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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">What contributes to self-rated oral health among community-dwelling older adults? Findings from the <italic>ElderSmile</italic>
program</title>
<author><name sortKey="Northridge, Mary E" sort="Northridge, Mary E" uniqKey="Northridge M" first="Mary E." last="Northridge">Mary E. Northridge</name>
<affiliation><nlm:aff id="A1">Department of Epidemiology & Health Promotion, College of Dentistry, New York University, New York, NY</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chakraborty, Bibhas" sort="Chakraborty, Bibhas" uniqKey="Chakraborty B" first="Bibhas" last="Chakraborty">Bibhas Chakraborty</name>
<affiliation><nlm:aff id="A3">Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kunzel, Carol" sort="Kunzel, Carol" uniqKey="Kunzel C" first="Carol" last="Kunzel">Carol Kunzel</name>
<affiliation><nlm:aff id="A4">College of Dental Medicine, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Metcalf, Sara" sort="Metcalf, Sara" uniqKey="Metcalf S" first="Sara" last="Metcalf">Sara Metcalf</name>
<affiliation><nlm:aff id="A5">Department of Geography, University at Buffalo, Buffalo, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marshall, Stephen" sort="Marshall, Stephen" uniqKey="Marshall S" first="Stephen" last="Marshall">Stephen Marshall</name>
<affiliation><nlm:aff id="A4">College of Dental Medicine, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lamster, Ira B" sort="Lamster, Ira B" uniqKey="Lamster I" first="Ira B." last="Lamster">Ira B. Lamster</name>
<affiliation><nlm:aff id="A4">College of Dental Medicine, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22316102</idno>
<idno type="pmc">3614486</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3614486</idno>
<idno type="RBID">PMC:3614486</idno>
<idno type="doi">10.1111/j.1752-7325.2012.00313.x</idno>
<date when="2012">2012</date>
<idno type="wicri:Area/Pmc/Corpus">002577</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002577</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">What contributes to self-rated oral health among community-dwelling older adults? Findings from the <italic>ElderSmile</italic>
program</title>
<author><name sortKey="Northridge, Mary E" sort="Northridge, Mary E" uniqKey="Northridge M" first="Mary E." last="Northridge">Mary E. Northridge</name>
<affiliation><nlm:aff id="A1">Department of Epidemiology & Health Promotion, College of Dentistry, New York University, New York, NY</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chakraborty, Bibhas" sort="Chakraborty, Bibhas" uniqKey="Chakraborty B" first="Bibhas" last="Chakraborty">Bibhas Chakraborty</name>
<affiliation><nlm:aff id="A3">Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kunzel, Carol" sort="Kunzel, Carol" uniqKey="Kunzel C" first="Carol" last="Kunzel">Carol Kunzel</name>
<affiliation><nlm:aff id="A4">College of Dental Medicine, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Metcalf, Sara" sort="Metcalf, Sara" uniqKey="Metcalf S" first="Sara" last="Metcalf">Sara Metcalf</name>
<affiliation><nlm:aff id="A5">Department of Geography, University at Buffalo, Buffalo, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Marshall, Stephen" sort="Marshall, Stephen" uniqKey="Marshall S" first="Stephen" last="Marshall">Stephen Marshall</name>
<affiliation><nlm:aff id="A4">College of Dental Medicine, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lamster, Ira B" sort="Lamster, Ira B" uniqKey="Lamster I" first="Ira B." last="Lamster">Ira B. Lamster</name>
<affiliation><nlm:aff id="A4">College of Dental Medicine, Columbia University, New York, NY</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of public health dentistry</title>
<idno type="ISSN">0022-4006</idno>
<idno type="eISSN">1752-7325</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<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>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0014207</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5220</journal-id>
<journal-id journal-id-type="nlm-ta">J Public Health Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Public Health Dent</journal-id>
<journal-title-group><journal-title>Journal of public health dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">0022-4006</issn>
<issn pub-type="epub">1752-7325</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22316102</article-id>
<article-id pub-id-type="pmc">3614486</article-id>
<article-id pub-id-type="doi">10.1111/j.1752-7325.2012.00313.x</article-id>
<article-id pub-id-type="manuscript">NIHMS449703</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>What contributes to self-rated oral health among community-dwelling older adults? Findings from the <italic>ElderSmile</italic>
program</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Northridge</surname>
<given-names>Mary E.</given-names>
</name>
<degrees>PhD, MPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chakraborty</surname>
<given-names>Bibhas</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kunzel</surname>
<given-names>Carol</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Metcalf</surname>
<given-names>Sara</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marshall</surname>
<given-names>Stephen</given-names>
</name>
<degrees>DDS, MPH</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lamster</surname>
<given-names>Ira B.</given-names>
</name>
<degrees>DDS, MMSc</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Epidemiology & Health Promotion, College of Dentistry, New York University, New York, NY</aff>
<aff id="A2"><label>2</label>
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY</aff>
<aff id="A3"><label>3</label>
Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY</aff>
<aff id="A4"><label>4</label>
College of Dental Medicine, Columbia University, New York, NY</aff>
<aff id="A5"><label>5</label>
Department of Geography, University at Buffalo, Buffalo, NY</aff>
<author-notes><corresp id="FN1">Correspondence: Prof. Mary E. Northridge, Department of Epidemiology & Health Promotion, NYU College of Dentistry, 250 Park Ave South, 6th Floor, Room 642, New York, NY 10003-1402. Tel.: 212-998-9728; Fax: 212-995-4436; <email>men6@nyu.edu</email>
</corresp>
<fn id="FN2"><p>Mary E. Northridge is with the Department of Epidemiology & Health Promotion, College of Dentistry, New York University and Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University. Bibhas Chakraborty is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Carol Kunzel, Stephen Marshall, and Ira B. Lamster are with the College of Dental Medicine, Columbia University. Sara Metcalf is with the Department of Geography, University at Buffalo, NY</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>4</day>
<month>3</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>07</day>
<month>2</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><season>Summer</season>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>02</day>
<month>4</month>
<year>2013</year>
</pub-date>
<volume>72</volume>
<issue>3</issue>
<fpage>235</fpage>
<lpage>245</lpage>
<permissions><copyright-statement>© 2012 American Association of Public Health Dentistry</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>self-rated oral health</kwd>
<kwd>older adults</kwd>
<kwd>community-based oral health care</kwd>
<kwd>edentulism</kwd>
<kwd>untreated dental caries</kwd>
<kwd>periodontal inflammation</kwd>
<kwd>oral pain</kwd>
<kwd>access to oral health care</kwd>
<kwd>oral health-related quality of life</kwd>
<kwd>oral health disparities</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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