Significant Unmet Oral Health Needs Among the Homebound Elderly
Identifieur interne : 002686 ( Pmc/Curation ); précédent : 002685; suivant : 002687Significant Unmet Oral Health Needs Among the Homebound Elderly
Auteurs : Katherine A. Ornstein [États-Unis] ; Linda Decherrie [États-Unis] ; Rima Gluzman [États-Unis] ; Elizabeth S. Scott [États-Unis] ; Jyoti Kansal [États-Unis] ; Tushin Shah [États-Unis] ; Ralph Katz [États-Unis] ; Theresa A. Soriano [États-Unis]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2014.
Abstract
Older adults with serious illness are increasingly becoming homebound. By nature of their homebound status they lack access to basic services including dental care. We conducted a study to assess the oral health status, dental utilization and dental needs of the homebound elderly and to determine whether medical diagnoses or demographic factors influenced perceived oral health.
Cross-sectional analysis
A total of 125 homebound patients received a comprehensive clinical examination in their home by a trained dental research team and completed a dental utilization and needs survey as well as the Geriatric Oral Health Assessment Index (GOHAI).
Patients who reported a high level of unmet oral health needs were more likely to be non-white, although this effect was not significant in multivariate analysis. Individual medical diagnoses and the presence of multiple comorbidities were not associated with unmet oral health needs.
The oral health status of the homebound elderly regardless of their medical diagnoses was poor. High unmet oral health needs combined with strong desire to receive dental care suggests there is an imperative need to improve access to dental care for this growing population. In addition to improving awareness among geriatricians and primary care providers who care for the homebound, the medical community must partner with the dental community to develop home-based programs for older adults.
Url:
DOI: 10.1111/jgs.13181
PubMed: 25537919
PubMed Central: 4367536
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">Older adults with serious illness are increasingly becoming homebound. By nature of their homebound status they lack access to basic services including dental care. We conducted a study to assess the oral health status, dental utilization and dental needs of the homebound elderly and to determine whether medical diagnoses or demographic factors influenced perceived oral health.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Cross-sectional analysis</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">A total of 125 homebound patients received a comprehensive clinical examination in their home by a trained dental research team and completed a dental utilization and needs survey as well as the Geriatric Oral Health Assessment Index (GOHAI).</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Patients who reported a high level of unmet oral health needs were more likely to be non-white, although this effect was not significant in multivariate analysis. Individual medical diagnoses and the presence of multiple comorbidities were not associated with unmet oral health needs.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">The oral health status of the homebound elderly regardless of their medical diagnoses was poor. High unmet oral health needs combined with strong desire to receive dental care suggests there is an imperative need to improve access to dental care for this growing population. In addition to improving awareness among geriatricians and primary care providers who care for the homebound, the medical community must partner with the dental community to develop home-based programs for older adults.</p>
</sec>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7503062</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4443</journal-id>
<journal-id journal-id-type="nlm-ta">J Am Geriatr Soc</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Significant Unmet Oral Health Needs Among the Homebound Elderly</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Ornstein</surname>
<given-names>Katherine A.</given-names>
</name>
<degrees>MPH, PhD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>DeCherrie</surname>
<given-names>Linda</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gluzman</surname>
<given-names>Rima</given-names>
</name>
<degrees>DDS, MS</degrees>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Scott</surname>
<given-names>Elizabeth S.</given-names>
</name>
<degrees>BA</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kansal</surname>
<given-names>Jyoti</given-names>
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<degrees>BDS</degrees>
<xref ref-type="aff" rid="A4">d</xref>
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<contrib contrib-type="author"><name><surname>Shah</surname>
<given-names>Tushin</given-names>
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<degrees>BDS</degrees>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Katz</surname>
<given-names>Ralph</given-names>
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<degrees>DMD, MPH, PhD</degrees>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soriano</surname>
<given-names>Theresa A.</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>a</label>
Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York</aff>
<aff id="A2"><label>b</label>
Mount Sinai Visiting Doctors Program, Mount Sinai Hospital, New York, New York</aff>
<aff id="A3"><label>c</label>
Department of Epidemiology & Health Promotion, NYU College of Dentistry, New York, New York</aff>
<aff id="A4"><label>d</label>
NYU College of Dentistry, New York, New York</aff>
<author-notes><corresp id="FN1">Corresponding Author: Katherine A. Ornstein, MPH, PhD, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1070, P: (212) 659-5555, F: (212) 849-2566, <email>Katherine.ornstein@mssm.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>11</day>
<month>3</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>23</day>
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>1</month>
<year>2015</year>
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<pub-date pub-type="pmc-release"><day>20</day>
<month>3</month>
<year>2015</year>
</pub-date>
<volume>63</volume>
<issue>1</issue>
<fpage>151</fpage>
<lpage>157</lpage>
<pmc-comment>elocation-id from pubmed: 10.1111/jgs.13181</pmc-comment>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P1">Older adults with serious illness are increasingly becoming homebound. By nature of their homebound status they lack access to basic services including dental care. We conducted a study to assess the oral health status, dental utilization and dental needs of the homebound elderly and to determine whether medical diagnoses or demographic factors influenced perceived oral health.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Cross-sectional analysis</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">A total of 125 homebound patients received a comprehensive clinical examination in their home by a trained dental research team and completed a dental utilization and needs survey as well as the Geriatric Oral Health Assessment Index (GOHAI).</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Patients who reported a high level of unmet oral health needs were more likely to be non-white, although this effect was not significant in multivariate analysis. Individual medical diagnoses and the presence of multiple comorbidities were not associated with unmet oral health needs.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">The oral health status of the homebound elderly regardless of their medical diagnoses was poor. High unmet oral health needs combined with strong desire to receive dental care suggests there is an imperative need to improve access to dental care for this growing population. In addition to improving awareness among geriatricians and primary care providers who care for the homebound, the medical community must partner with the dental community to develop home-based programs for older adults.</p>
</sec>
</abstract>
<kwd-group><kwd>Oral health</kwd>
<kwd>dental</kwd>
<kwd>homebound</kwd>
<kwd>home-based primary care</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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