Substance Use, General Health and Health Literacy as Predictors of Oral Health in Emerging Adult Sexual Minority Men of Color: A Secondary Data Analysis

International Journal of Environmental Research and Public Health

DavidT. Lardier¹  RuebenC. Warren²  S.Raquel Ramos³  MelbaC. Cherian³  Sarwat Siddiqui³  Trace Kershaw⁴ 

[1] Department of Individual, Family, and Community Education, College of Education and Human Sciences, University of New Mexico, Albuquerque, NM 87131, USA;National Center for Bioethics in Research and Health Care, Tuskegee University, Tuskegee, AL 36088, USA;Rory Meyers College of Nursing, New York University, New York, NY 10016, USA;School of Public Health, Yale University, New Haven, CT 06520, USA;

关键词: oral health;    systemic health;    tooth loss;    health literacy;    sexual minority men;    substance use;   

DOI  :  10.3390/ijerph18041987

来源: DOAJ

【 摘 要 】

There is limited evidence surrounding oral health in emerging adult, sexual minority men of color. This study examined the association between sociodemographic factors, health literacy, cigarette, e-cigarette, and alcohol use on oral health outcomes. Secondary data analysis was conducted with 322 sexual minority men ages 18–34 in the United States. Between-group, mean-level, and multivariable logistic regression analyses examined differences on oral health outcomes. Increased cigarette (aOR = 1.84, p = 0.03), e-cigarette (aOR = 1.40, p = 0.03), and alcohol use (aOR = 2.07, p = 0.05) were associated with extended time away from the dentist. Health literacy (aOR = 0.93, p = 0.05) was negatively associated. Increased cigarette (aOR = 1.17, p = 0.04) and cigarette use (aOR = 1.26, p = 0.04) were associated with tooth loss. Health literacy was negatively associated (aOR = 0.65, p = 0.03). Increased e-cigarette (aOR = 1.74, p = 0.04) and cigarette use (aOR = 4.37, p < 0.001) were associated with dental affordability issues.  Lower health literacy and racial identification as Black were associated with dental affordability issues; demonstrating an urgent need to address these factors to improve oral health in emerging adult sexual minority men of color.

【 授权许可】

Unknown