Integrating Oral and General Health Screening at Senior Centers for Minority Elders
Identifieur interne : 001954 ( Pmc/Checkpoint ); précédent : 001953; suivant : 001955Integrating Oral and General Health Screening at Senior Centers for Minority Elders
Auteurs : Stephen E. Marshall ; Bin Cheng ; Mary E. Northridge ; Carol Kunzel ; Catherine Huang ; Ira B. LamsterSource :
- American Journal of Public Health [ 0090-0036 ] ; 2013.
Abstract
Racial/ethnic and socioeconomic disparities regarding untreated oral disease exist for older adults, and poor oral health diminishes quality of life. The ElderSmile program integrated screening for diabetes and hypertension into its community-based oral health activities at senior centers in northern Manhattan. The program found a willingness among minority seniors (aged ≥ 50 years) to be screened for primary care sensitive conditions by dental professionals and a high level of unrecognized disease (7.8% and 24.6% of ElderSmile participants had positive screening results for previously undiagnosed diabetes and hypertension, respectively). Dental professionals may screen for primary care–sensitive conditions and refer patients to health care providers for definitive diagnosis and treatment. The ElderSmile program is a replicable model for community-based oral and general health screening.
Url:
DOI: 10.2105/AJPH.2013.301259
PubMed: 23597378
PubMed Central: 3670655
Affiliations:
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title-group><journal-title>American Journal of Public Health</journal-title></journal-title-group><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23597378</article-id><article-id pub-id-type="pmc">3670655</article-id><article-id pub-id-type="publisher-id">301259</article-id><article-id pub-id-type="doi">10.2105/AJPH.2013.301259</article-id><article-categories><subj-group subj-group-type="heading"><subject>Field Action Report</subject></subj-group></article-categories><title-group><article-title>Integrating Oral and General Health Screening at Senior Centers for Minority Elders</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Marshall</surname><given-names>Stephen E.</given-names></name><degrees>DDS, MPH</degrees></contrib><contrib contrib-type="author"><name><surname>Cheng</surname><given-names>Bin</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Northridge</surname><given-names>Mary E.</given-names></name><degrees>PhD, MPH</degrees></contrib><contrib contrib-type="author"><name><surname>Kunzel</surname><given-names>Carol</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Huang</surname><given-names>Catherine</given-names></name><degrees>MB</degrees></contrib><contrib contrib-type="author"><name><surname>Lamster</surname><given-names>Ira B.</given-names></name><degrees>DDS, MMSc</degrees></contrib><aff>At the time of the writing, Stephen E. Marshall, Carol Kunzel, and Ira B. Lamster were with the Columbia University College of Dental Medicine, New York, NY. Bin Cheng, Mary E. Northridge, Catherine Huang, Carol Kunzel, and Ira B. Lamster were either full-time or part-time with the Columbia University Mailman School of Public Health, New York, NY. Mary E. Northridge was full-time with the New York University College of Dentistry, New York.</aff></contrib-group><author-notes><corresp>Correspondence should be sent to Stephen E. Marshall, DDS, MPH, Columbia University College of Dental Medicine, P&S Box 20, 650 W 168th St, New York, NY 10032 (e-mail: <email>sm15@columbia.edu</email>). Reprints can be ordered at <ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link> by clicking the “Reprints” link.</corresp><fn><p>Peer Reviewed</p></fn><fn><p><bold>Contributors</bold></p><p>S. E. Marshall designed and directed the ElderSmile program and wrote the program reports upon which this article was based. B. Cheng directed the analysis and contributed biostatistical expertise. M. E. Northridge designed the analysis, wrote the first draft of the article, and contributed epidemiological expertise. C. Kunzel engaged in data analysis meetings and contributed behavioral and social science expertise. C. Huang engaged in data analysis meetings and conducted the analyses. I. B. Lamster provided final edits and contributed oral health expertise. All authors approved the final version of the article.</p></fn></author-notes><pub-date pub-type="ppub"><month>6</month><year>2013</year></pub-date><pub-date pub-type="epub"><month>6</month><year>2013</year></pub-date><volume>103</volume><issue>6</issue><fpage>1022</fpage><lpage>1025</lpage><history><date date-type="accepted"><day>22</day><month>1</month><year>2013</year></date></history><permissions><copyright-statement>© American Public Health Association 2013</copyright-statement><copyright-year>2013</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="AJPH.2013.301259.pdf"></self-uri><abstract><p>Racial/ethnic and socioeconomic disparities regarding untreated oral disease exist for older adults, and poor oral health diminishes quality of life. The ElderSmile program integrated screening for diabetes and hypertension into its community-based oral health activities at senior centers in northern Manhattan. The program found a willingness among minority seniors (aged ≥ 50 years) to be screened for primary care sensitive conditions by dental professionals and a high level of unrecognized disease (7.8% and 24.6% of ElderSmile participants had positive screening results for previously undiagnosed diabetes and hypertension, respectively). Dental professionals may screen for primary care–sensitive conditions and refer patients to health care providers for definitive diagnosis and treatment. The ElderSmile program is a replicable model for community-based oral and general health screening.</p></abstract><counts><page-count count="4"></page-count></counts></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Cheng, Bin" sort="Cheng, Bin" uniqKey="Cheng B" first="Bin" last="Cheng">Bin Cheng</name><name sortKey="Huang, Catherine" sort="Huang, Catherine" uniqKey="Huang C" first="Catherine" last="Huang">Catherine Huang</name><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 E" sort="Marshall, Stephen E" uniqKey="Marshall S" first="Stephen E." last="Marshall">Stephen E. Marshall</name><name sortKey="Northridge, Mary E" sort="Northridge, Mary E" uniqKey="Northridge M" first="Mary E." last="Northridge">Mary E. 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