title: Sociodemographic and health-related risk factors associated with tooth loss among adults in Rhode Island.
abstract: BACKGROUND
  Oral health is an integral component of overall health and well-being. Very little Rhode Island state-level information exists on the determinants of tooth loss. The objective of this study was to systematically identify sociodemographic characteristics, health behaviors, health conditions and disabilities, and dental insurance coverage associated with tooth loss among noninstitutionalized adults in Rhode Island.
  
  
  METHODS
  We analyzed Rhode Island's 2008 and 2010 Behavioral Risk Factor Surveillance System survey data in 2011. The survey had 4 response categories for tooth loss: none, 1 to 5, 6 or more but not all, and all. We used multinomial logistic regression models to assess the relationship between 4 risk factor domains and tooth loss.
  
  
  RESULTS
  An estimated 57.6% of Rhode Island adults had all their teeth, 28.9% had 1 to 5 missing teeth, 8.9% had 6 to 31 missing teeth, and 4.6% were edentulous. Respondents who had low income, low education, unhealthy behaviors (ie, were former or current smokers and did not engage in physical activity), chronic conditions (ie, diabetes and obesity) or disabilities, and no dental insurance coverage were more likely to have fewer teeth compared with their referent groups. However, the association of these variables with tooth loss was not uniform by age group.
  
  
  CONCLUSIONS
  Adults who report risky health behaviors or impaired health may be considered target subpopulations for prevention of tooth loss and promotion of good oral health.
authors.affiliation: Center for Health Data and Analysis, Rhode Island Department of Health, 3 Capitol Hill, Providence, RI 02908, USA. charles@darwin.co.uk
authors.forename: Yongwen
authors.initials: Y
authors.lastname: Jiang
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Okoro
authors.forename: Junhie
authors.initials: J
authors.lastname: Oh
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Fuller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D005260:Female; D015438:Health Behavior; D006305:Health Status Indicators; D006801:Humans; D007347:Insurance, Dental / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009909:Oral Health / Q000592:standards* / Q000706:statistics & numerical data; D011203:Poverty / Q000706:statistics & numerical data; D012237:Rhode Island / Q000453:epidemiology; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors; D016388:Tooth Loss / Q000453:epidemiology*; D055815:Young Adult
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