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Differences between Racial Groups in the Impact of Oral Disorders among Older Adults in North Carolina

Identifieur interne : 00A787 ( Main/Exploration ); précédent : 00A786; suivant : 00A788

Differences between Racial Groups in the Impact of Oral Disorders among Older Adults in North Carolina

Auteurs : Ronald J. Hunt ; Gary D. Slade ; Ronald P. Strauss

Source :

RBID : ISTEX:4DEC97544F085527DC1ABE7201ABBF9C8F44650B

Descripteurs français

English descriptors

Abstract

Objectives: This study investigated variations in impact of oral disorders between older black adults and older white adults living in North Carolina. Methods: Using the Oral Health Impact Profile (OHIP) questionnaire, 440 participants aged 70 and older provided data on their perceptions of the impact of oral disease on aspects of their lives during the previous 12 months. Results: For 22 of the 49 items queried in the OHIP questionnaire, older blacks reported more frequent impact than older whites (P<.05). For none of the OHIP items did whites report more frequent impact. The impacts reported were diverse and included items reflecting pain, physical disability, psychological disability, and social disability. When the number of items occurring fairly often or very often were summed for dentate participants, blacks reported more items than did whites (3.7 vs 1.1, P<.0001). This difference decreased to 2.7 vs 2.0 (P<.346) after controlling statistically for greater mean periodontal pocket depth, more unreplaced missing teeth, and more episodic dental visits among blacks. Conclusions: Older dentate blacks reported more impact from oral problems than older dentate whites. The differences in reported impact likely are linked to differences in oral status and dental visit history between these two racial groups in North Carolina.

Url:
DOI: 10.1111/j.1752-7325.1995.tb02371.x


Affiliations:


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Le document en format XML

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<term>Aged</term>
<term>Attitude to Health</term>
<term>Behavioral sciences</term>
<term>Caries status</term>
<term>Carolina sample</term>
<term>Chapel hill</term>
<term>Community dent</term>
<term>Community dent health</term>
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<term>Composite measure</term>
<term>Connecticut health center</term>
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<term>Dental Care (utilization)</term>
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<term>Health status</term>
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<term>Jaw, Edentulous (psychology)</term>
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<term>Tooth Loss (psychology)</term>
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<term>Aged</term>
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<term>Behavioral sciences</term>
<term>Caries status</term>
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<term>Chapel hill</term>
<term>Community dent</term>
<term>Community dent health</term>
<term>Community health</term>
<term>Composite measure</term>
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<term>Dental medicine</term>
<term>Dental problems</term>
<term>Dental research</term>
<term>Dental substudy</term>
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<term>Fewer teeth</term>
<term>Follow-Up Studies</term>
<term>Geriatric Assessment</term>
<term>Health Status</term>
<term>Health status</term>
<term>Higher levels</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mental Health</term>
<term>More impact</term>
<term>More items</term>
<term>More unreplaced</term>
<term>National institute</term>
<term>Nonrespondents</term>
<term>Occupational prestige</term>
<term>Ohip</term>
<term>Ohip items</term>
<term>Ohip questionnaire</term>
<term>Ohip questionnaires</term>
<term>Older adults</term>
<term>Older blacks</term>
<term>Older whites</term>
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<term>Oral disease</term>
<term>Oral diseases</term>
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<term>Oral health</term>
<term>Oral health impact</term>
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<term>Oral health status</term>
<term>Oral problems</term>
<term>Oral status</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal pocket depth</term>
<term>Periodontal status</term>
<term>Permanent residents</term>
<term>Physical disability</term>
<term>Piedmont health survey</term>
<term>Possible impacts</term>
<term>Psychological disability</term>
<term>Public health dent</term>
<term>Race group</term>
<term>Race group differences</term>
<term>Race groups</term>
<term>Racial differences</term>
<term>Racial groups</term>
<term>Root fragments</term>
<term>Sex Factors</term>
<term>Social Adjustment</term>
<term>Social impact</term>
<term>Statistical analysis</term>
<term>Third study</term>
<term>Train dentists</term>
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<term>World health organization</term>
<term>Yale university</term>
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<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
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<div type="abstract" xml:lang="en">Objectives: This study investigated variations in impact of oral disorders between older black adults and older white adults living in North Carolina. Methods: Using the Oral Health Impact Profile (OHIP) questionnaire, 440 participants aged 70 and older provided data on their perceptions of the impact of oral disease on aspects of their lives during the previous 12 months. Results: For 22 of the 49 items queried in the OHIP questionnaire, older blacks reported more frequent impact than older whites (P<.05). For none of the OHIP items did whites report more frequent impact. The impacts reported were diverse and included items reflecting pain, physical disability, psychological disability, and social disability. When the number of items occurring fairly often or very often were summed for dentate participants, blacks reported more items than did whites (3.7 vs 1.1, P<.0001). This difference decreased to 2.7 vs 2.0 (P<.346) after controlling statistically for greater mean periodontal pocket depth, more unreplaced missing teeth, and more episodic dental visits among blacks. Conclusions: Older dentate blacks reported more impact from oral problems than older dentate whites. The differences in reported impact likely are linked to differences in oral status and dental visit history between these two racial groups in North Carolina.</div>
</front>
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