Untreated caries among US working-aged adults and association with reporting need for oral health care

Details

• Alternative Title:
  J Am Dent Assoc
• Personal Author:
  Williams, Shanele ; Wei, Liang ; Griffin, Susan O. ; Thornton-Evans, Gina
• Description:
  Background.
  
  National data indicate that working-aged adults (20–64 years) are more likely to report financial barriers to receiving needed oral health care relative to other age groups. The aim of this study was to examine the burden of untreated caries (UC) and its association with reporting an unmet oral health care need among working-aged adults.
  
  Methods.
  
  The authors used National Health and Nutrition Examination Survey data from 2011 through 2016 for 10,286 dentate adults to examine the prevalence of mild to moderate (1–3 affected teeth) and severe (≥ 4 affected teeth) UC. The authors used multivariable logistic regression to identify factors that were associated with reporting an unmet oral health care need.
  
  Results.
  
  Low-income adults had mild to moderate UC (26.2%) 2 times more frequently and severe UC (13.2%) 3 times more frequently than higher-income adults. After controlling for covariates, the variables most strongly associated with reporting an unmet oral health care need were UC, low income, fair or poor general health, smoking, and no private health insurance. The model-adjusted prevalence of reporting an unmet oral health care need among low-income adults with mild to moderate and severe UC were 35.7% and 45.1%, respectively.
  
  Conclusions.
  
  The burden of UC among low-income adults is high; prevalence was approximately 40% with approximately 3 affected teeth per person on average. Reporting an unmet oral health care need appears to be capturing primarily differences in UC, health, and financial access to oral health care.
  
  Practical Implications.
  
  Data on self-reported unmet oral health care need can have utility as a surveillance tool for monitoring UC and targeting resources to decrease UC among low-income adults.
  
  
• Subjects:
  Adult Aged Article Delivery Of Health Care Dental Caries Humans Insurance, Health Middle Aged National Health And Nutrition Examination Survey Nutrition Surveys Oral Health Oral Health Care For Working-aged Adults Oral Health Surveillance Tool Self-reported Oral Health Care Need Unmet Dental Care Need Untreated Caries Young Adult

  More +
• Source:
  J Am Dent Assoc. 152(1):55-64
• Pubmed ID:
  33413851
• Pubmed Central ID:
  PMC8006074
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  152
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:dd710ff29f2b4220d6d4f05db6ee3bf1167f0f40e53b52321814e238c5a438e3
• Download URL:
  https://stacks.cdc.gov/view/cdc/104767/cdc_104767_DS1.pdf
• File Type:
  [PDF - 529.50 KB ]