Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014

Purpose. The purpose of this study was to determine the concordance of self-reported responses to oral health questions versus clinically evaluated recommended need for oral healthcare by calibrated dentists to determine usefulness of the questions for epidemiological studies. We additionally examin...

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Main Authors: R. Constance Wiener, Nilanjana Dwibedi, Chan Shen, Patricia A. Findley, Usha Sambamoorthi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Advances in Public Health
Online Access:http://dx.doi.org/10.1155/2018/1893562
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author R. Constance Wiener
Nilanjana Dwibedi
Chan Shen
Patricia A. Findley
Usha Sambamoorthi
author_facet R. Constance Wiener
Nilanjana Dwibedi
Chan Shen
Patricia A. Findley
Usha Sambamoorthi
author_sort R. Constance Wiener
collection DOAJ
description Purpose. The purpose of this study was to determine the concordance of self-reported responses to oral health questions versus clinically evaluated recommended need for oral healthcare by calibrated dentists to determine usefulness of the questions for epidemiological studies. We additionally examined other factors associated with concordant self-reports versus clinical evaluations. Materials and Methods. We used a cross-sectional study design with 4,205 participants, ages 30 years and above, who had complete oral health self-perception data and dental referral data in the NHANES 2013-14. Calibrated dentists completed clinical oral healthcare assessments. The assessments were dichotomized to (1) recommendation for immediate care and (2) routine oral health care. Self-reported oral health needs were measured with 6 items (an overall oral health self-perception question, oral pain within the previous year, impact on job/school, suspected periodontal disease, tooth appearance, and tooth mobility). The key item of interest was the overall oral health self-perception question. Results. Concordance with clinically evaluated recommended need for oral healthcare varied from 52.0% (oral pain) to 65.4% (overall oral health self-perception). Many subgroup differences were observed. Conclusions. The overall self-perception of oral health and the clinical evaluation of oral healthcare need were substantially concordant; other self-reported measures were moderately concordant. This is useful information and points to the need for a minimum set of measures that can provide actionable information and capture the need for clinical dental care.
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spelling doaj-art-d73b01185d9747cf8414275baf0be6142025-02-03T01:29:23ZengWileyAdvances in Public Health2356-68682314-77842018-01-01201810.1155/2018/18935621893562Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014R. Constance Wiener0Nilanjana Dwibedi1Chan Shen2Patricia A. Findley3Usha Sambamoorthi4Department of Dental Practice and Rural Health, School of Dentistry, 104A Health Sciences Addition, P.O. Box 9415, West Virginia University, Morgantown, WV 26506-9448, USADepartment of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Robert C. Byrd Health Sciences Center [North], P.O. Box 9510, Morgantown, WV 26506-9510, USADepartments of Health Services Research and Biostatistics, University of Texas MD Anderson Cancer Center, 1400 Pressler St., Houston, TX 77030, USARutgers University, School of Social Work, 536 George Street, New Brunswick, NJ 08901, USADepartment of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Robert C. Byrd Health Sciences Center [North], P.O. Box 9510, Morgantown, WV 26506-9510, USAPurpose. The purpose of this study was to determine the concordance of self-reported responses to oral health questions versus clinically evaluated recommended need for oral healthcare by calibrated dentists to determine usefulness of the questions for epidemiological studies. We additionally examined other factors associated with concordant self-reports versus clinical evaluations. Materials and Methods. We used a cross-sectional study design with 4,205 participants, ages 30 years and above, who had complete oral health self-perception data and dental referral data in the NHANES 2013-14. Calibrated dentists completed clinical oral healthcare assessments. The assessments were dichotomized to (1) recommendation for immediate care and (2) routine oral health care. Self-reported oral health needs were measured with 6 items (an overall oral health self-perception question, oral pain within the previous year, impact on job/school, suspected periodontal disease, tooth appearance, and tooth mobility). The key item of interest was the overall oral health self-perception question. Results. Concordance with clinically evaluated recommended need for oral healthcare varied from 52.0% (oral pain) to 65.4% (overall oral health self-perception). Many subgroup differences were observed. Conclusions. The overall self-perception of oral health and the clinical evaluation of oral healthcare need were substantially concordant; other self-reported measures were moderately concordant. This is useful information and points to the need for a minimum set of measures that can provide actionable information and capture the need for clinical dental care.http://dx.doi.org/10.1155/2018/1893562
spellingShingle R. Constance Wiener
Nilanjana Dwibedi
Chan Shen
Patricia A. Findley
Usha Sambamoorthi
Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014
Advances in Public Health
title Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014
title_full Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014
title_fullStr Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014
title_full_unstemmed Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014
title_short Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014
title_sort clinical oral health recommended care and oral health self report nhanes 2013 2014
url http://dx.doi.org/10.1155/2018/1893562
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