Oral Health Self-Care Behaviors of Rural Older Adults
Identifieur interne : 002073 ( Pmc/Curation ); précédent : 002072; suivant : 002074Oral Health Self-Care Behaviors of Rural Older Adults
Auteurs : Thomas A. Arcury [États-Unis] ; Ronny A. Bell [États-Unis] ; Andrea M. Anderson [États-Unis] ; Haiying Chen [États-Unis] ; Margaret R. Savoca [États-Unis] ; Teresa Kohrman [États-Unis] ; Sara A. Quandt [États-Unis]Source :
- Journal of public health dentistry [ 0022-4006 ] ; 2009.
Abstract
This analysis describes the dental self-care behaviors used by a multi-ethnic sample of older adults, and it delineates the associations of self-care behaviors with personal characteristics and oral health problems.
A cross-sectional comprehensive oral health survey conducted with a random, multi-ethnic (African American, American Indian, white) sample of 635 community-dwelling rural adults aged 60 years and older was completed in two rural southern counties.
Rural older adults engage in a variety of self-care behaviors, including the use of Over-the-Counter (OTC) Medicine (12.1%), OTC Dental Products (84.3%), Salt (51.0%), Prayer (6.1%), and Complementary Therapies (18.2%). Some gender and ethnic class differences are apparent, with greater use by women of OTC Medicine and Salt, and greater use by African Americans and American Indians of OTC Medicine and OTC Dental Products. Use of dental self-care behaviors appears to be driven by need. Those reporting oral pain, bleeding gums, and dry mouth have a greater odds of engaging in most of the dental self-care behaviors, including use of complementary therapies.
The major factor leading to the use of self-care behaviors is need. Although oral pain does increase the use of self-care behaviors, so do bleeding gums and dry mouth. Research and practice should address self-care behaviors used for oral health problems in addition to pain. Investigators should expand analysis of dental self-care behavior and the relationship of self-care behavior to the use of professional services. Further research also should explore the use of complementary therapies in dental self-care.
Url:
DOI: 10.1111/j.1752-7325.2009.00121.x
PubMed: 19486460
PubMed Central: 2784128
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">This analysis describes the dental self-care behaviors used by a multi-ethnic sample of older adults, and it delineates the associations of self-care behaviors with personal characteristics and oral health problems.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">A cross-sectional comprehensive oral health survey conducted with a random, multi-ethnic (African American, American Indian, white) sample of 635 community-dwelling rural adults aged 60 years and older was completed in two rural southern counties.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Rural older adults engage in a variety of self-care behaviors, including the use of Over-the-Counter (OTC) Medicine (12.1%), OTC Dental Products (84.3%), Salt (51.0%), Prayer (6.1%), and Complementary Therapies (18.2%). Some gender and ethnic class differences are apparent, with greater use by women of OTC Medicine and Salt, and greater use by African Americans and American Indians of OTC Medicine and OTC Dental Products. Use of dental self-care behaviors appears to be driven by need. Those reporting oral pain, bleeding gums, and dry mouth have a greater odds of engaging in most of the dental self-care behaviors, including use of complementary therapies.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">The major factor leading to the use of self-care behaviors is need. Although oral pain does increase the use of self-care behaviors, so do bleeding gums and dry mouth. Research and practice should address self-care behaviors used for oral health problems in addition to pain. Investigators should expand analysis of dental self-care behavior and the relationship of self-care behavior to the use of professional services. Further research also should explore the use of complementary therapies in dental self-care.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article" xml:lang="EN"><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>Journal of public health dentistry</journal-title>
<issn pub-type="ppub">0022-4006</issn>
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<article-meta><article-id pub-id-type="pmid">19486460</article-id>
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<article-id pub-id-type="manuscript">NIHMS78548</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Oral Health Self-Care Behaviors of Rural Older Adults</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Arcury</surname>
<given-names>Thomas A.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bell</surname>
<given-names>Ronny A.</given-names>
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<degrees>PhD</degrees>
<xref rid="A2" ref-type="aff">2</xref>
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<contrib contrib-type="author"><name><surname>Anderson</surname>
<given-names>Andrea M.</given-names>
</name>
<degrees>MS</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Haiying</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Savoca</surname>
<given-names>Margaret R.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kohrman</surname>
<given-names>Teresa</given-names>
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<degrees>BA</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Quandt</surname>
<given-names>Sara A.</given-names>
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<degrees>PhD</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC</aff>
<aff id="A2"><label>2</label>
Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</aff>
<aff id="A3"><label>3</label>
Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC</aff>
<aff id="A4"><label>4</label>
Department of Nutrition, University of North Carolina at Greensboro, Greensboro, NC</aff>
<author-notes><corresp id="FN1">Corresponding and Reprint Author Thomas A. Arcury, PhD, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1084, <email>tarcury@wfubmc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>22</day>
<month>11</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="ppub"><season>Summer</season>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>26</day>
<month>11</month>
<year>2009</year>
</pub-date>
<volume>69</volume>
<issue>3</issue>
<fpage>182</fpage>
<lpage>189</lpage>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P1">This analysis describes the dental self-care behaviors used by a multi-ethnic sample of older adults, and it delineates the associations of self-care behaviors with personal characteristics and oral health problems.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">A cross-sectional comprehensive oral health survey conducted with a random, multi-ethnic (African American, American Indian, white) sample of 635 community-dwelling rural adults aged 60 years and older was completed in two rural southern counties.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Rural older adults engage in a variety of self-care behaviors, including the use of Over-the-Counter (OTC) Medicine (12.1%), OTC Dental Products (84.3%), Salt (51.0%), Prayer (6.1%), and Complementary Therapies (18.2%). Some gender and ethnic class differences are apparent, with greater use by women of OTC Medicine and Salt, and greater use by African Americans and American Indians of OTC Medicine and OTC Dental Products. Use of dental self-care behaviors appears to be driven by need. Those reporting oral pain, bleeding gums, and dry mouth have a greater odds of engaging in most of the dental self-care behaviors, including use of complementary therapies.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">The major factor leading to the use of self-care behaviors is need. Although oral pain does increase the use of self-care behaviors, so do bleeding gums and dry mouth. Research and practice should address self-care behaviors used for oral health problems in addition to pain. Investigators should expand analysis of dental self-care behavior and the relationship of self-care behavior to the use of professional services. Further research also should explore the use of complementary therapies in dental self-care.</p>
</sec>
</abstract>
<kwd-group><kwd>Self-care</kwd>
<kwd>health self-management</kwd>
<kwd>complementary therapies</kwd>
<kwd>aging</kwd>
<kwd>gerontology</kwd>
<kwd>rural health</kwd>
<kwd>minority health</kwd>
</kwd-group>
<contract-num rid="DE1">R01 DE017092-09
||DE</contract-num>
<contract-sponsor id="DE1">National Institute of Dental and Craniofacial Research : NIDCR</contract-sponsor>
</article-meta>
</front>
</pmc>
</record>
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