Research Article

Clinical Oral Health Recommended Care and Oral Health Self-Report, NHANES, 2013-2014

Table 4

Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) from logistic regressions on concordance between recommended care and self-reported oral health measures. Adults Aged 30 and older in National Health and Examination Nutrition Survey, 2013-14.

Overall Oral Health Self-PerceptionOral Pain1Impact on job or schoolSuspected Periodontal Disease2Tooth appearance “does not look right”Tooth mobility3
AOR AOR AOR AOR AOR AOR
[95CI][95CI][95CI][95CI][95CI][95CI]

Sex
 Female1.46 1.57 1.58 1.451.54 1.59
[1.28, 1.67][1.33, 1.84][1.28, 1.95][1.12, 1.86][1.29, 1.82][1.35, 1.87]
 Male (ref)
Race/ethnicity
 Non-Hispanic Black0.56 0.51 0.59 0.54 0.60 0.59
[0.43, 0.72][0.40, 0.66][0.46, 0.77][0.44, 0.66][0.49, 0.75][0.50, 0.70]
 Hispanic0.660.54 0.61 0.52 0.630.57
[0.46, 0.94][0.40, 0.66][0.46, 0.77][0.38, 0.73][0.47, 0.85][0.45, 0.71]
 Other0.52 0.47 0.52 0.50 0.47 0.47
[0.35, 0.78][0.34, 0.65][0.36, 0.75][0.35, 0.73][0.33, 0.67][0.35, 0.61]
 Non-Hispanic White (ref)
Age in years
 30 - 44 years (Ref)
 45 - 54 years0.990.760.730.920.830.85
[0.80, 1.22][0.60, 0.97][0.53, 1.00][0.73, 1.16][0.66, 1.05][0.64, 1.14]
 55- 64 years0.800.56 0.570.780.58 0.62
[0.57, 1.14][0.40, 0.77][0.38, 0.84][0.56, 1.09][0.41, 0.82][0.40, 0.97]
 65, or older0.810.740.690.780.720.83
[0.54, 1.22][0.54, 1.02][0.45, 1.08][0.57, 1.05][0.49, 1.04][0.61, 1.12]
Insurance coverage
 Yes (ref)
 No0.710.51 0.55 0.54 0.58 0.55
[0.57, 0.89][0.40, 0.64][0.44, 0.70][0.44, 0.66][0.49, 0.69][0.46, 0.65]
Self-reported General Health
 Fair/poor1.51 0.970.981.171.260.98
[1.22, 1.86][0.72, 1.31][0.76, 1.27][0.99, 1.39][0.91, 1.74][0.77, 1.26]
 Excellent/very good/good (ref)
Physical Activity
 No0.961.020.980.840.860.95
[0.79, 1.17][0.86, 1.21][0.76, 1.26][0.69, 1.02][0.74, 1.01][0.83, 1.08]
 Yes (ref)
Obese
 Obese0.740.62 0.65 0.780.67 0.67
[0.61, 0.90][0.51, 0.76][0.52, 0.81][0.60, 1.01][0.55, 0.82][0.52, 0.87]
 No (Ref)
Smoking status
 Current smoker0.930.57 0.56 0.46 0.650.56
[0.67, 1.29][0.43, 0.77][0.39, 0.80][0.31, 0.67][0.47, 0.88][0.67, 1.18]
 Former smoker0.880.850.850.860.900.89
[0.64, 1.21][0.64, 1.14][0.60, 1.20][0.67, 1.09][0.64, 1.27][0.67, 1.18]
 Never smoker (ref)
Dental visit
 More than 1 year0.970.48 0.50 0.70 0.73 0.51
[0.73, 1.29][0.40, 0.57][0.42, 0.59][0.60, 0.82][0.61, 0.87][0.41, 0.65]
 1 year or less (ref)

Note: based on 4,205 participants, who were 30 years and older and who had no missing data for the dentists’ oral health recommendations and responses from questions about oral health self-perception and oral pain. Asterisks represent significant group differences in concordance compared to the reference group based on logistic regressions. 1Aching anywhere in the mouth during the last year. 2If participant thought he or she “might have gum disease” (NHANES, 2017). 3Participant was asked if “any teeth [were] becoming loose without an injury” (NHANES, 2017). p < .001; .001 ≤ p < .01; .01 ≤ p < .05.