Self-reported oral health of a metropolitan homeless population in Australia: comparisons with population-level data

Aust Dent J. 2011 Sep;56(3):272-7. doi: 10.1111/j.1834-7819.2011.01346.x.

Abstract

Background: There is limited information on self-perceived oral health of homeless populations. This study quantified self-reported oral health among a metropolitan homeless adult population and compared against a representative sample of the metropolitan adult population obtained from the National Survey of Adult Oral Health.

Methods: A total of 248 homeless participants (age range 17-78 years, 79% male) completed a self-report questionnaire. Data for an age-matched, representative sample of metropolitan-dwelling adults were obtained from Australia's second National Survey of Adult Oral Health. Percentage responses and 95% confidence intervals were calculated, with non-overlapping 95% confidence intervals used to identify statistically significant differences between the two groups.

Results: Homeless adults reported poorer oral health than their age-matched general population counterparts. Twice as many homeless adults reported visiting a dentist more than a year ago and that their usual reason for dental attendance was for a dental problem. The proportion of homeless adults with a perceived need for fillings or extractions was also twice that of their age-matched general population counterparts. Three times as many homeless adults rated their oral health as 'fair' or 'poor'.

Conclusions: A significantly greater proportion of homeless adults in an Australian metropolitan location reported poorer oral health compared with the general metropolitan adult population.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Case-Control Studies
  • Cross-Sectional Studies
  • Dental Care / statistics & numerical data
  • Dental Restoration, Permanent / statistics & numerical data
  • Dentition
  • Educational Status
  • Ethnicity / statistics & numerical data
  • Female
  • Health Behavior
  • Humans
  • Ill-Housed Persons*
  • Income
  • Male
  • Middle Aged
  • Needs Assessment / statistics & numerical data
  • Oral Health*
  • Public Assistance
  • Self Report*
  • Sex Factors
  • Smoking
  • South Australia
  • Tooth Extraction / statistics & numerical data
  • Urban Population*
  • Young Adult