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Updated: Jan 5, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Self-Reported Oral Health Status Among Adults Aged 40+ Years With and Without Vision Impairment: National Health
John E Crews1, Chiu-Fang Chou2, Shillpa Naavaal3
1Lighthouse Guild, New York, New York, USA.
Adults with vision impairment report significantly poorer oral health, including more mouth and teeth problems. This highlights disparities and the need for targeted interventions for this vulnerable population.
Area of Science:
- Public Health
- Epidemiology
- Gerontology
Background:
- Vision impairment affects a significant portion of the adult population.
- Oral health is crucial for overall well-being and social participation.
- Disparities in health outcomes are often observed in populations with sensory impairments.
Purpose of the Study:
- To investigate the relationship between vision impairment and self-reported oral health status in adults aged 40 and older.
- To identify specific oral health problems associated with vision impairment in this demographic.
- To examine disparities in oral health outcomes between adults with and without vision impairment.
Main Methods:
- Utilized a cross-sectional design with a nationally representative sample from the 2008 National Health Interview Survey's Oral Health Module.
- Analyzed data from 12,090 adults aged 40 years and older.
- Employed descriptive statistics and multivariate logistic regression to assess the association between vision impairment and oral health outcomes, controlling for relevant variables.
Main Results:
- Adults with vision impairment reported significantly higher rates of fair/poor oral health status and mouth problems compared to those without.
- Among adults aged 40-64, vision impairment was associated with 90%-150% greater odds of experiencing oral health problems.
- Older adults (≥65 years) with vision impairment also showed a higher prevalence of poor oral health and mouth problems.
Conclusions:
- Significant oral health disparities exist between adults with and without vision impairment.
- Vision impairment is strongly associated with poorer self-reported oral health outcomes.
- Targeted interventions are necessary to address the oral health needs of adults with vision impairment.
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