Department of Population and Quantitative Health Sciences
Dentistry | Epidemiology | Health Services Research | Stomatognathic Diseases | Translational Medical Research
Objectives: This study sought to provide population-based estimates of complete tooth loss and recent dental visits among older adults in the United States by English language proficiency.
Methods: We conducted a cross-sectional analysis of the 2017 Medical Expenditure Panel Survey among participants 50 years of age (n = 10,452, weighted to represent 111,895,290 persons). Five categories of language proficiency were created based on self-reported English language ability and language spoken at home (Spanish, Other).
Results: The prevalence of complete tooth loss was higher among those with limited English proficiency (Spanish speaking: 13.7%; Other languages: 16.9%) than those proficient in English (Spanish speaking: 5.0%; Other languages: 6.0%, English only: 12.0%). Complete tooth loss was less common among participants for whom Spanish was their primary language, with limited English proficiency relative to English only (adjusted odds ratio: 0.56; 95% confidence interval: 0.42-0.76). Among those without complete tooth loss, dental visits in the past year were less common among participants with primary language other than English as compared to those who only speak English.
Conclusions: Complete tooth loss varied by English language proficiency among adults aged 50 years in the United States. Suboptimal adherence to annual dental visits was common, more so in those with complete tooth loss, and varied by English language proficiency.
Spanish, complete tooth loss, edentulism, limited English proficiency, UMCCTS funding
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Copyright The Author(s) 2020. Creative Commons CC BY: This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
DOI of Published Version
Foiles Sifuentes AM, Castaneda-Avila MA, Lapane KL. English language proficiency, complete tooth loss, and recent dental visits among older adults in the United States. SAGE Open Med. 2020 Oct 7;8:2050312120962995. doi: 10.1177/2050312120962995. PMID: 33101680; PMCID: PMC7550941. Link to article on publisher's site
SAGE open medicine
Foiles Sifuentes AM, Castaneda-Avila MA, Lapane KL. (2020). English language proficiency, complete tooth loss, and recent dental visits among older adults in the United States. UMass Center for Clinical and Translational Science Supported Publications. https://doi.org/10.1177/2050312120962995. Retrieved from https://escholarship.umassmed.edu/umccts_pubs/232
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This work is licensed under a Creative Commons Attribution 4.0 License.