SENIOR ADULT ORAL HEALTH, TOBACCO AND ALCOHOL USE

为了制定未来的预防和治疗计划， 圣安东尼奥的固定收入老年人口迅速增加， 考虑到大型企业可能的不同需求 西语裔和非西语裔人口，德克萨斯大学健康 圣安东尼奥科学中心提议进行一次老年成人口试 九个地铁综合营养点抽样调查结果分析 为约1,000名55岁及以上人士提供服务。因为. 1)口腔癌的患病率随着年龄的增长而增加，2)美国癌症 社会关注吸烟和饮酒的长期影响，以及3) 拉美裔美国人中糖尿病患病率的增加是一种健康 历史也将被用来确定糖尿病和烟草的存在。 和酒精使用(按类型、使用时间长短、数量和频率 使用)。将对西班牙裔之间的口腔健康指数进行比较 和非西班牙裔，烟酒使用者和非使用者，以及受试者 无论有没有糖尿病。教育水平也将是 比较一下。 NIDR全国成人牙科健康调查表格将用于记录 关于口腔健康状况的数据，但将进行调整，以包括关于 口腔软组织病变的存在。描述性和单变量 统计数据将被用来进行比较。(如果病变看起来 可疑的，受试者将被转介到健康科学中心进行 活组织检查、诊断和治疗。病理报告将被转发到 研究人员。) 这项研究将帮助社区、学校和牙科医生 在公共卫生方面：1)更好地了解口腔健康问题 有固定收入和不同收入的西班牙裔和非拉美裔老年人 教育背景，2)了解烟草和 酒精使用与糖尿病和口腔健康问题，以及 3)帮助牙科健康规划师为这类人制定牙科健康计划 人口的数量。

In order to develop future prevention and treatment programs for the rapidly expanding elderly population on fixed incomes in San Antonio, taking into consideration the possible different needs of the large Hispanic and non-Hispanic populations, the University of Texas Health Science Center at San Antonio proposes to conduct a senior adult oral health survey at a sample of nine Metro Comprehensive Nutrition Sites serving approximately 1,000 persons 55 years of age and older. Because of 1) the increased prevalence of oral cancer with age, 2) American Cancer Society concern with long-term effects of tobacco and alcohol use, and 3) the increased prevalence of diabetes mellitus among Hispanics, a health history also will be taken to determine presence of diabetes and tobacco and alcohol use (by type, length of time of use, amount, and frequency of use). Comparisons will be made of oral health indices between Hispanics and non-Hispanics, tobacco and alcohol users and non-users, and subjects with and without diabetes mellitus. Levels of education will also be compared. The NIDR National Survey of Adult Dental Health form will be used to record data on oral health status, but will be adapted to include data on the presence of oral soft tissue lesions. Descriptive and univariate statistics will be used to make the comparisons. (If a lesion looks suspicious, subjects will be referred to the Health Science Center for biopsy, diagnosis, and treatment. Pathology reports will be forwarded to the researchers.) This study will help dental practitioners in the community, the school, and in public health to: 1) better understand the oral health problems of elderly Hispanics and non-Hispanics on fixed incomes and with varying educational backgrounds, 2) understand the relationships of tobacco and alcohol use and diabetes and oral health problems of this population, and 3) help dental health planners develop dental health programs for this type of population.