DETERMINANTS OF ORAL HEALTH IN OLDER PERSONS

该项目的长期目标是描述和更好地 了解老年人口腔健康状况老年人健康状况 一般人以及这一人口中具有 特殊问题。 这些目标将通过采用通用的 卫生服务使用和健康状况的模型以及 老年学和牙科护理文献。 对口腔的相对影响 社会环境、输送系统和个人/生活方式健康状况 这些因素将在多个社区进行研究。 数据正在通过国际合作研究收集 口腔健康结果（ICS II） 和芝加哥大学。 参与的是美国的社区 美国（巴尔的摩、圣安东尼奥、印第安人卫生署）和其他国家 (New新西兰、波兰、德国、拉脱维亚）。 数据来源包括：1）临床 对1000名65-74岁的居民和2000名35-44岁的年轻人进行了检查 每个社区12-13人; 2）这些居民的个人访谈 获得社会经济特征、健康信念和知识， 牙科行为;和3）牙科提供者和管理人员的访谈 为了获得关于运载系统结构和社会环境因素的数据， （4）二级数据源。 这项建议需要必要的补充资源， 组织和分析关于老年人的数据。 具体目标包括：1） 描述美国老年人的口腔健康，特别注意 支付给西班牙裔，美国土著，黑人和白人之间的差异; 2） 确定口腔健康状况的危险因素和相关因素 老年美国人;和3）1）和2）的结果与那些 对于美国35-44岁的年轻人和老年人， 在ICS II的其他国家。 分析将采用描述性统计和多变量分析。 技术来检查个人水平的相对影响 变量（例如，教育、健康信念、牙科保险、口腔卫生 和牙科服务使用）对老年人口腔健康状况的影响。 结构性 口腔健康状况、给药系统和环境之间的关系 将通过控制个别变量来推断。

The long-term objectives of this project are to describe and better understand the oral health status of older health status of the older persons in general as well as specific subgroups of this population with special problems. These objectives will be obtained by employing a generic model of health service use and health status as well as findings from the gerontological and dental care literature. The relative influences on oral health status of socioenvironmental, delivery system and personal/lifestyle factors will be studies in multiple communities. The data are being collected through the International Collaborative Study of Oral Health Outcomes (ICS II) conducted by the World Health Organization and the University of Chicago. Participating are communities in the United States (Baltimore, San Antonio, Indian Health Service) and other countries (New Zealand, Poland, Germany, Latvia). Data sources include: 1) clinical examinations of 1000 residents 65-74 as well as 2000 younger persons 35-44 and 12-13 in each community; 2) personal interviews of these same residents to obtain socioeconomic characteristics, health beliefs and knowledge and dental behavior; and 3) interviews of dental providers and administrators to obtain data on delivery system structure and socioenvironmental factors, and 4) secondary data sources. This proposal requires necessary supplementary resources to collect, organize and analyze the data on older persons. Specific aims include: 1) description of the oral health of older Americans with special attention paid to differences among Hispanics, native American, blacks and whites; 2) identification of risk factors and correlates of oral health status of older Americans; and 3) comparison of the results in 1) and 2) with those for younger cohorts 35-44 in the United States and those for older persons from other countries in ICS II. The analyses will employ descriptive statistics as well as multivariate techniques to examine the relative effects of the individual level variables (e.g., education, health beliefs, dental insurance, oral hygiene and dental service use) on oral health status of the aged. The structural relationships between oral health status, delivery system and environment will be inferred with individual variables controlled.