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Georgina P. Zabos, DDS, MPH, Mary E. Northridge, PhD, MPH, Marguerite J. Ro, DrPH, Chau Trinh, MS, Roger Vaughan, DrPH, MS, Joyce Moon Howard, DrPH, Ira Lamster, DDS, MMSc, Mary T. Bassett, MD and Alwyn T. Cohall, MD

Georgina P. Zabos, Marguerite J. Ro, Chau Trinh, and Ira Lamster are with the School of Dental and Oral Surgery, Columbia University, New York, NY. Georgina P. Zabos, Mary E. Northridge, Marguerite J. Ro, Chau Trinh, Joyce Moon Howard, Mary T. Bassett, and Alwyn T. Cohall are with the Harlem Health Promotion Center, Mailman School of Public Health, Columbia University, New York, NY. Roger Vaughan is with the Heilbrunn Center for Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY.

Correspondence: Requests for reprints should be sent to Georgina P. Zabos, DDS, MPH, Columbia University School of Dental and Oral Surgery, Division of Community Health, 154 Haven Ave, New York, NY 10032 (e-mail: gpz1{at}columbia.edu).

ABSTRACT

Objectives. Profound and growing disparities exist in oral health among certain US populations. We sought here to determine the prevalence of oral health complaints among Harlem adults by measures of social class, as well as their access to oral health care.

Methods. A population-based survey of adults in Central Harlem was conducted from 1992 to 1994. Two questions on oral health were included: whether participants had experienced problems with their teeth or gums during the past 12 months and, if so, whether they had seen a dentist.

Results. Of 50 health conditions queried about, problems with teeth or gums were the chief complaint among participants (30%). Those more likely to report oral health problems than other participants had annual household incomes of less than $9000 (36%), were unemployed (34%), and lacked health insurance (34%). The privately insured were almost twice as likely to have seen a dentist for oral health problems (87%) than were the uninsured (48%).

Conclusions. There is an urgent need to provide oral health services for adults in Harlem. Integrating oral health into comprehensive primary care is one promising mechanism.