sample, this finding is comparable to the rate of 40 percent found among a random sample of Navajo and Lakota adults aged 65–74 years reported in the ICS‐II study. The 1991 IHS patient survey also found complete tooth loss among diabetics to be much higher than among nondiabetics. Conclusions: The prevalence of complete tooth loss for Native American elders is higher than in population surveys of US elders based on random samples. The actual prevalence of complete tooth loss is probably even higher in Native American elders because estimates presented in this paper are clinic based.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">American Indians</term><term xml:id="k2">Alaska Natives</term><term xml:id="k3">elders</term><term xml:id="k4">geriatric dentistry</term><term xml:id="k5">tooth loss</term><term xml:id="k6">access.</term></keywords><keywords rend="tocHeading1"><term>Original Article</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/E8ED7C15EFDC782788F033B5F41D7772607BB4D9/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1752-7325</doi><issn type="print">0022-4006</issn><issn type="electronic">1752-7325</issn><idGroup><id type="product" value="JPHD"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF PUBLIC HEALTH DENTISTRY">Journal of Public Health Dentistry</title></titleGroup></publicationMeta><publicationMeta level="part" position="12000"><doi origin="wiley">10.1111/jphd.2000.60.issue-s1</doi><numberingGroup><numbering type="journalVolume" number="60">60</numbering><numbering type="supplement">s1</numbering></numberingGroup><coverDate startDate="2000-12">December 2000</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0025600" status="forIssue"><doi origin="wiley">10.1111/j.1752-7325.2000.tb04071.x</doi><idGroup><id type="unit" value="JPHD256"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="tocHeading1">Original Article</title></titleGroup><eventGroup><event type="firstOnline" date="2008-06-28"></event><event type="publishedOnlineFinalForm" date="2008-06-28"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.6 mode:FullText source:HeaderRef result:HeaderRef" date="2010-04-20"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="256">256</numbering><numbering type="pageLast" number="260">260</numbering></numberingGroup><correspondenceTo>
Indian Health Service Dental Program, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. E‐mail: <email>davidbj@earthlink.net.</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JPHD.JPHD256.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="referenceTotal" number="33"></count><count type="linksCrossRef" number="4"></count></countGroup><titleGroup><title type="main">A Review of the Oral Health of American Indian and Alaska Native Elders</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" noteRef="#fn1" corresponding="yes"><personName><givenNames>David B.</givenNames><familyName>Jones</familyName><degrees>DDS, MPH</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" noteRef="#fn2"><personName><givenNames>William J.</givenNames><familyName>Niendorff</familyName><degrees>DDS, MPH</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" noteRef="#fn3"><personName><givenNames>Eric B.</givenNames><familyName>Broderick</familyName><degrees>DDS, MPH</degrees></personName></creator></creators><keywordGroup xml:lang="en"><keyword xml:id="k1">American Indians</keyword><keyword xml:id="k2">Alaska Natives</keyword><keyword xml:id="k3">elders</keyword><keyword xml:id="k4">geriatric dentistry</keyword><keyword xml:id="k5">tooth loss</keyword><keyword xml:id="k6">access.</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p> <b>Objectives:</b> This paper reviews the demographics, access to care barriers, and the oral health of American Indian and Alaska Native (Native American) elders aged 65 years and older using complete tooth loss as a measure to compare with the US population. Strategies for improving oral health and increasing access to care for Native American elders also are discussed. <b>Methods:</b> We reviewed the results from patient surveys conducted by the Indian Health Service (1983‐84 and 1991) and data from other sources, including the second International Collaborative Study of Oral Health Outcomes (ICS‐II) conducted in 1990 on the Sioux and Navajo reservations. We compared complete tooth loss data from these studies with findings of the 1985 National Institute of Dental Research Oral Health Survey of US Employed Adults and Seniors and the Third National Health and Nutrition Examination Survey (NHANES III). <b>Results:</b> The 1991 Indian Health Service (IHS) patient survey reported a complete tooth loss prevalence of 42 percent among elders. Although it is based on a patient sample, this finding is comparable to the rate of 40 percent found among a random sample of Navajo and Lakota adults aged 65–74 years reported in the ICS‐II study. The 1991 IHS patient survey also found complete tooth loss among diabetics to be much higher than among nondiabetics. Conclusions: The prevalence of complete tooth loss for Native American elders is higher than in population surveys of US elders based on random samples. The actual prevalence of complete tooth loss is probably even higher in Native American elders because estimates presented in this paper are clinic based.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><label>2</label><p>geriatric dental consultant and a former area dental officer with the Indian Health Service Dental Program.</p></note><note xml:id="fn2"><label>3</label><p>former director of management information systems for the Indian Health Service Dental Program, resides in Albuquerque, NM, where he works as a consultant</p></note><note xml:id="fn3"><label>4</label><p>senior dental consultant for the Indian Health Service Dental Program.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>A Review of the Oral Health of American Indian and Alaska Native Elders</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>A Review of the Oral Health of American Indian and Alaska Native Elders</title></titleInfo><name type="personal"><namePart type="given">David B.</namePart><namePart type="family">Jones</namePart><namePart type="termsOfAddress">DDS, MPH</namePart><affiliation>E-mail: davidbj@earthlink.net.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">William J.</namePart><namePart type="family">Niendorff</namePart><namePart type="termsOfAddress">DDS, MPH</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Eric B.</namePart><namePart type="family">Broderick</namePart><namePart type="termsOfAddress">DDS, MPH</namePart><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2000-12</dateIssued><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="references">33</extent><extent unit="linksCrossRef">4</extent></physicalDescription><abstract>Objectives: This paper reviews the demographics, access to care barriers, and the oral health of American Indian and Alaska Native (Native American) elders aged 65 years and older using complete tooth loss as a measure to compare with the US population. Strategies for improving oral health and increasing access to care for Native American elders also are discussed. Methods: We reviewed the results from patient surveys conducted by the Indian Health Service (1983‐84 and 1991) and data from other sources, including the second International Collaborative Study of Oral Health Outcomes (ICS‐II) conducted in 1990 on the Sioux and Navajo reservations. We compared complete tooth loss data from these studies with findings of the 1985 National Institute of Dental Research Oral Health Survey of US Employed Adults and Seniors and the Third National Health and Nutrition Examination Survey (NHANES III). Results: The 1991 Indian Health Service (IHS) patient survey reported a complete tooth loss prevalence of 42 percent among elders. Although it is based on a patient sample, this finding is comparable to the rate of 40 percent found among a random sample of Navajo and Lakota adults aged 65–74 years reported in the ICS‐II study. The 1991 IHS patient survey also found complete tooth loss among diabetics to be much higher than among nondiabetics. Conclusions: The prevalence of complete tooth loss for Native American elders is higher than in population surveys of US elders based on random samples. The actual prevalence of complete tooth loss is probably even higher in Native American elders because estimates presented in this paper are clinic based.</abstract><subject lang="en"><genre>keywords</genre><topic>American Indians</topic><topic>Alaska Natives</topic><topic>elders</topic><topic>geriatric dentistry</topic><topic>tooth loss</topic><topic>access.</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Public Health Dentistry</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0022-4006</identifier><identifier type="eISSN">1752-7325</identifier><identifier type="DOI">10.1111/(ISSN)1752-7325</identifier><identifier type="PublisherID">JPHD</identifier><part><date>2000</date><detail type="volume"><caption>vol.</caption><number>60</number></detail><detail type="supplement"><caption>Suppl. no.</caption><number>s1</number></detail><extent unit="pages"><start>256</start><end>260</end><total>5</total></extent></part></relatedItem><identifier type="istex">E8ED7C15EFDC782788F033B5F41D7772607BB4D9</identifier><identifier type="ark">ark:/67375/WNG-PRVZ2NL5-H</identifier><identifier type="DOI">10.1111/j.1752-7325.2000.tb04071.x</identifier><identifier type="ArticleID">JPHD256</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/E8ED7C15EFDC782788F033B5F41D7772607BB4D9/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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