Multilevel analyses of oral health conditions among older adults in the All of Us Research Program
Multilevel analyses of oral health conditions among older adults in the All of Us Research Program
批准号:
10658463
负责人:
Jane A Weintraub
金额:
$12.82万
依托单位国家:
美国
项目类别:
财政年份:
2022
资助国家:
美国
项目状态:
已结题
起止时间:
2022-08-15 至 2023-11-30
关键词:
AdultAffectAgeAgingAll of Us Research ProgramAmericanAreaBehavioralCardiovascular DiseasesChronicClinicalCodeCognitionCommunitiesDataData AnalysesData SetDentalDental CareDental General PracticeDental RecordsDental cariesDiabetes MellitusDigit structureEdentulous MouthElderlyElectronic Health RecordEnrollmentEthnic OriginFrequenciesFundingGeographic LocationsGeographyGoalsHealthHealth StatusHealth and Retirement StudyHealth behaviorHealthcareIndividualLifeLife StyleLinkLongitudinal StudiesMedicaidMedicalMedicareMedicineModelingNational Institute of Dental and Craniofacial ResearchOralOral healthOutcomeParticipantPatient Self-ReportPeriodontitisPopulationPrimary Health CarePsychosocial FactorQuality of lifeRetirementRiskRoleSamplingSourceStrategic PlanningStrokeSurveysSystematized Nomenclature of MedicineSystemic diseaseTooth LossTooth structureUnderrepresented PopulationsUnited StatesUnited States National Institutes of HealthVariantbasecohortcontextual factorscraniofacialdata ecosystemdata infrastructuredemographicsedentulismeducation researchfunctional statushealth care settingshealth datahealth inequalitiesimprovedinsightlarge datasetsmultilevel analysisnegative affectoral conditionparent grantpsychosocialracial disparitysocialsocial health determinantssociodemographic factorssocioeconomicsvolunteer
中文摘要
摘要
英文摘要
Abstract
The U.S. population is rapidly aging. Americans are living longer, with more chronic conditions, and retaining
more teeth. Because of the relationships between oral and systemic conditions, there is a need for dental care
to become better integrated with primary care. Oral health inequalities in access to dental care are prevalent
among older adults. Routine dental care is not included in Medicare and large state-level variations exist in
dental Medicaid benefits. The oral health of older adults in the US is understudied due to few national large-
scale studies with longitudinal components that include medical dental, individual and community level data.
With this supplement, secondary data analysis from the national NIH All of US (AoU) Research Project will
expand information about adults age 51+ available from the longitudinal, nationally representative US Health
and Retirement Study (HRS) currently being analyzed (NIDCR R03 DE030161-02). Our R03 goals are to
study longitudinal changes in the oral health of older adults in relationship to changes in cognition, retirement,
medical, contextual, psychosocial, behavioral and dental utilization data. Both HRS and AoU datasets provide
information to link oral health status to medical conditions, demographics, lifestyle, psychosocial factors, and
overall health. The HRS and AoU both include self-report survey data. Additionally, the AoU includes clinically-
determined information from participants' electronic health records (EHR) obtained in healthcare settings. AoU
seeks to enroll diverse, traditionally under-represented groups. The AoU Controlled Tier level data includes 3-
digit ZIP code that provides access to geographical contextual information to explore social determinants of
health using multilevel analyses. Poor oral health, partial tooth loss, and edentulism among older adults
negatively affect their quality of life and functional status. An AoU analytical Controlled Tier dataset will be
constructed with 3 groups having different oral conditions based on EHR data for comparison: 1) completely
edentulous, 2) partially edentulous, and 3) evidence of being dentate (e.g., dental caries, periodontitis). The
specific aims are: AIM 1a) Tabulate the means (SD) and frequency distribution of socio-demographic factors
in Controlled Tier AoU data and medical, cognition, and social/lifestyle risk indicators from survey and EHR
data associated with these 3 dental status groups (above). Aim 1b) Develop multivariable models using these
3 dental status groups and dental utilization to determine their influence on self-rated health, cognition, and
other medical conditions (e.g., diabetes, cardiovascular disease, stroke). Aim 1c) Develop multilevel models
including contextual variables using zip code data to represent geographic regions where participants reside to
examine individual and area variations in outcomes. AIM 2: Compare AoU findings with 2018 HRS data and
assess population differences in self-rated health, cognition, and medical outcomes. HRS and AoU are both
large-scale, landmark studies with different key features. By analyzing both datasets, we will be able to take
advantage of the best features of each one to further our understanding of the oral health of older adults.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
Age cohort changes in oral conditions and life transitions in the United States Health and Retirement Study
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批准号:10393524
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项目类别:
-
资助金额:$16.24万
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财政年份:2021
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负责人:Jane A Weintraub
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依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:7948298
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项目类别:
-
资助金额:$54.82万
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财政年份:2009
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负责人:Jane A Weintraub
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依托单位:
New Faculty Development for Research to Reduce Oral Health Disparities
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批准号:7861177
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项目类别:
-
资助金额:$69.96万
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财政年份:2009
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负责人:Jane A Weintraub
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依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:7893940
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项目类别:
-
资助金额:$31.56万
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财政年份:2008
-
负责人:Jane A Weintraub
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依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:7533540
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项目类别:
-
资助金额:$345.38万
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财政年份:2008
-
负责人:Jane A Weintraub
-
依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:7835717
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项目类别:
-
资助金额:$369.69万
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财政年份:2008
-
负责人:Jane A Weintraub
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依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:7692894
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项目类别:
-
资助金额:$353.05万
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财政年份:2008
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负责人:Jane A Weintraub
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依托单位:
Research Program Administrative Center
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批准号:7568377
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项目类别:
-
资助金额:$54.97万
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财政年份:2008
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负责人:Jane A Weintraub
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依托单位:
Population-Based Oral Health Study of Agricultural Worker Families
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批准号:7126238
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项目类别:
-
资助金额:$18.33万
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财政年份:2005
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负责人:Jane A Weintraub
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依托单位:
CORE--ADMINISTRATIVE AND HEALTH POLICY DEVELOPMENT
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批准号:6931683
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项目类别:
-
资助金额:$79.75万
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财政年份:2004
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负责人:Jane A Weintraub
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依托单位:
CORE--ADMINISTRATIVE AND HEALTH POLICY DEVELOPMENT
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批准号:6661461
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项目类别:
-
资助金额:$24.42万
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财政年份:2002
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负责人:Jane A Weintraub
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依托单位:
CORE--BIOSTATISTICS
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批准号:6662808
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项目类别:
-
资助金额:$25.41万
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财政年份:2002
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负责人:Jane A Weintraub
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依托单位:
EARLY CHILDHOOD CARIES--PREVENTION AND TREATMENT OUTCOMES
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批准号:6662803
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项目类别:
-
资助金额:$18.57万
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财政年份:2002
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负责人:Jane A Weintraub
-
依托单位:
CORE--BIOSTATISTICS
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批准号:6481892
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项目类别:
-
资助金额:$25.41万
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财政年份:2001
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负责人:Jane A Weintraub
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依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:6399986
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项目类别:
-
资助金额:$133.03万
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财政年份:2001
-
负责人:Jane A Weintraub
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依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:7101846
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项目类别:
-
资助金额:$172.2万
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财政年份:2001
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负责人:Jane A Weintraub
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依托单位:
Vision Awards for GM Lead Users Group
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批准号:6661285
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项目类别:
-
资助金额:$142.35万
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财政年份:2001
-
负责人:Jane A Weintraub
-
依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:6524171
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项目类别:
-
资助金额:$137.3万
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财政年份:2001
-
负责人:Jane A Weintraub
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依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:6931685
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项目类别:
-
资助金额:$167.65万
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财政年份:2001
-
负责人:Jane A Weintraub
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依托单位:
Center to Address Disparities in Children's Oral Health
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批准号:7289459
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项目类别:
-
资助金额:$0.0万
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财政年份:2001
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负责人:Jane A Weintraub
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依托单位:
海外基金