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Significant Unmet Oral Health Needs Among the Homebound Elderly

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Significant Unmet Oral Health Needs Among the Homebound Elderly

Auteurs : Katherine A. Ornstein [États-Unis] ; Linda Decherrie [États-Unis] ; Rima Gluzman [États-Unis] ; Elizabeth S. Scott [États-Unis] ; Jyoti Kansal [États-Unis] ; Tushin Shah [États-Unis] ; Ralph Katz [États-Unis] ; Theresa A. Soriano [États-Unis]

Source :

Journal of the American Geriatrics Society [ 0002-8614 ] ; 2014.

RBID : PMC:4367536

Abstract

Objectives

Older adults with serious illness are increasingly becoming homebound. By nature of their homebound status they lack access to basic services including dental care. We conducted a study to assess the oral health status, dental utilization and dental needs of the homebound elderly and to determine whether medical diagnoses or demographic factors influenced perceived oral health.

Design

Cross-sectional analysis

Methods

A total of 125 homebound patients received a comprehensive clinical examination in their home by a trained dental research team and completed a dental utilization and needs survey as well as the Geriatric Oral Health Assessment Index (GOHAI).

Results

Patients who reported a high level of unmet oral health needs were more likely to be non-white, although this effect was not significant in multivariate analysis. Individual medical diagnoses and the presence of multiple comorbidities were not associated with unmet oral health needs.

Conclusions

The oral health status of the homebound elderly regardless of their medical diagnoses was poor. High unmet oral health needs combined with strong desire to receive dental care suggests there is an imperative need to improve access to dental care for this growing population. In addition to improving awareness among geriatricians and primary care providers who care for the homebound, the medical community must partner with the dental community to develop home-based programs for older adults.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4367536

DOI: 10.1111/jgs.13181
PubMed: 25537919
PubMed Central: 4367536

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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">Older adults with serious illness are increasingly becoming homebound. By nature of their homebound status they lack access to basic services including dental care. We conducted a study to assess the oral health status, dental utilization and dental needs of the homebound elderly and to determine whether medical diagnoses or demographic factors influenced perceived oral health.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Cross-sectional analysis</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">A total of 125 homebound patients received a comprehensive clinical examination in their home by a trained dental research team and completed a dental utilization and needs survey as well as the Geriatric Oral Health Assessment Index (GOHAI).</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Patients who reported a high level of unmet oral health needs were more likely to be non-white, although this effect was not significant in multivariate analysis. Individual medical diagnoses and the presence of multiple comorbidities were not associated with unmet oral health needs.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">The oral health status of the homebound elderly regardless of their medical diagnoses was poor. High unmet oral health needs combined with strong desire to receive dental care suggests there is an imperative need to improve access to dental care for this growing population. In addition to improving awareness among geriatricians and primary care providers who care for the homebound, the medical community must partner with the dental community to develop home-based programs for older adults.</p>
</sec>
</div>
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Significant Unmet Oral Health Needs Among the Homebound Elderly

Significant Unmet Oral Health Needs Among the Homebound Elderly

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Abstract

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