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Dental Anxiety and Oral Health Outcomes among Rural Older Adults

Identifieur interne : 002580 ( Pmc/Corpus ); précédent : 002579; suivant : 002581

Dental Anxiety and Oral Health Outcomes among Rural Older Adults

Auteurs : Ronny A. Bell ; Thomas A. Arcury ; Andrea M. Anderson ; Haiying Chen ; Margaret R. Savoca ; Gregg H. Gilbert ; Sara A. Quandt

Source :

Journal of Public Health Dentistry [ 0022-4006 ] ; 2011.

RBID : PMC:3349788

Abstract

Objectives

To determine the degree to which rural older adults are able to complete a measure of dental anxiety and to assess the prevalence, as well as the demographic and oral health characteristics, of individuals reporting high dental anxiety.

Methods

A population-based sample of 635 African American, American Indian and white older adults (age ≥60 years) completed an in-home survey, and 362 dentate participants completed an oral examination. Dental anxiety was measured using the 4-item Corah's Dental Anxiety Scale (DAS). Gender, ethnicity, age, education and oral health outcomes were compared between those who completed all four DAS questions (completers) and those who did not (non-completers) as well as, among completers, those with high versus low DAS scores.

Results

There were 94 (14.8%) non-completers. Non-completion was associated with older age, lower education, being edentulous, and having gingival recession. 12.4% of DAS completers had high DAS scores, which was more common among those aged 60-70 years, women, and those with oral pain and sore or bleeding gums. In logistic regression analysis, only sore and bleeding gums had a significant association with a high DAS score (OR = 2.40, 95% CI 1.09-5.26).

Conclusions

About one in eight rural older adults have high dental anxiety, which is associated with poor oral health outcomes. Identifying new approaches to measure dental anxiety among a population with limited interaction with dental care providers is needed.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3349788

DOI: 10.1111/j.1752-7325.2011.00283.x
PubMed: 22316247
PubMed Central: 3349788

Links to Exploration step

PMC:3349788

Le document en format XML

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<author><name sortKey="Bell, Ronny A" sort="Bell, Ronny A" uniqKey="Bell R" first="Ronny A." last="Bell">Ronny A. Bell</name>
<affiliation><nlm:aff id="A1"> Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Arcury, Thomas A" sort="Arcury, Thomas A" uniqKey="Arcury T" first="Thomas A." last="Arcury">Thomas A. Arcury</name>
<affiliation><nlm:aff id="A2"> Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Anderson, Andrea M" sort="Anderson, Andrea M" uniqKey="Anderson A" first="Andrea M." last="Anderson">Andrea M. Anderson</name>
<affiliation><nlm:aff id="A1"> Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chen, Haiying" sort="Chen, Haiying" uniqKey="Chen H" first="Haiying" last="Chen">Haiying Chen</name>
<affiliation><nlm:aff id="A1"> Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
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<author><name sortKey="Savoca, Margaret R" sort="Savoca, Margaret R" uniqKey="Savoca M" first="Margaret R." last="Savoca">Margaret R. Savoca</name>
<affiliation><nlm:aff id="A3"> School of Human Environmental Sciences, University of North Carolina at Greensboro, Greensboro, NC</nlm:aff>
</affiliation>
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<author><name sortKey="Gilbert, Gregg H" sort="Gilbert, Gregg H" uniqKey="Gilbert G" first="Gregg H." last="Gilbert">Gregg H. Gilbert</name>
<affiliation><nlm:aff id="A4">School of Dentistry, University of Alabama at Birmingham, Birmingham, AL</nlm:aff>
</affiliation>
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<author><name sortKey="Quandt, Sara A" sort="Quandt, Sara A" uniqKey="Quandt S" first="Sara A." last="Quandt">Sara A. Quandt</name>
<affiliation><nlm:aff id="A1"> Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
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<affiliation><nlm:aff id="A1"> Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
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<author><name sortKey="Arcury, Thomas A" sort="Arcury, Thomas A" uniqKey="Arcury T" first="Thomas A." last="Arcury">Thomas A. Arcury</name>
<affiliation><nlm:aff id="A2"> Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Anderson, Andrea M" sort="Anderson, Andrea M" uniqKey="Anderson A" first="Andrea M." last="Anderson">Andrea M. Anderson</name>
<affiliation><nlm:aff id="A1"> Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chen, Haiying" sort="Chen, Haiying" uniqKey="Chen H" first="Haiying" last="Chen">Haiying Chen</name>
<affiliation><nlm:aff id="A1"> Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Savoca, Margaret R" sort="Savoca, Margaret R" uniqKey="Savoca M" first="Margaret R." last="Savoca">Margaret R. Savoca</name>
<affiliation><nlm:aff id="A3"> School of Human Environmental Sciences, University of North Carolina at Greensboro, Greensboro, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gilbert, Gregg H" sort="Gilbert, Gregg H" uniqKey="Gilbert G" first="Gregg H." last="Gilbert">Gregg H. Gilbert</name>
<affiliation><nlm:aff id="A4">School of Dentistry, University of Alabama at Birmingham, Birmingham, AL</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quandt, Sara A" sort="Quandt, Sara A" uniqKey="Quandt S" first="Sara A." last="Quandt">Sara A. Quandt</name>
<affiliation><nlm:aff id="A1"> Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</nlm:aff>
</affiliation>
</author>
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<series><title level="j">Journal of Public Health Dentistry</title>
<idno type="ISSN">0022-4006</idno>
<idno type="eISSN">0022-4006</idno>
<imprint><date when="2011">2011</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">To determine the degree to which rural older adults are able to complete a measure of dental anxiety and to assess the prevalence, as well as the demographic and oral health characteristics, of individuals reporting high dental anxiety.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A population-based sample of 635 African American, American Indian and white older adults (age ≥60 years) completed an in-home survey, and 362 dentate participants completed an oral examination. Dental anxiety was measured using the 4-item Corah's Dental Anxiety Scale (DAS). Gender, ethnicity, age, education and oral health outcomes were compared between those who completed all four DAS questions (completers) and those who did not (non-completers) as well as, among completers, those with high versus low DAS scores.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">There were 94 (14.8%) non-completers. Non-completion was associated with older age, lower education, being edentulous, and having gingival recession. 12.4% of DAS completers had high DAS scores, which was more common among those aged 60-70 years, women, and those with oral pain and sore or bleeding gums. In logistic regression analysis, only sore and bleeding gums had a significant association with a high DAS score (OR = 2.40, 95% CI 1.09-5.26).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">About one in eight rural older adults have high dental anxiety, which is associated with poor oral health outcomes. Identifying new approaches to measure dental anxiety among a population with limited interaction with dental care providers is needed.</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-title-group><journal-title>Journal of Public Health Dentistry</journal-title>
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<issn pub-type="ppub">0022-4006</issn>
<issn pub-type="epub">0022-4006</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22316247</article-id>
<article-id pub-id-type="pmc">3349788</article-id>
<article-id pub-id-type="doi">10.1111/j.1752-7325.2011.00283.x</article-id>
<article-id pub-id-type="manuscript">NIHMS319228</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Dental Anxiety and Oral Health Outcomes among Rural Older Adults</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Bell</surname>
<given-names>Ronny A.</given-names>
</name>
<degrees>PhD, MS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Arcury</surname>
<given-names>Thomas A.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Anderson</surname>
<given-names>Andrea M.</given-names>
</name>
<degrees>MS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Haiying</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Savoca</surname>
<given-names>Margaret R.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gilbert</surname>
<given-names>Gregg H.</given-names>
</name>
<degrees>DDS, MBA, FAAHD</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Quandt</surname>
<given-names>Sara A.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
 Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</aff>
<aff id="A2"><label>2</label>
 Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC</aff>
<aff id="A3"><label>3</label>
 School of Human Environmental Sciences, University of North Carolina at Greensboro, Greensboro, NC</aff>
<aff id="A4"><label>4</label>
School of Dentistry, University of Alabama at Birmingham, Birmingham, AL</aff>
<author-notes><corresp id="CR1">Corresponding Author: Ronny A. Bell, PhD, MS, Professor, Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, <email>rbell@wfubmc.edu</email>
, 336-716-9736 (phone), 336-713-4300 (fax)</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>18</day>
<month>8</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>10</day>
<month>10</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><season>Winter</season>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>1</month>
<year>2013</year>
</pub-date>
<volume>72</volume>
<issue>1</issue>
<fpage>53</fpage>
<lpage>59</lpage>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P1">To determine the degree to which rural older adults are able to complete a measure of dental anxiety and to assess the prevalence, as well as the demographic and oral health characteristics, of individuals reporting high dental anxiety.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A population-based sample of 635 African American, American Indian and white older adults (age ≥60 years) completed an in-home survey, and 362 dentate participants completed an oral examination. Dental anxiety was measured using the 4-item Corah's Dental Anxiety Scale (DAS). Gender, ethnicity, age, education and oral health outcomes were compared between those who completed all four DAS questions (completers) and those who did not (non-completers) as well as, among completers, those with high versus low DAS scores.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">There were 94 (14.8%) non-completers. Non-completion was associated with older age, lower education, being edentulous, and having gingival recession. 12.4% of DAS completers had high DAS scores, which was more common among those aged 60-70 years, women, and those with oral pain and sore or bleeding gums. In logistic regression analysis, only sore and bleeding gums had a significant association with a high DAS score (OR = 2.40, 95% CI 1.09-5.26).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">About one in eight rural older adults have high dental anxiety, which is associated with poor oral health outcomes. Identifying new approaches to measure dental anxiety among a population with limited interaction with dental care providers is needed.</p>
</sec>
</abstract>
<kwd-group><kwd>Dental Anxiety</kwd>
<kwd>Oral Health Outcomes</kwd>
<kwd>Rural Older Adults</kwd>
<kwd>African Americans</kwd>
<kwd>American Indians</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source>
<award-id>R01 DE017092-11 || DE</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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Dental Anxiety and Oral Health Outcomes among Rural Older Adults

Dental Anxiety and Oral Health Outcomes among Rural Older Adults

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Abstract

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