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

Mary E. Northridge, Chenchen Yu, Bibhas Chakraborty, Ariel Port Greenblatt, Janet Mark, Cynthia Golembeski, Bin Cheng, Carol Kunzel, Sara S. Metcalf, Stephen E. Marshall, Ira B. Lamster

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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.

Original languageEnglish (US)
Pages (from-to)S459-S465
JournalAmerican journal of public health
Volume105
DOIs
StatePublished - Jul 1 2015

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Northridge, M. E., Yu, C., Chakraborty, B., Greenblatt, A. P., Mark, J., Golembeski, C., Cheng, B., Kunzel, C., Metcalf, S. S., Marshall, S. E., & Lamster, I. B. (2015). A community-based oral public health approach to promote health equity. American journal of public health, 105, S459-S465. https://doi.org/10.2105/AJPH.2015.302562