title: A national survey of the oral health status of homeless veterans.
abstract: OBJECTIVE
  This study reports results from a survey designed to (1) assess the oral health needs of a national sample of homeless veterans and (2) compare the dental needs of homeless veterans participating in VA-sponsored rehabilitation programs with domiciled veterans in VA substance addiction programs.
  
  
  METHODS
  Homeless veterans enrolled in a nationwide rehabilitation program (n = 1,152) completed a survey including questions concerning patients' perceptions of their oral health, dental service needs and use, and alcohol and tobacco use. A sample of these veterans (n = 281) subsequently received dental exams. A comparison group of domiciled veterans enrolled in VA substance abuse programs (n = 339) completed a similar survey. A sample of these veterans (n = 150) also received dental exams.
  
  
  RESULTS
  Sociodemographic variables, patient-reported oral health information and risk behaviors, and findings from dental exams described two remarkably similar populations.
  
  
  CONCLUSIONS
  As expected, the homeless veterans exhibited poor oral health, but it was not different from domiciled veterans enrolled in substance addiction programs. Lifestyle choices, such as heavy drinking and smoking, may contribute more to poor oral health than living conditions.
authors.affiliation: National Homeless Veterans Dental Program, Veterans Affairs North Texas Health Care System, Dallas 75216, USA. gretchen.gibson@med.va.gov
authors.forename: Gretchen
authors.initials: G
authors.lastname: Gibson
authors.forename: Robert
authors.initials: R
authors.lastname: Rosenheck
authors.forename: John B
authors.initials: JB
authors.lastname: Tullner
authors.forename: Rebecca M
authors.initials: RM
authors.lastname: Grimes
authors.forename: Catherine L
authors.initials: CL
authors.lastname: Seibyl
authors.forename: Angel
authors.initials: A
authors.lastname: Rivera-Torres
authors.forename: Harold S
authors.initials: HS
authors.lastname: Goodman
authors.forename: Martha E
authors.initials: ME
authors.lastname: Nunn
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology*; D003753:Dental Health Surveys; D006703:Ill-Housed Persons / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D010510:Periodontal Diseases / Q000453:epidemiology*; D012907:Smoking / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014728:Veterans / Q000706:statistics & numerical data*