title: Differences between racial groups in the impact of oral disorders among older adults in North Carolina.
abstract: OBJECTIVE
  This study investigated variations in impact of oral disorders between older black adults and older white adults living in North Carolina.
  
  
  METHODS
  Using the Oral Health Impact Profile (OHIP) questionnaire, 440 participants aged 70 and older provided data on their perceptions of the impact of oral disease on aspects of their lives during the previous 12 months.
  
  
  RESULTS
  For 22 of the 49 items queried in the OHIP questionnaire, older blacks reported more frequent impact than older whites (P < .05). For none of the OHIP items did whites report more frequent impact. The impacts reported were diverse and included items reflecting pain, physical disability, psychological disability, and social disability. When the number of items occurring fairly often or very often were summed for dentate participants, blacks reported more items than did whites (3.7 vs 1.1, P < .0001). This difference decreased to 2.7 vs 2.0 (P < .346) after controlling statistically for greater mean periodontal pocket depth, more unreplaced missing teeth, and more episodic dental visits among blacks.
  
  
  CONCLUSIONS
  Older dentate blacks reported more impact from oral problems than older dentate whites. The differences in reported impact likely are linked to differences in oral status and dental visit history between these two racial groups in North Carolina.
authors.affiliation: Office of Academic Affairs, School of Dentistry, University of North Carolina, Chapel Hill 27599, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Hunt
authors.forename: G D
authors.initials: GD
authors.lastname: Slade
authors.forename: R P
authors.initials: RP
authors.lastname: Strauss
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001294:Attitude to Health; D003729:Dental Care / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D007575:Jaw, Edentulous / Q000523:psychology; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health; D009059:Mouth Diseases / Q000523:psychology*; D009657:North Carolina; D009909:Oral Health; D010146:Pain / Q000523:psychology; D010514:Periodontal Pocket / Q000523:psychology; D012737:Sex Factors; D012917:Social Adjustment; D016388:Tooth Loss / Q000523:psychology; D044465:White People