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J Rural Health. 2013 Winter;29(1):30-8. doi: 10.1111/j.1748-0361.2012.00440.x. Epub 2012 Oct 22.

Edentulism in high poverty rural counties.

Author information

1
Healthcare Administration, School of Business, University of Houston, Clear Lake, Houston, TX, USA. mitchellj@uhcl.edu

Abstract

PURPOSE:

To examine the differences in oral health status among residents of high-poverty counties, as compared to residents of other rural or urban counties, specifically on the prevalence of edentulism.

METHODS:

We used the 2005 Behavioral Risk Factor Surveillance System (BRFSS) and the 2006 Area Resource File (ARF). All analyses were conducted with SAS and SAS-callable SUDAAN, in order to account for weighting and the complex sample design.

FINDINGS:

Characteristics significantly related to edentulism include: geographic location, gender, race, age, health status, employment, insurance, not having a usual source of care, education, marital status, presence of chronic disease, having an English interview, not deferring care due to cost, income, and dentist saturation within the county.

CONCLUSIONS:

Significant associations between high-poverty rural and other rural counties and edentulism were found, and other socioeconomic and health status indicators remain strong predictors of edentulism.

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