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A Comparative Analysis of Oral Health and Self-Rated Health: ‘All of Us Research Program’ vs. ‘Health and Retirement Study’

Author

Listed:
  • Jane A. Weintraub

    (Department of Pediatric Dentistry and Dental Public Health, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Kevin L. Moss

    (Department of Biostatistics and Health Data Science, School of Medicine, Indiana University, Indianapolis, IN 46202, USA
    Adams School of Dentistry, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Tracy L. Finlayson

    (Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego, CA 92182, USA)

  • Judith A. Jones

    (University of Detroit Mercy School of Dentistry, Detroit, MI 48208, USA)

  • John S. Preisser

    (Department of Biostatistics Gillings, School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA)

Abstract

Poor oral health can impact overall health. This study assessed the association between dental factors (dentate status and dental utilization) and self-rated health (S-RH) among older adults in two cross-sectional datasets: (1) NIH “All of Us (AoU) Research Program” (May 2018—July 2022 release) and (2) U.S. nationally representative “Health and Retirement Study” (HRS) 2018 wave. Participants aged ≥ 51 years were included in these analyses if (1) from AoU, they had clinical dental and medical data from electronic health records (EHRs) and surveys (n = 5480), and (2) from HRS, they had dental and socio-demographic survey data (n = 14,358). S-RH was dichotomized (fair/poor vs. better) and analyzed with logistic regression. Sample survey weights for HRS and stratification and averaging AoU results used the weighted HRS race–ethnicity and age distribution standardized respective analyses to the U.S. population. Fair/poor S-RH was reported by 32.6% in AoU and 28.6% in HRS. Dentate status information was available from 7.7% of AoU EHRs. In population-standardized analyses, lack of dental service use increased odds of fair/poor S-RH in AoU, OR (95% CI) = 1.28 (1.11–1.48), and in HRS = 1.45 (1.09–1.94), as did having diabetes, less education, and ever being a smoker. Having no natural teeth was not statistically associated with fair/poor S-RH. Lack of dental service was positively associated with fair/poor S-RH in both datasets. More and better oral health information in AoU and HRS are needed.

Suggested Citation

  • Jane A. Weintraub & Kevin L. Moss & Tracy L. Finlayson & Judith A. Jones & John S. Preisser, 2024. "A Comparative Analysis of Oral Health and Self-Rated Health: ‘All of Us Research Program’ vs. ‘Health and Retirement Study’," IJERPH, MDPI, vol. 21(9), pages 1-16, September.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:9:p:1210-:d:1477869
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    References listed on IDEAS

    as
    1. Lazarevič, Patrick & Brandt, Martina, 2020. "Diverging ideas of health? Comparing the basis of health ratings across gender, age, and country," Social Science & Medicine, Elsevier, vol. 267(C).
    2. Brandy M Mapes & Christopher S Foster & Sheila V Kusnoor & Marcia I Epelbaum & Mona AuYoung & Gwynne Jenkins & Maria Lopez-Class & Dara Richardson-Heron & Ahmed Elmi & Karl Surkan & Robert M Cronin & , 2020. "Diversity and inclusion for the All of Us research program: A scoping review," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-14, July.
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