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Significant Unmet Oral Health Needs of Homebound Elderly Adults
Author(s) -
Ornstein Katherine A.,
DeCherrie Linda,
Gluzman Rima,
Scott Elizabeth S.,
Kansal Jyoti,
Shah Tushin,
Katz Ralph,
Soriano Theresa A.
Publication year - 2015
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.13181
Subject(s) - medicine , gerontology , oral health , geriatrics , medline , family medicine , psychiatry , political science , law
Objectives To assess the oral health status, use of dental care, and dental needs of homebound elderly adults and to determine whether medical diagnoses or demographic factors influenced perceived oral health. Design Cross‐sectional analysis. Setting Participants’ homes in New York City. Participants Homebound elderly adults (N = 125). Measurements A trained dental research team conducted a comprehensive clinical examination in participants’ homes and completed a dental use and needs survey and the Geriatric Oral Health Assessment Index. Results Participants who reported a high level of unmet oral health needs were more likely to be nonwhite, although this effect was not significant in multivariate analysis. Individual medical diagnoses and the presence of multiple comorbidities were not associated with unmet oral health needs. Conclusion The oral health status of homebound elderly adults was poor regardless of their medical diagnoses. High unmet oral health needs combined with strong desire to receive dental care suggests there is a need to improve access to dental care for this growing population. In addition to improving awareness of geriatricians and primary care providers who care for homebound individuals, the medical community must partner with the dental community to develop home‐based programs for older adults.