Oral health and access to dental care among older homeless adults: results from the HOPE HOME study

Autor: David Sanchez-Migallon Guzman, Lina Tieu, Claudia Ponath, Lauren M. Kaplan, Margot Kushel, Daniel J. Freitas
Rok vydání: 2018
Předmět:
Adult
Population
Oral Health
Oral health
Logistic regression
Article
Oral and gastrointestinal
Odds
Tooth Loss
03 medical and health sciences
0302 clinical medicine
Clinical Research
2.3 Psychological
Tooth loss
medicine
Humans
Dental/Oral and Craniofacial Disease
Aetiology
Dental Care
education
General Dentistry
Aged
education.field_of_study
030505 public health
business.industry
Prevention
aging
homeless persons
Pain Research
Substance Abuse
Public Health
Environmental and Occupational Health
Homelessness
030206 dentistry
Dental care
stomatognathic diseases
Cross-Sectional Studies
Good Health and Well Being
Dentistry
Ill-Housed Persons
Structured interview
Public Health and Health Services
Home study
Chronic Pain
social and economic factors
medicine.symptom
0305 other medical science
business
Demography
Zdroj: Journal of public health dentistry, vol 79, iss 1
J Public Health Dent
ISSN: 1752-7325
0022-4006
DOI: 10.1111/jphd.12288
Popis: Author(s): Freitas, Daniel J; Kaplan, Lauren M; Tieu, Lina; Ponath, Claudia; Guzman, David; Kushel, Margot | Abstract: ObjectivesTo describe the prevalence of and factors associated with oral health measures in a sample of older homeless adults in Oakland, CA.MethodsWe conducted a cross-sectional analysis of data from a population-based study of 350 homeless adults aged ≥50 in which trained researchers conducted structured interviews using validated questions regarding sociodemographics, health-related behaviors, healthcare utilization, and health status. We assessed self-reported tooth loss, oral pain, and unmet need for dental care. We used multivariable logistic regression to examine factors associated with missing half or more teeth.ResultsOver half 201/350 (57.4 percent) of participants were missing at least half of their teeth. Half 191/350 (54.6 percent) reported oral pain in the past 6 months; 101/350 (28.9 percent) reported that oral pain prevented them from eating and 73/350 (20.9 percent) reported that pain prevented sleeping. Almost half, 141/350 (40.3 percent), had not seen a dentist in over 5 years, and over half 190/350 (54.3 percent) reported being unable to obtain needed dental care. In multivariate models, increased age (AOR = 1.09, 95 percent CI 1.04-1.14), moderate-to-high risk alcohol use (AOR = 2.17, CI = 1.23-3.84), moderate-to-high risk cocaine use (AOR = 1.72, CI = 1.03-2.88), and ever smoking (AOR = 2.87, CI = 1.59-5.18) were associated with an increased odds of having lost half or more teeth.ConclusionsTooth loss and oral pain are highly prevalent in older homeless adults. Increasing age, alcohol, drug, and tobacco use are associated with tooth loss.
Databáze: OpenAIRE
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