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Front Public Health. 2013 Dec 17;1:65. doi: 10.3389/fpubh.2013.00065. eCollection 2013.

Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999-2008.

Frontiers in public health

Bei Wu, Jersey Liang, Huabin Luo, Robert Furter

Affiliations

  1. School of Nursing, Global Health Institute, Duke University , Durham, NC , USA.
  2. School of Public Health, University of Michigan , Ann Arbor, MI , USA.
  3. East Carolina University , Greenville, NC , USA.
  4. University of North Carolina at Greensboro , Greensboro, NC , USA.

PMID: 24386632 PMCID: PMC3866511 DOI: 10.3389/fpubh.2013.00065

Abstract

OBJECTIVE: This study examined recent trends of preventive dental care utilization among Americans aged 50 and above, focusing on variations across racial and ethnic groups including Whites, Blacks, Hispanics, American Indians/Alaska Natives, and Asians.

METHODS: Self-reported information on oral health behaviors was collected from 644,635 participants in the Behavioral Risk Factor Surveillance System between 1999 and 2008.

RESULTS: Despite a significant upward trend of frequency of dental cleaning from 1999 to 2008 (OR = 1.02), in 2008 still only 56-77% of any ethnic or racial group reported having had a dental cleaning in the previous 12 months. Relative to Whites, Blacks (OR = 0.65) were less likely to have a dental cleaning in the previous 12 months. These variations persisted even when SES, health conditions, health behaviors, and number of permanent teeth were controlled. In contrast, Hispanics, Asians, and American Indians/Alaskan Natives did not differ from Whites in dental cleanings.

DISCUSSION: This is the first study to provide national estimates of the frequency of dental cleaning and associated trends over time for five major ethnic groups aged 50 and above in the U.S. simultaneously. Our findings suggest that public health programs with an emphasis on educating middle-aged and older minority populations on the benefits of oral health could have a large impact, as there is much room for improvement. Given the importance of oral health and a population that is rapidly becoming older and more diverse, the need for improved dental care utilization is significant.

Keywords: dental care utilization; middle-aged; older adults; racial disparity; trends

References

  1. J Dent Educ. 1998 Oct;62(10):859-70 - PubMed
  2. J Dent Educ. 2005 Sep;69(9):961-74 - PubMed
  3. Am J Public Health. 2007 Dec;97(12):2216-21 - PubMed
  4. Vital Health Stat 11. 2007 Apr;(248):1-92 - PubMed
  5. J Am Dent Assoc. 2001 May;132(5):655-64 - PubMed
  6. Spec Care Dentist. 2003;23(1):7-17 - PubMed
  7. Community Dent Oral Epidemiol. 2012 Apr;40(2):145-53 - PubMed
  8. J Public Health Dent. 2005 Spring;65(2):97-103 - PubMed
  9. J Am Dent Assoc. 1999 Apr;130(4):573-80 - PubMed
  10. Soc Sci Med. 1999 May;48(10):1363-72 - PubMed
  11. J Epidemiol Community Health. 2006 Jan;60(1):7-12 - PubMed
  12. J Gerontol A Biol Sci Med Sci. 2008 May;63(5):495-500 - PubMed
  13. J Gen Intern Med. 2008 Dec;23(12):2079-86 - PubMed
  14. J Health Soc Behav. 1995 Mar;36(1):1-10 - PubMed
  15. J Am Dent Assoc. 1998 Feb;129(2):195-200 - PubMed
  16. Am J Public Health. 1999 Jun;89(6):834-9 - PubMed
  17. J Cardiovasc Risk. 1999 Feb;6(1):7-11 - PubMed
  18. Am J Public Health. 2004 Jan;94(1):53-9 - PubMed
  19. Br Dent J. 2002 Jun 29;192(12):703-6 - PubMed
  20. J Dent Hyg. 2003 Spring;77(2):125-45; quiz 145-8 - PubMed
  21. Am J Health Behav. 2005 Sep-Oct;29(5):462-71 - PubMed
  22. Public Health Rep. 2003 Jan-Feb;118(1):18-26 - PubMed
  23. J Health Soc Behav. 1985 Sep;26(3):156-82 - PubMed
  24. J Dent Res. 2007 Feb;86(2):131-6 - PubMed
  25. Adv Dent Res. 1997 May;11(2):203-9 - PubMed
  26. J Fam Pract. 2000 Feb;49(2):147-52 - PubMed

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