3218.0: Monday, October 22, 2001 - 5:00 PM

Abstract #25848

Integrating oral health with primary medical care: The relationship between poor oral health and other chronic health conditions among Central Harlem adults, 1992-94

Chau Trinh, MS1, Joyce Moon Howard, DrPH2, Georgina P. Zabos, DDS, MPH3, Mary E. Northridge, PhD4, Marguerite Ro, DrPH5, Kavita P. Ahluwalia, DDS, MPH3, and Ira B. Lamster, DDS, MMSc5. (1) Joseph L. Mailman School of Public Health, Columbia University, Division of Sociomedical Sciences, 600 West 168th Street, New York, NY 10032, (2) Joseph L. Mailman School of Public Health Division of Sociomedical Sciences, Columbia University, 600 West 168th Street, New York, NY 10032, (3) School of Dental and Oral Surgery Division of Community Health, Columbia University, 630 West 168th Street, New York, NY 10032, , gpz1@columbia.edu, (4) Division of Sociomedical Sciences of the Joseph L. Mailman School of Public Health, Columbia University, 600 West 168th Street, 7th Floor, New York, NY 10032, (5) Columbia University, SDOS-Div. of Community Health, 630 West 168th St, New York, NY 10032

Introduction: Several studies have demonstrated that adolescent and adult African Americans suffer from poor oral health more frequently than their White counterparts. A randomized, population-based study of Central Harlem households was conducted between the years 1992-94 to assess the risk factors for disease in the community. In this sample of 695 participants ages 18-65, 87% were African-American and 13% Latino. Among a list of 50 health problems, oral health problems were the most commonly self-reported health complaint. One-third of respondents self-reported experiencing problems with their teeth or gums in the past year. Of the participants who reported oral health problems, only two-thirds sought care for these complaints. Objective: We sought to examine whether poor oral health status was related to other health conditions. Method: The prevalence of the ten most commonly cited self-reported health problems and three ambulatory care sensitive conditions were compared to the total sample and for adults reporting dental problems. Results: In every instance except for self-reported hypertension, those with dental problems reported more health complaints and conditions than did the sample overall. Conclusion: Those who are most likely to have oral health problems are also more likely to suffer from other chronic health conditions. Oral health should be incorporated in programs that examine the overall health of the population and specific chronic conditions such as diabetes, cardiovascular disease. There should be a better collaboration between dentists and providers. Screening for oral health problems and other chronic health conditions can be done in tandem.

Learning Objectives: At the conclusion of this session, the participant will be able to: 1) Develop an understanding of the relationship between oral health problems and other chronic health conditions 2) Discuss strategies on identifying individuals at high risk for oral health problems through other medical providers

Keywords: Oral Health, Screening

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA