title: Oral health: perceptions of need in a rural Iowa county.
abstract: Several studies have shown that oral health problems impact the quality of life of older adults. However, few data are available to describe the oral health status, barriers to care, and patterns of care for adults and older populations living in rural areas. The purpose of this study was to evaluate the perceived need for treatment of oral health problems by adult residents in a rural county in Iowa. The oral health component was part of a larger longitudinal health study of the residents. The sample was stratified into three groups by residence, that is, farm households, rural non-farm households and town households. The sample was subsequently post-stratified by gender and age group into young elderly, 65-74 years old, and old elderly, 75 years and older. Dentition status varied according to age and was related to the perception of treatment needs. Edentulous persons had fewer perceived treatment needs and utilized a dentist less frequently. Place of residence, education, and marital status were not associated with the subjects' perceived problems with eating and chewing. However, persons with difficulty chewing were more likely to have some missing upper teeth, have a perceived need to have denture work, and have smoked for a number of years. The results suggest that this rural population is retaining more teeth and consequently may need and may seek dental services more often than previous more edentulous cohorts.
authors.affiliation: Department of Prosthodontics and Dows Institute for Dental Research, University of Iowa, Iowa City, IA 52242 USA. ronald-ettinger@uiowa.edu
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Ettinger
authors.forename: John J
authors.initials: JJ
authors.lastname: Warren
authors.forename: Steven M
authors.initials: SM
authors.lastname: Levy
authors.forename: Jed S
authors.initials: JS
authors.lastname: Hand
authors.forename: James A
authors.initials: JA
authors.lastname: Merchant
authors.forename: Ann M
authors.initials: AM
authors.lastname: Stromquist
mesh_terms: D000368:Aged; D003729:Dental Care / Q000706:statistics & numerical data; D016321:Dental Care for Aged; D003753:Dental Health Surveys; D004435:Eating; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D007484:Iowa / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008409:Mastication; D009066:Mouth, Edentulous / Q000453:epidemiology / Q000523:psychology; D009909:Oral Health; D012424:Rural Population; D012647:Self-Assessment; D012959:Socioeconomic Factors; D014076:Tooth Diseases / Q000453:epidemiology / Q000523:psychology