Oral health: perceptions of need in a rural Iowa county

Ronald L Ettinger; John J Warren; Steven M Levy; Jed S Hand; James A Merchant; Ann M Stromquist

doi:10.1111/j.1754-4505.2004.tb01674.x

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Oral health: perceptions of need in a rural Iowa county

Journal article

Peer reviewed

Oral health: perceptions of need in a rural Iowa county

Ronald L Ettinger, John J Warren, Steven M Levy, Jed S Hand, James A Merchant and Ann M Stromquist

Special care in dentistry, Vol.24(1), pp.13-21

01/2004

DOI: 10.1111/j.1754-4505.2004.tb01674.x

PMID: 15157055

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Abstract

Several studies have shown that oral health problems impact the quality of life of older adults. However, few data are available to describe the oral health status, barriers to care, and patterns of care for adults and older populations living in rural areas. The purpose of this study was to evaluate the perceived need for treatment of oral health problems by adult residents in a rural county in Iowa. The oral health component was part of a larger longitudinal health study of the residents. The sample was stratified into three groups by residence, that is, farm households, rural non-farm households and town households. The sample was subsequently post-stratified by gender and age group into young elderly, 65-74 years old, and old elderly, 75 years and older. Dentition status varied according to age and was related to the perception of treatment needs. Edentulous persons had fewer perceived treatment needs and utilized a dentist less frequently. Place of residence, education, and marital status were not associated with the subjects' perceived problems with eating and chewing. However, persons with difficulty chewing were more likely to have some missing upper teeth, have a perceived need to have denture work, and have smoked for a number of years. The results suggest that this rural population is retaining more teeth and consequently may need and may seek dental services more often than previous more edentulous cohorts.

Eating

Health Services Needs and Demand - statistics & numerical data

Dental Health Surveys

Dental Care for Aged

Humans

Mouth, Edentulous - epidemiology

Self-Assessment

Logistic Models

Male

Mastication

Tooth Diseases - epidemiology

Socioeconomic Factors

Rural Population

Mouth, Edentulous - psychology

Female

Iowa - epidemiology

Aged

Tooth Diseases - psychology

Oral Health

Dental Care - utilization

Details

Title: Subtitle: Oral health: perceptions of need in a rural Iowa county
Creators: Ronald L Ettinger - Department of Prosthodontics and Dows Institute for Dental Research, University of Iowa, Iowa City, IA 52242 USA. ronald-ettinger@uiowa.edu
John J Warren
Steven M Levy
Jed S Hand
James A Merchant
Ann M Stromquist
Resource Type: Journal article
Publication Details: Special care in dentistry, Vol.24(1), pp.13-21
Publisher: United States
DOI: 10.1111/j.1754-4505.2004.tb01674.x
PMID: 15157055
ISSN: 0275-1879
eISSN: 1754-4505
Grant note: U07 CCU 706145-05-01 / ODCDC CDC HHS
Language: English
Date published: 01/2004
Academic Unit: Preventive and Community Dentistry; Occupational and Environmental Health; Epidemiology; Prosthodontics
Record Identifier: 9983917667902771

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