A community-based oral public health approach to promote health equity

M.E. Northridge, C. Yu, B. Chakraborty, A.P. Greenblatt, J. Mark, Cynthia Golembeski (), B. Cheng, C. Kunzel, S.S. Metcalf, S.E. Marshall and I.B. Lamster

American Journal of Public Health, 2015, vol. 105, S459-S465

Abstract: Objectives. We explored the interrelationships among diabetes, hypertension, and missing teeth among underserved racial/ethnic minority elders. Methods. Self-reported sociodemographic characteristics and information about health and health care were provided by community-dwelling ElderSmile participants, aged 50 years and older, who took part in community-based oral health education and completed a screening questionnaire at senior centers in Manhattan, New York, from 2010 to 2012. Results. Multivariable models (both binary and ordinal logistic regression) were consistent, in that both older age and Medicaid coverage were important covariates when self-reported diabetes and self-reported hypertension were included, along with an interaction term between self-reported diabetes and self-reported hypertension. Conclusions. An oral public health approach conceptualized as the intersection of 3 domains-dentistry, medicine, and public health-might prove useful in place-based assessment and delivery of services to underserved older adults. Further, an ordinal logit model that considers levels of missing teeth might allow for more informative and interpretable results than a binary logit model.

Keywords: aged; clinical trial; community care; cross-sectional study; diabetes mellitus; elderly care; female; health promotion; human; hypertension; male; middle aged; multicenter study; organization and management; questionnaire; self report; socioeconomics; Tooth Loss; United States, Aged; Community Health Services; Cross-Sectional Studies; Diabetes Mellitus; Female; Health Promotion; Health Services for the Aged; Humans; Hypertension; Male; Middle Aged; New York City; Self Report; Socioeconomic Factors; Surveys and Questionnaires; Tooth Loss (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302562_0

DOI: 10.2105/AJPH.2015.302562

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