Association of low socioeconomic status and limited dental health-care access on poor oral health outcomes among United States adults

Objective: The objective was to examine the association of having poor oral health-care access and low socioeconomic status on poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis in United States (US) adults. Methods: A cross-sectional analysis of 4745 US adults 30 y...

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Main Authors: Apexa B Patel, Kunj Sanghvi, Sandeep Shelly, Viral Patel
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:SRM Journal of Research in Dental Sciences
Subjects:
Online Access:http://www.srmjrds.in/article.asp?issn=0976-433X;year=2019;volume=10;issue=4;spage=183;epage=186;aulast=Patel
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author Apexa B Patel
Kunj Sanghvi
Sandeep Shelly
Viral Patel
author_facet Apexa B Patel
Kunj Sanghvi
Sandeep Shelly
Viral Patel
author_sort Apexa B Patel
collection DOAJ
description Objective: The objective was to examine the association of having poor oral health-care access and low socioeconomic status on poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis in United States (US) adults. Methods: A cross-sectional analysis of 4745 US adults 30 years and older from the National Health and Nutrition Examination Survey (NHANES) 2015–2016 was done. Poor oral health outcomes were determined by the response of the respondents to the questionnaire. Logistic and regression analyses were used to determine the association of having poor oral health-care access and low socioeconomic status on poor oral health outcomes. To take into account the complex survey sampling methods, all the analyses were weighted. Results: This research study found an increased association between limited dental health-care access and poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis among US adults aged 30 years and older. The low socioeconomic status and severe periodontitis results of the unadjusted model of the regression analysis suggest that people who belong to the low socioeconomic group were less likely to have severe periodontitis than people who belong to the high socioeconomic group. In all the other regression models, low socioeconomic status did not have a significant association with poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis. Conclusion: On analyzing the NHANES 2015–2016 data, an increased association between limited dental health-care access and poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis was found in US adults aged 30 years and older. A decreased association was found for low socioeconomic status and severe periodontitis from the unadjusted model of the regression analysis. More research is needed to solve the issue of having poor oral health outcomes such as gingivitis and periodontitis due to not having enough access to dental health care among low-income US adults.
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spelling doaj.art-183be9f560de4553a8e1c7ec76b27a922022-12-22T04:23:47ZengWolters Kluwer Medknow PublicationsSRM Journal of Research in Dental Sciences2772-52432772-52512019-01-0110418318610.4103/srmjrds.srmjrds_46_19Association of low socioeconomic status and limited dental health-care access on poor oral health outcomes among United States adultsApexa B PatelKunj SanghviSandeep ShellyViral PatelObjective: The objective was to examine the association of having poor oral health-care access and low socioeconomic status on poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis in United States (US) adults. Methods: A cross-sectional analysis of 4745 US adults 30 years and older from the National Health and Nutrition Examination Survey (NHANES) 2015–2016 was done. Poor oral health outcomes were determined by the response of the respondents to the questionnaire. Logistic and regression analyses were used to determine the association of having poor oral health-care access and low socioeconomic status on poor oral health outcomes. To take into account the complex survey sampling methods, all the analyses were weighted. Results: This research study found an increased association between limited dental health-care access and poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis among US adults aged 30 years and older. The low socioeconomic status and severe periodontitis results of the unadjusted model of the regression analysis suggest that people who belong to the low socioeconomic group were less likely to have severe periodontitis than people who belong to the high socioeconomic group. In all the other regression models, low socioeconomic status did not have a significant association with poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis. Conclusion: On analyzing the NHANES 2015–2016 data, an increased association between limited dental health-care access and poor oral health outcomes such as gingivitis/periodontitis and severe periodontitis was found in US adults aged 30 years and older. A decreased association was found for low socioeconomic status and severe periodontitis from the unadjusted model of the regression analysis. More research is needed to solve the issue of having poor oral health outcomes such as gingivitis and periodontitis due to not having enough access to dental health care among low-income US adults.http://www.srmjrds.in/article.asp?issn=0976-433X;year=2019;volume=10;issue=4;spage=183;epage=186;aulast=Patelgingivitishealth-care accessoral healthperiodontitissevere periodontitis
spellingShingle Apexa B Patel
Kunj Sanghvi
Sandeep Shelly
Viral Patel
Association of low socioeconomic status and limited dental health-care access on poor oral health outcomes among United States adults
SRM Journal of Research in Dental Sciences
gingivitis
health-care access
oral health
periodontitis
severe periodontitis
title Association of low socioeconomic status and limited dental health-care access on poor oral health outcomes among United States adults
title_full Association of low socioeconomic status and limited dental health-care access on poor oral health outcomes among United States adults
title_fullStr Association of low socioeconomic status and limited dental health-care access on poor oral health outcomes among United States adults
title_full_unstemmed Association of low socioeconomic status and limited dental health-care access on poor oral health outcomes among United States adults
title_short Association of low socioeconomic status and limited dental health-care access on poor oral health outcomes among United States adults
title_sort association of low socioeconomic status and limited dental health care access on poor oral health outcomes among united states adults
topic gingivitis
health-care access
oral health
periodontitis
severe periodontitis
url http://www.srmjrds.in/article.asp?issn=0976-433X;year=2019;volume=10;issue=4;spage=183;epage=186;aulast=Patel
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AT kunjsanghvi associationoflowsocioeconomicstatusandlimiteddentalhealthcareaccessonpoororalhealthoutcomesamongunitedstatesadults
AT sandeepshelly associationoflowsocioeconomicstatusandlimiteddentalhealthcareaccessonpoororalhealthoutcomesamongunitedstatesadults
AT viralpatel associationoflowsocioeconomicstatusandlimiteddentalhealthcareaccessonpoororalhealthoutcomesamongunitedstatesadults