In this study, socio-behavioral determinants of oral hygiene practices were examined across several dentate ethnic and age groups. Oral hygiene scale scores were constructed from toothbrushing and dental floss frequencies self-reported by population-based samples of middle-aged (35-44 years) and older (65-74 years) dentate adults representing Baltimore African-American and White, San Antonio Hispanic and non-Hispanic White, and Navajo and Lakota Native American persons participating in the WHO International Collaborative Study of Oral Health Outcomes (ICS-II) survey. Female gender, education, certain oral health beliefs, household income, and the presence of a usual source of care were revealed with multivariate analysis to show a significant positive relationship with higher oral hygiene scale scores (indicating better personal oral hygiene practices). Other socio-behavioral variables exhibited a more varied, ethnic-specific pattern of association with oral hygiene scale scores.
Abdellatif HM, Burt BA ( 1987). An epidemiological investigation into the relative importance of age and oral hygiene status as determinants of periodontitis. J Dent Res66:13-18.
2.
Ambjørnsen E. (1986). Remaining teeth, periodontal condition, oral hygiene and tooth cleaning habits in dentate old-age subjects. J Clin Periodontol13:583-589.
3.
Arnljot HA, Barmes DE, Cohen LK, Hunter Pbv, Ship II ( 1985). Oral health care systems-an international collaborative study. London: Quintessence Publishing Co., pp. 101-138.
4.
Bader JD, Rozier RG, McFall WT, Ramsey DL (1989). Dental patients' knowledge and beliefs about periodontal disease. Community Dent Oral Epidemiol17:60-64.
5.
Bakdash B. (1995). Current patterns of oral hygiene product use and practices. Periodontol20008:11-14.
6.
Bellini HT, Arneberg P., Von der Fehr FR (1981). Oral hygiene and caries. A review. Acta Odontol Scand39 :257-265.
7.
Benzecri JP (1992). Correspondance analysis handbook. New York: Marcel Dekker, Inc.
8.
Bjertness E. (1991). The importance of oral hygiene on variation in dental caries in adults. Acta Odontol Scand49:97-102.
9.
Bjertness E., Hansen BF, Berseth G., Grønnesby JK (1993). Oral hygiene and periodontitis in young adults . Lancet342:1170-1171.
10.
Burchell CK, Stephen KW, Creanor SL, Russell JI (1987). 2-year effect of stated brushing frequency on plaque, gingivitis and caries increments in teenagers (abstract). Caries Res21:185.
11.
Burt BA, Ismail AI, Eklund SA (1985). Periodontal disease, tooth loss, and oral hygiene among older Americans. Community Dent Oral Epidemiol13:93-96.
12.
Chen M., Stone DB (1983). Toothbrushing, flossing, and dental visits in relation to socioeconomic characteristics of whiteAmerican families. Community Dent Oral Epidemiol11:325-332.
13.
Craig T., Montague JL (1976). Family and oral health survey. J Am Dent Assoc92:326-332.
14.
de Baat C., Kalk W., Schuil GR (1990). The effectiveness of oral hygiene programmes for elderly people-a review. Gerodontol10:109-113.
15.
DeLeeuw J., Michailides G. (1995). Scale construction using correspondence analysis. UCLA Statistics Program, 8118 Mathematical Sciences Bldg., University of California, Los Angeles, January 15, 1995 (unpublished).
16.
Ellen RP (1994). Periodontal care for community-dwelling older adults. J Prosthet Dent72:500-506.
17.
Frandsen A. (1986). Mechanical oral hygiene practices. State-of-the-science review. In: Dental plaque control measures and oral hygiene practices. Loe H, Kleinman DV, editors. Oxford: IRL Press, pp. 93-116.
18.
Gift HC ( 1984). Utilization of professional dental services. In: Social science and dentistry. Cohen LK, Bryant P, editors. London: Quintessence Publishing Co.
19.
Gift HC ( 1986). Current utilization patterns of oral hygiene practices: state-of-the-science review. In: Dental plaque control measures and oral hygiene practices. Loe H, Kleinman DV, editors. Oxford: IRL Press, pp. 39-92.
20.
Gilbert GH, Duncan RP, Crandall LA, Heft MW, Ringelberg ML (1993). Attitudinal and behavioral characteristics of older Floridians with tooth loss. Community Dent Oral Epidemiol21:383-389.
21.
Greenacre MJ (1984). Theory and applications of correspondence analysis . New York: Academic Press.
22.
Hansen F., Gjermo P. (1971). The plaque-removing effect of four toothbrushing methods. Scand J Dent Res79 :502-506.
23.
Heasman PA, Jacobs DJ, Chapple IL (1989). An evaluation of the effectiveness and patient compliance with plaque control methods in the prevention of periodontal disease . Clin Prev Dent11:24-28.
24.
Hugoson A., Koch G., Hallonsten AL, Ludvigsson N., Lundgren A., Rylander H. (1980). Dental health 1973 and 1978 in individuals aged 3-20 years in the community of Jönköping, Sweden. Swed Dent J4:217-229.
25.
Inglehart M., Tedesco LA (1995). Behavioral research related to oral hygiene practices: a new century model of oral health promotion. Periodontol20008:15-23.
26.
Jensen ME, Kohout F. (1988). The effects of a fluoridated dentifrice on root and coronal caries in an older adult population. J Am Dent Assoc117:829-832.
27.
Kiyak HA (1981). Dental beliefs, behaviors and health status among Pacific Asians and Caucasians. Community Dent Oral Epidemiol9:10-14.
28.
Lang WP, Farghaly MM, Ronis DL (1994). The relationship of preventive dental behaviors to periodontal health status. J Clin Periodontol21:194-198.
29.
Lang WP, Ronis DL, Farghaly MM (1995). Preventive behaviors as correlates of periodontal health status. J Publ Hlth Dent55:10-17.
30.
Lissau I., Holst D., Frits-Hasche E. (1990). Dental health behaviors and periodontal disease indicators in Danish youths. A 10-year epidemiological follow-up. J Clin Periodontol17:42-47.
31.
Lobene RR, Soparkar PM, Newman MB (1982). Use of dental floss: effect on plaque and gingivitis . Clin Prev Dent4:5-8.
32.
Loesche WJ (1982). Dental caries: A treatable infection. Ann Arbor, MI: The University of Michigan Dental Publication s.
33.
Maizels J., Maizels A., Sheiham A. (1991). Dental disease and health behavior: the development of an interactional model. Community Dent Hlth8:311-321.
34.
Maizels J., Maizels A., Sheiham A. (1993). Sociodental approach to the identification of dental treatment-need groups. Community Dent Oral Epidemiol21:340-346.
35.
Moss SJ ( 1987). Daily frequency of fluoride dentifrice as a correlate of caries experience in a fluoridated community (abstract). Caries Res21:190.
36.
Payne BJ, Locker D. (1992). Oral self-care behaviors in older dentate adults . Community Dent Oral Epidemiol20 :376-380.
37.
Rana H., Andersen RM, Nakazono TT, Davidson PL (1997). ICS-II USA research design and methodology. Adv Dent Res11:217-222.
38.
Ronis DL, Lang WP, Passow E. (1993). Tooth brushing, flossing, and preventive dental visits by Detroit-area residents in relation to demographic and socioeconomic factors. J Publ Hlth Dent53:138-145.
39.
Rossow I. (1992). Intrafamily influences on health behavior. A study of interdental cleaning behavior. J Clin Periodontol19:774-778.
40.
SAS Institute (1990). SAS/STAT user's guide. Cary, NC: SAS Institute Inc.
41.
Shah BV, Barnwell BG, Hunt PN, La Vange LM (1991). SUDAAN user's manual. Version 5.50. Research Triangle Park, NC: Research Triangle Institute .
42.
Ship JA, Crow HC ( 1994). Diseases of periodontal tissues in the elderly. Description, epidemiology, aetiology and drug therapy. Drugs & Aging5:346-357.
43.
Stewart JE, Wolfe GR (1989). The retention of newly-acquired brushing and flossing skills. J Clin Periodontol16:331-332.
44.
Swank ME, Vernon SW, Lairson DR (1986). Patterns of preventive dental behaviors. Publ Hlth Reports101 :175-184.
45.
Weinstein P., Milgrom P., Melnick S., Beach B., Spadafora A. (1989). How effective is oral hygiene instruction? Results after 6 and 24 weeks. J Publ Hlth Dent49:32-38.
46.
Wolinsky F., Aguirre BE, Fann LJ ( 1989). Ethnic differences in the demand for physician and hospital utilization among older adults in major American cities: Conspicuous eveidence of considerable inequalties. The Milbank Quarterly67(3-4):412-490.
