Disparities in oral health status between older adults in a multiethnic rural community: the rural nutrition and oral health study.
Disparities in oral health status between older adults in a multiethnic rural community: the rural nutrition and oral health study.
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DOI：
10.1111/j.1532-5415.2009.02367.x
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发表时间：
2009-08
影响因子：
6.3
通讯作者：
Arcury TA
中科院分区：
文献类型：
--
作者：
Quandt SA;Chen H;Bell RA;Anderson AM;Savoca MR;Kohrman T;Gilbert GH;Arcury TA
比较非洲裔美国人（AA）、美洲印第安人（AI）、有牙和无牙的白人社区老年人的口腔健康状况和社会经济状况。横断面研究;数据来自自我报告和口试。采用多阶段整群抽样设计，从北卡罗来纳州农村县招募了635名60岁以上的参与者，这些县有大量AA和AI人口。参与者完成了上门面试和口试。自我报告的数据包括社会人口统计指标、自我评定的口腔健康状况、是否存在牙周病、牙龈出血、口腔疼痛、口干和修复体是否合适。口腔检查资料包括牙数、前后功能咬合单元数。与白人相比，优秀学生和人工智能学生的收入和受教育程度都明显较低。与aa和ai相比，白人的自评口腔健康明显更高。白人自我报告牙周病和牙龈出血的患病率较低。在有牙齿的参与者中，aa明显比白人更有可能适度减少牙齿数量（11-20颗牙齿）和后咬合接触。经社会经济变量调整后，口腔健康缺陷仍与种族相关。在多民族农村地区，老年人的口腔健康差异主要与种族有关，而与社会经济地位无关。临床医生应该意识到口腔健康状况的这些健康差异及其在慢性疾病差异中的可能作用。需要进一步的研究来了解这些口腔健康差异是否反映了当前或终生获得保健、饮食或对口腔保健的态度。
To compare oral health status by ethnicity and socioeconomic status among African American (AA), American Indian (AI), and white dentate and edentulous community-dwelling older adults. Cross-sectional study; data from self-reports and oral examinations. A multi-stage cluster sampling design was used to recruit 635 participants aged 60+ from rural North Carolina counties with substantial AA and AI populations. Participants completed in-home interviews and oral examinations. Self-reported data included socio-demographic indicators, self-rated oral health status, and presence/absence of periodontal disease, bleeding gums, oral pain, dry mouth, and fit of prostheses. Oral examination data included number of teeth and numbers of anterior and posterior functional occlusal units. Compared to whites, AAs and AIs had significantly lower incomes and educational attainment. Self-rated oral health was significantly higher in whites, compared to both AAs and AIs. Prevalence of self-reported periodontal disease and bleeding gums was lower in whites. Among dentate participants, AAs were significantly more likely than whites to have moderately reduced numbers of teeth (11–20 teeth) and posterior occlusal contacts. Oral health deficits remained associated with ethnicity when adjusted for socioeconomic variables. Oral health disparities in older adults in a multi-ethnic rural area are largely associated with ethnicity and not socioeconomic status. Clinicians should be aware of these health disparities in oral health status and their possible role in disparities in chronic disease. Further research is necessary to understand whether these oral health disparities reflect current or lifetime access to care, diet, or attitudes toward oral health care.
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影响因子：
2
作者：
Morita, Ichizo;Nakagaki, Haruo;Sheiham, Aubrey
通讯作者：
Sheiham, Aubrey
影响因子：
8.3
作者：
Desvarieux, M;Demmer, RT;Sacco, RL
通讯作者：
Sacco, RL
影响因子：
1
作者：
Huff, Marlene;Kinion, Elizabeth;Klecan, Terry
通讯作者：
Klecan, Terry
DOI：
10.1111/j.1600-0528.2005.00200.x
发表时间：
2005-06-01
影响因子：
2.3
作者：
Hung, HC;Colditz, G;Joshipura, KJ
通讯作者：
Joshipura, KJ
影响因子：
3.2
作者：
Sheiham, A;Steele, J
通讯作者：
Steele, J