177006 Alcohol use, predisposing, enabling, and oral health need variables as predictors of dental service use in the 2002 NHANES

Monday, October 27, 2008

James Alan Neff, PhD, MPH , College of Health Sciences, Old Dominion University, Norfolk, VA
Carleen M. Lynch, RDH, MS, MPH , School of Dental Hygiene, College of Health Sciences, Old Dominion University, Norfolk, VA
Joyce M. Downs, RDH, MS, PhD(c) , College of Health Sciences, Old Dominion University, Norfolk, VA
While heavy alcohol use represents an oral cancer risk factor, brief screening and intervention protocols for alcohol--proven efficacious in medical practice settings—have not been adopted in dental settings as part of oral cancer prevention. As the potential to identify drinkers in dental settings will depend upon whether they are more (or less) likely to use dental services, logistic regression analyses of data on 1,921 adults from the 2002 NHANES were conducted specifically to see if alcohol use (measured by weekly frequency, quantity, and total consumption) predicts presence of 1+ dental visits during past year, controlling for Predisposing, Enabling, and Need variables. 55% of respondents reported a dental visit. More frequent drinking (OR = 1.356) and lower weekly consumption (OR = .88) significantly (p < .05) predicted dental visits, though alcohol variables explained less than 1% of dental visit variation—Predisposing (20%), Enabling (19%), and Need (2%) variables explained greater variance. Predisposing predictors included having more than a high school education (increased likelihood, OR = 1.560) and being Black (reduced likelihood, OR = .672). Enabling predictors included Dental Insurance (increased likelihood, OR = 1.50) and having a Regular Dentist (increased likelihood, OR = 9.74). Need variables included active Caries (OR = .67) and Periodontal Problems (OR = .64), both associated with decreased likelihood. Overall, results indicate a small role of alcohol use, with dental visits more likely among more frequent, but lower total volume drinkers. Implications for identifying and intervening with drinkers in dental practice settings will be discussed.

Learning Objectives:
Audience members will: 1. Understand alcohol use and tobacco consumption as oral cancer risk factors 2. Understand that tobacco cessation interventions, but not brief screening/intervention protocols for alcohol, have been adopted in dental practice 3. Understand that alcohol screening/intervention protocols have proven effective in a variety of medical care settings and provide models for implementation in dental practice 4. Understand the methods used in NHANES to measure alcohol consumption, oral health status, and dental service use 5. Understand the relative contribution of alcohol use, predisposing (demographic), enabling (dental insurance, presence of regular dentist), and need (caries, periodontal problems) in predicting dental visits in the past 12 months. 2 Understand the implications of alcohol use with regard to likelihood of detection of alcohol problems in dental practice

Keywords: Access to Health Care, Alcohol Problems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted the primary analyses and interpretation of the findings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Oral Health Poster Session IV
See more of: Oral Health