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Updated: Jul 12, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Self-Perceived Oral Health Among US Adults ≥65 Years With Visual Impairment: NHANES 2015-2018
Sumeet Gill1, Kenneth Knapp1, Elizabeth D Drugge1
1Department of Public Health, New York Medical College, Valhalla, New York, USA.
Summary
Older adults with visual impairment report poorer oral health. This study found a significant association between vision loss and reduced self-perceived oral health in this population.
Area of Science:
- Gerontology
- Public Health
- Ophthalmology
Background:
- Older adults with sensory impairments experience challenges in maintaining oral hygiene.
- Limited data exists on self-perceived oral health among older adults with visual impairment in the U.S.
Purpose of the Study:
- To investigate the association between visual impairment and self-perceived oral health in older U.S. adults.
- To provide evidence for targeted interventions and improved dental care accessibility.
Main Methods:
- Analysis of National Health and Nutrition Examination Survey (NHANES) 2015-2018 data.
- Logistic regression used to assess the association between visual impairment and self-perceived oral health, controlling for covariates.
- Visual impairment defined as blindness or severe vision difficulty even with corrective lenses.
Main Results:
- 9.6% of older adults reported visual impairment, and 23.2% reported poor oral health.
- Adults with visual impairment had higher rates of fair or poor oral health (34.1% vs. 22.1%).
- Visual impairment was significantly associated with lower odds of reporting good self-perceived oral health (OR 0.67).
Conclusions:
- Visual impairment is linked to diminished self-perceived oral health in adults aged 65 and older.
- Highlights the necessity for dental care services that are responsive to disability.
- Emphasizes the need for accessible communication strategies within dental practices for visually impaired patients.
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