R01DE11020
GILBERT, GREGG H
INITIAL REVIEW GROUP IRGOBM
PERFORMING ORGANIZATION: UNIVERSITY OF FLORIDA
TITLE:  LONGITUDINAL ORAL HEALTH OUTCOMES IN HIGH-RISK ADULTS
 
ABSTRACT:
 
This project is a longitudinal study of the behavioral,
attitudinal, and socioeconomic correlates of oral health outcomes in
community-dwelling dentate older adults. The aim of this project is to
develop a risk assessment model of longitudinal oral health outcomes in
high-risk dentate populations. Of special interest will be the influence
that demand for specific dental services has on oral health outcomes. As
well as quantifying a range of risk factors from an interdisciplinary
perspective, a major effort of this project will be the assessment of a
broad range of oral health outcomes. These outcomes will not only include
clinical measures of oral diseases and conditions, but will also quantifY
non-disease-based outcomes; i.e., oral signs, oral symptoms, oral
functional impairments, and psychosocial impacts of oral disease. High-
risk groups of special interest will be African-Americans, residents of
rural areas, residents of low income households, and persons with
infrequent dental care use. To ensure that adequate comparisons can be
made of high-risk and low-risk individuals for risk assessment model
development, a multi stage disproportionate sampling approach has been
used. Telephone screenings have been used to identifY 3,998 persons who
are 45 years old or older, reside in one of 4 counties of interest, and
are dentate. These eligible subjects so identified were then stratified
based on age, race, residence, and household income, and a sample of 900
persons is being selected randomly within strata for further study. To
gather baseline data on the hypothesized risk factors and the oral health
outcomes, these 900 subjects are participating for an interviewer-
administered questionnaire and clinical examination. This proposed
project will assess this panel of 900 persons periodically over the
following 48-months after their baseline measurements. This research will
improve our understanding of the natural history of oral health outcomes
(oral signs, symptoms, functional impairments, and psychosocial impacts,
as well as oral diseases and conditions), the risk factors for these
outcomes, why high-risk persons seek or do not seek dental care for these
specific outcomes, and what benefits (or decrements) are derived from
this care.
 
CRISP INDEXING TERMS FROM CRISP THESAURUS:
00702889P   human old age (65+)
08303009P   dental health
23834396P   longitudinal human study
23838842P   dental survey
27256754P   African American
27285864P   low income
27289989P   rural area
08280533S   dental disorder
08303477S   community dental health
09444477S   disease proneness /risk
13855255S   health care service utilization
19449434S   model design /development
19449630S   mathematical model
24829487S   health behavior
24829501S   attitude