What contributes to self-rated oral health among community-dwelling older adults? Findings from the ElderSmile program
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Auteurs : Mary E. Northridge [États-Unis] ; Bibhas Chakraborty [États-Unis] ; Carol Kunzel [États-Unis] ; Sara Metcalf [États-Unis] ; Stephen Marshall [États-Unis] ; Ira B. Lamster [États-Unis]Source :
- Journal of public health dentistry [ 0022-4006 ] ; 2012.
Abstract
As part of ongoing efforts by the Columbia University College of Dental Medicine to devise community-based models of health promotion and care for local residents, we sought to answer the following query: “What contributes to self-rated oral health among community-dwelling older adults?”
The present study is cross sectional in design and centrally concerned with baseline data collected during community-based screenings of adults aged 50 years and older who agreed to participate in the
More than a quarter (28.5 percent) of
Recent dental care contributed to better self-rated oral health among community-dwelling older adults living in northern Manhattan. Significant gradients were evident in the caries experience and periodontal inflammation of dentate adults by self-rated oral health, suggesting that untreated oral disease contributes to poor self-rated oral health.
Url:
DOI: 10.1111/j.1752-7325.2012.00313.x
PubMed: 22316102
PubMed Central: 3614486
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">As part of ongoing efforts by the Columbia University College of Dental Medicine to devise community-based models of health promotion and care for local residents, we sought to answer the following query: “What contributes to self-rated oral health among community-dwelling older adults?”</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">The present study is cross sectional in design and centrally concerned with baseline data collected during community-based screenings of adults aged 50 years and older who agreed to participate in the <italic>ElderSmile</italic>
program in northern Manhattan, New York City. The primary outcome measure of interest is self-rated oral health, which was assessed as follows: “Overall, how would you rate the health of your teeth and gums – excellent, good, fair, or poor?”</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">More than a quarter (28.5 percent) of <italic>ElderSmile</italic>
participants aged 50 years and older reported that their oral health was poor. After adjustment for age (in years), place of birth, educational level, and dental insurance status in a logistic regression model, recent visits to the dentist (within the past year versus more than a year ago) contributed to better self-rated oral health and non-Hispanic Black race/ethnicity, dentate (versus edentulous) status, tooth decay as measured by decayed missing filled teeth, and severe periodontal inflammation contributed to worse self-rated oral health in this population.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Recent dental care contributed to better self-rated oral health among community-dwelling older adults living in northern Manhattan. Significant gradients were evident in the caries experience and periodontal inflammation of dentate adults by self-rated oral health, suggesting that untreated oral disease contributes to poor self-rated oral health.</p>
</sec>
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<tree><country name="États-Unis"><region name="État de New York"><name sortKey="Northridge, Mary E" sort="Northridge, Mary E" uniqKey="Northridge M" first="Mary E." last="Northridge">Mary E. Northridge</name>
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<name sortKey="Kunzel, Carol" sort="Kunzel, Carol" uniqKey="Kunzel C" first="Carol" last="Kunzel">Carol Kunzel</name>
<name sortKey="Lamster, Ira B" sort="Lamster, Ira B" uniqKey="Lamster I" first="Ira B." last="Lamster">Ira B. Lamster</name>
<name sortKey="Marshall, Stephen" sort="Marshall, Stephen" uniqKey="Marshall S" first="Stephen" last="Marshall">Stephen Marshall</name>
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<name sortKey="Northridge, Mary E" sort="Northridge, Mary E" uniqKey="Northridge M" first="Mary E." last="Northridge">Mary E. Northridge</name>
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