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The Oral Health Disparity Between Rural and Urban Populations. By: James Onisk Brandon Thomas. Background- Why Oral Health?. Poor oral health status is associated with other health malignancies ¹ ex. cardiovascular disease, diabetes, low birth weight for babies
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The Oral Health Disparity Between Rural and Urban Populations By: James Onisk Brandon Thomas
Background- Why Oral Health? • Poor oral health status is associated with other health malignancies ¹ ex. cardiovascular disease, diabetes, low birth weight for babies • “Recognition is growing of the importance of oral health to self-esteem, employability, and overall well-being”²
Disparity Facts and Figures • Endentulism and tooth loss of more than six teeth are more prevalent in rural than urban areas- 18.7% to 15.3%, 12.7% to 11.4%, respectively. ³4 • Urban Residents are more likely to have visited a dentist within the last year (62.1% of rural; 76.7% of urban) 4 • Rural Residents are less likely to be covered by dental insurance (55.1% rural; 72.0% urban) 4
Rural Oral Health Disparity Etiology • Main Causes: • Limited Access to oral health care practitioners • Low numbers of dental health insurance • Fewer fluoridated water sources • Poor nutritional behaviors
Social Etiology in Depth RURAL: Behavior: poor nutritional choices RURAL: Public Health Policy: More reliant on use of well-water and non-fluoridated water services due to lack of funds from smaller population RURAL: Access to health care system: With only around 30 dentists for every 100,000 population, receiving care is difficult and may involve driving long distances as well as the dentist not being as available. RURAL: Education: Lower average level of education RURAL: Economics: Rural inhabitants often lack dental health insurance and therefore would have to pay out-of-pocket for health care services. RURAL: Personal Behaviors: High percent of tobacco use among teens that leads to oral lesions RURAL: Public Health Policy: far fewer smoke and tobacco free zones allow for the use of oral health damaging behaviors.
How can this be fixed? • Our plan: • Increasing educational efforts in hospitals to pregnant mothers • Providing free preventative screenings and care to incoming kindergarten students at local schools by oral health professionals and the county health department
References Fos, P., & Hutchinson, L. (2003). The State of Rural Oral Health. Rural Healthy People 2010: A companion document to Healthy People 2010. 1. 199-203. National Rural Health Association. (2005). Meeting Oral Health Care Needs in Rural America. Kansas City, MO. Peters, K. E., Baldyga, W., W., Lampiris, L., N., Jensen, J., A., Koerber, A., L., Kaste, L., M., & Levy, S., R. (2006). Public Health Practice in Illinois. Addressing Rural Health Disparities in Illinois: Oral Health, 6. (2), 59-67. Vargas, C. M., Dye, B. A., Hayes, K. L. (2002) Oral health status of rural adults in the United States. Journal of American Dental Association, 133, 1672-1681. Images From: • http://cuidatusaludcondiane.com/caries-dental/ • http://healthlob.com/2011/04/smile-good-health/ • http://www.wqed.org/neighborhood/health/oral-health/ • http://168.144.174.205/Dental.htm