Preventable tooth loss in Hawai'i

The role of socioeconomic status, diabetes, and dental visits

Mikako Deguchi, Marjorie K.Leimomi Mala Mau, James Davis, Richard Niederman

Research output: Contribution to journalArticle

Abstract

Introduction Tooth preservation in adults and children is one of the Healthy People 2020 goals for oral health. Although the overall prevalence of tooth loss has been declining in the United States, substantial racial/ethnic differences in preventable tooth loss persist as a public health problem. We examined the strength of the association of health risk factors and tooth loss in Hawai'i. Methods We used data from the Hawai'i Behavioral Risk Factor Surveillance System survey collected from 2011 through 2014. Participant responses were included if they self-identified as Native Hawaiian, white, Japanese, or Filipino. Differences in excess tooth loss (6 or more teeth) and known risk factors (demographics, diabetes, and dental visits) were analyzed by using univariate analyses and adjusted stepwise, logistic regression models. Results We identified oral health inequity among the 4 ethnic groups studied; among the groups, Native Hawaiians had the largest proportion of excess tooth loss. The univariate analyses found differences in the strength of these associations among the 4 racial/ethnic groups. The stepwise analyses found that the associations of excess tooth loss and race/ethnicity were not significant after adjusting for demographics, diabetes status, and dental visits. Conclusion Findings suggest a need for programs and policies that improve access to oral health care in Hawai'i for those with low levels of income and education and those with diabetes.

Original languageEnglish (US)
Article numberE115
JournalPreventing chronic disease
Volume14
Issue number11
DOIs
StatePublished - Nov 1 2017

Fingerprint

Tooth Loss
Social Class
Tooth
Oral Health
Oceanic Ancestry Group
Ethnic Groups
Logistic Models
Demography
Behavioral Risk Factor Surveillance System
Health Services Accessibility
Public Health
Education
Health

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Preventable tooth loss in Hawai'i : The role of socioeconomic status, diabetes, and dental visits. / Deguchi, Mikako; Mau, Marjorie K.Leimomi Mala; Davis, James; Niederman, Richard.

In: Preventing chronic disease, Vol. 14, No. 11, E115, 01.11.2017.

Research output: Contribution to journalArticle

Deguchi, Mikako ; Mau, Marjorie K.Leimomi Mala ; Davis, James ; Niederman, Richard. / Preventable tooth loss in Hawai'i : The role of socioeconomic status, diabetes, and dental visits. In: Preventing chronic disease. 2017 ; Vol. 14, No. 11.
@article{5b6462f573b14a8ab16d4a8e0f865d4e,
title = "Preventable tooth loss in Hawai'i: The role of socioeconomic status, diabetes, and dental visits",
abstract = "Introduction Tooth preservation in adults and children is one of the Healthy People 2020 goals for oral health. Although the overall prevalence of tooth loss has been declining in the United States, substantial racial/ethnic differences in preventable tooth loss persist as a public health problem. We examined the strength of the association of health risk factors and tooth loss in Hawai'i. Methods We used data from the Hawai'i Behavioral Risk Factor Surveillance System survey collected from 2011 through 2014. Participant responses were included if they self-identified as Native Hawaiian, white, Japanese, or Filipino. Differences in excess tooth loss (6 or more teeth) and known risk factors (demographics, diabetes, and dental visits) were analyzed by using univariate analyses and adjusted stepwise, logistic regression models. Results We identified oral health inequity among the 4 ethnic groups studied; among the groups, Native Hawaiians had the largest proportion of excess tooth loss. The univariate analyses found differences in the strength of these associations among the 4 racial/ethnic groups. The stepwise analyses found that the associations of excess tooth loss and race/ethnicity were not significant after adjusting for demographics, diabetes status, and dental visits. Conclusion Findings suggest a need for programs and policies that improve access to oral health care in Hawai'i for those with low levels of income and education and those with diabetes.",
author = "Mikako Deguchi and Mau, {Marjorie K.Leimomi Mala} and James Davis and Richard Niederman",
year = "2017",
month = "11",
day = "1",
doi = "10.5888/pcd14.170214",
language = "English (US)",
volume = "14",
journal = "Preventing chronic disease",
issn = "1545-1151",
publisher = "U.S. Department of Health and Human Services",
number = "11",

}

TY - JOUR

T1 - Preventable tooth loss in Hawai'i

T2 - The role of socioeconomic status, diabetes, and dental visits

AU - Deguchi, Mikako

AU - Mau, Marjorie K.Leimomi Mala

AU - Davis, James

AU - Niederman, Richard

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Introduction Tooth preservation in adults and children is one of the Healthy People 2020 goals for oral health. Although the overall prevalence of tooth loss has been declining in the United States, substantial racial/ethnic differences in preventable tooth loss persist as a public health problem. We examined the strength of the association of health risk factors and tooth loss in Hawai'i. Methods We used data from the Hawai'i Behavioral Risk Factor Surveillance System survey collected from 2011 through 2014. Participant responses were included if they self-identified as Native Hawaiian, white, Japanese, or Filipino. Differences in excess tooth loss (6 or more teeth) and known risk factors (demographics, diabetes, and dental visits) were analyzed by using univariate analyses and adjusted stepwise, logistic regression models. Results We identified oral health inequity among the 4 ethnic groups studied; among the groups, Native Hawaiians had the largest proportion of excess tooth loss. The univariate analyses found differences in the strength of these associations among the 4 racial/ethnic groups. The stepwise analyses found that the associations of excess tooth loss and race/ethnicity were not significant after adjusting for demographics, diabetes status, and dental visits. Conclusion Findings suggest a need for programs and policies that improve access to oral health care in Hawai'i for those with low levels of income and education and those with diabetes.

AB - Introduction Tooth preservation in adults and children is one of the Healthy People 2020 goals for oral health. Although the overall prevalence of tooth loss has been declining in the United States, substantial racial/ethnic differences in preventable tooth loss persist as a public health problem. We examined the strength of the association of health risk factors and tooth loss in Hawai'i. Methods We used data from the Hawai'i Behavioral Risk Factor Surveillance System survey collected from 2011 through 2014. Participant responses were included if they self-identified as Native Hawaiian, white, Japanese, or Filipino. Differences in excess tooth loss (6 or more teeth) and known risk factors (demographics, diabetes, and dental visits) were analyzed by using univariate analyses and adjusted stepwise, logistic regression models. Results We identified oral health inequity among the 4 ethnic groups studied; among the groups, Native Hawaiians had the largest proportion of excess tooth loss. The univariate analyses found differences in the strength of these associations among the 4 racial/ethnic groups. The stepwise analyses found that the associations of excess tooth loss and race/ethnicity were not significant after adjusting for demographics, diabetes status, and dental visits. Conclusion Findings suggest a need for programs and policies that improve access to oral health care in Hawai'i for those with low levels of income and education and those with diabetes.

UR - http://www.scopus.com/inward/record.url?scp=85034760609&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85034760609&partnerID=8YFLogxK

U2 - 10.5888/pcd14.170214

DO - 10.5888/pcd14.170214

M3 - Article

VL - 14

JO - Preventing chronic disease

JF - Preventing chronic disease

SN - 1545-1151

IS - 11

M1 - E115

ER -