Abstract：
OBJECTIVES:The specific aims of this study were to describe the baseline oral health status of persons residing in North Carolina assisted living facilities and determine how identified oral health problems vary according to resident and facility demographic variables. METHODS:This cross-sectional descriptive epidemiologic study used a statewide random sample of 40 assisted living facilities and a convenience sample of 854 assisted living residents. Dental hygienists and dentists conducted oral screenings on residents using the Association of State and Territorial Dental Director's Basic Screening Survey for Older Adults tool. RESULTS:Nearly one-third of participants were younger than 65. Overall, poorer oral health was noted for non-Hispanic black residents, Medicaid recipients, residents of small facilities (20-60 beds), and residents of facilities located in the Coastal Plains region of the state. Oral health also worsened with increasing length of residence yet seemed to improve with age. The overall rate of edentulism was 29 percent, half of whom did not have complete dentures. Nearly half (48.6 percent) of residents had untreated decay. CONCLUSIONS:There is a need for policy and public health programming that addresses the broad racial and socioeconomic factors that contribute to disparities among the institutionalized. Furthermore, the oral health disparities between institutionalized and community-dwelling older adults reflect the need for policy that requires and ensures access to a minimum level of oral health care throughout the duration of a resident's stay. Programming to support such policy should include development of an oral health workforce that is competent in geriatric oral health care.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Stephens R,White BAdoi
10.1111/jphd.12310subject
Has Abstractpub_date
2019-09-01 00:00:00pages
198-206issue
3eissn
0022-4006issn
1752-7325journal_volume
79pub_type
杂志文章abstract：OBJECTIVE:The aim of this study was to analyze the relationship between oral health behaviors and general health behaviors in adults. METHODS:A total of 2,467 adults (1,208 men and 1,259 women aged 20-59 years) who consulted dentists in Chiba City were administered a questionnaire. RESULTS:Women, older participants, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2003.tb03508.x
更新日期：2003-10-01 00:00:00
abstract：OBJECTIVES:The purpose of this paper is to describe the Hispanic/Latino (H/L) dentist workforce, their general practice patterns, and their contributions to oral health care for H/L and underserved patients. METHODS:A national sample survey of underrepresented minority dentists was conducted in 2012 and received a 35....
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12194
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVES:To compare the Dean's and DDE indices in examining dental fluorosis and diffuse opacities. METHODS:Survey of a random sample of 9-year-old children in Southland, New Zealand. Dental fluorosis was measured using Dean's index. Enamel defects were recorded using the DDE index. RESULTS:A total of 436 children ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00186.x
更新日期：2010-10-01 00:00:00
abstract：OBJECTIVE:To investigate the role of public dental care spending and insurance coverage on dental services utilization disparities among different Canadian jurisdictions. METHODS:We utilized Canadian Institute for Health Information provincial/territorial per capita estimates for public dental care expenditure, public...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12283
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVES:The purposes of this study were to describe the incidence of root caries and to identify its risk factors in a representative sample of older adults. METHODS:Root caries incidence was estimated and multivariate risk assessment models were developed to identify predictors for root caries in a three-year foll...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1995.tb02335.x
更新日期：1995-04-01 00:00:00
abstract：:In response to the death of a young child, efforts by many partners have enabled Maryland to institute oral health reforms that ensure that low-income children remain visible and have continued access to dental services. This paper shows how proponents of oral health in Maryland used issues that were already on the or...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2012.00328.x
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVES:Hospital emergency departments (EDs) function as the safety net for patients with non-traumatic dental conditions (NTDCs). With the implementation of Medicaid expansion under the Affordable Care Act (ACA) many adults became eligible for dental benefits. We examined the impact of "early" Medicaid expansion in...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12214
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVES:This cross-sectional study examined Early Head Start (EHS) teachers' oral health program activities and their association with teacher and program characteristics. METHODS:Self-completed questionnaires were distributed to the staff in all EHS programs in North Carolina. Variables for dental health activitie...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2011.00245.x
更新日期：2011-04-01 00:00:00
abstract：:In order to ascertain the fate of hypertensive patients who were discovered through the Medical College of Virginia School of Dentistry Hypertension Screening Program, a telephone survey was conducted whereby the first 128 patients discovered to be hypertensive through the program were interviewed concerning their cur...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1976.tb02612.x
更新日期：1976-10-01 00:00:00
abstract：:Infant caries is an infectious disease with microbiological, dietary, and host risk factors. The disease is of epidemic proportions in immigrant and Native American populations studied. This paper reviews progress in current research and suggests a number of new approaches focusing on behavioral and chemotherapeutic m...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1996.tb02396.x
更新日期：1996-01-01 00:00:00
abstract：OBJECTIVE:To assess and compare examiner reliability of clinical and photographic fluorosis examinations using the Fluorosis Risk Index (FRI) among children in the Iowa Fluoride Study (IFS). METHODS:The IFS examined 538 children for fluorosis and dental caries at age 13 and obtained intraoral photographs from nearly a...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2012.00315.x
更新日期：2012-04-01 00:00:00
abstract：:Previous research with other ethnic minorities has shown that culture and age cohort, as well as language and economic limitations, act as barriers to obtaining dental care and maintaining good oral health. This study compared self-reported oral health attitudes, self-efficacy, and dental practices of 20 younger and 2...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1992.tb02258.x
更新日期：1992-04-01 00:00:00
abstract：:The objective of this paper is to describe the purpose, rationale and key elements of the special issue, Improving Oral Healthcare Delivery Systems through Workforce Innovations. The purpose of the special issue is to further develop ideas presented at the 2009 Institute of Medicine (IOM) workshop, Sufficiency of the ...
journal_title：Journal of public health dentistry
pub_type：
doi：10.1111/j.1752-7325.2010.00179.x
更新日期：2010-06-01 00:00:00
abstract：:Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly aff...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.2000.tb03338.x
更新日期：2000-10-01 00:00:00
abstract：:This study surveyed a proportionate random sample of licensed dental hygienists in five states and the District of Columbia, to assess their antitobacco use behaviors and attitudes. The response rate was 79.4 percent. Descriptive data as well as chi-square, analysis of variance (ANOVA), and Duncan's multiple range tes...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1990.tb02111.x
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to investigate the factors that may influence orthodontic treatment uptake such as socioeconomic class (SEC), type of funding, and gender. METHODS:The sample comprised 550 adolescents (232 men, 318 women) aged 13-17 years. Demographic data and questions concerning treatment experie...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12034
更新日期：2013-10-01 00:00:00
abstract：:Water fluoridation has been repeatedly associated with lower caries experience in children but uncertainty still exists on strength and extent of the association into adulthood. OBJECTIVE:To analyze the preventive effect of access to fluoridated water on dental caries among young adults. METHODS:In 1991/92 a cross-s...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12207
更新日期：2017-06-01 00:00:00
abstract：:The dental restorative treatment needs of Mexican-American children, aged 1-17 years, were assessed from the 1982-83 Southwestern US Hispanic Health and Nutrition Examination Survey (HHANES). This report analyzed those needs and applied a dollar cost to them, using 1982 median fees of US general practitioners. The tot...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1991.tb02215.x
更新日期：1991-10-01 00:00:00
abstract：:The efficacy of communal water fluoridation in reducing dental caries has been reviewed based on surveys conducted in the last decade of caries prevalence in fluoridated and nonfluoridated communities in the United States as well as in Australia, Britain, Canada, Ireland, and New Zealand. The efficacy is greatest for ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1989.tb02086.x
更新日期：1989-01-01 00:00:00
abstract：:In conclusion, as community agencies under P.L. 93-641 embark upon the definition of health status goals, health system goals, and program implementation, dentists have the opportunity to clarify and assist in developing a vigorous approach to meeting dental health needs through primary prevention. Insofar as public h...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1979.tb01835.x
更新日期：1979-01-01 00:00:00
abstract：:In 1986, the Columbus (Ohio) Health Department conducted an oral health survey of children in grades 1, 2, 6, and 7. The World Health Organization's Pathfinder methodology served as the basis for survey design. The survey was made possible through collaboration and sharing resources among the local and state health de...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1988.tb03178.x
更新日期：1988-04-01 00:00:00
abstract：OBJECTIVE:This study aims to examine if older adults living in poverty and from minority racial/ethnic groups experienced disproportionately high rates of poor oral health outcomes measured by oral health quality of life (OHQOL) and number of permanent teeth. METHODS:Cross-sectional analysis of 2,745 community-dwellin...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12072
更新日期：2015-04-01 00:00:00
abstract：:A tooth-oriented caries measure has limitations in depicting the caries experience in the primary dentition for a population. Caries patterns based on the child have been presented previously and quantified. The purpose of this study was to explore proportional changes in caries patterns of the primary dentition in tw...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1987.tb01951.x
更新日期：1987-01-01 00:00:00
abstract：OBJECTIVES:The majority of Canadians believe that the government should play some role in providing dental care within Canada's health care system. However, it is unclear whether Canadians consider this as a top public priority. This study determines whether dental care is a public priority among Canadian adults relati...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2012.00324.x
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVES:Primary care providers (e.g., family physicians, pediatricians, registered nurses, physician assistants, and nurse practitioners) could play a pivotal role in the provision of preventive services, especially for very young children (younger than 3 years old) and population groups with limited access to denta...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,meta分析,评审
doi：10.1111/j.1752-7325.2004.tb02747.x
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:The objective was to verify the relation between periodontal status and prematurity/low birth weight. METHODS:a case control study of 211 women, 44 being mothers of children born with weight below 2.500g or gestational age of less than 37 weeks (case group) and 177 mothers of children born with weight of ove...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2006.tb04088.x
更新日期：2006-10-01 00:00:00
abstract：:This study was conducted to determine whether Venturi Fluoride Saturator (VFS) systems could be used to fluoridate small community and school water supply systems with an acceptable level of maintenance. VFS systems were installed and operated at four school and six community well sites according to state and federal ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1991.tb02209.x
更新日期：1991-07-01 00:00:00
abstract：:Cost-effectiveness analysis (CEA) is becoming increasingly popular as society moves toward rationalizing health costs. This review describes the applications and limitations of the technique. Conceptually simple though frequently complicated in application, CEA compares the cost of a procedure with its effectiveness, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1989.tb02085.x
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:We describe service patterns and compare changes in program expenditures with the Consumer Price Index over eight years in a dental program with a controlled-fee schedule offered to Canadian First Nations and Inuit people. METHODS:We obtained the computerized records of dental services for the period from 19...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2005.tb02805.x
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVE:We estimated the effect of South Carolina's (SC) Medicaid fluoride varnish (FV) reimbursement policy on children's receipt of fluoride varnish in medical (MFV) and dental (DFV) settings. METHODS:We obtained data from SC Medicaid enrollment and claims files for children ≤ 47 months of age across State Fiscal ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12163
更新日期：2016-09-01 00:00:00
