Table of Contents

Locator Record

Title: Oral Health - Recommendation of Care (OHXREF_F )
Contact Number: 1-866-441-NCHS
Years of Content: 2009 - 2010
First Published: April, 2012
Revised: NA
Access Constraints: None
Use Constraints: None
Geographic Coverage: National
Subject:Examination data on oral health topics.
Record Source: NHANES 2009 - 2010
Survey Methodology: NHANES 2009 - 2010 is a stratified multistage probability sample of the civilian non-institutionalized population of the U.S.
Medium: NHANES Web site; SAS transport files

Component Description

NHANES is critical for monitoring oral health status, risk indicators for disease, and access to preventive and treatment services. This component will address public health significance in areas of surveillance, prevention, treatment, dental care utilization, health policy, evaluation of Federal health programs, standardization of new methods, and oral health disparities.

Oral health data from NHANES will be used for:

The oral health examination section (OHX) provides information on a number of oral health topics. These topic areas and related target population groups in the OHX section include:

 

Eligible Sample

All survey participants 3-19 and 30 years and older were eligible for the oral health examination. Participants aged 30 years and older were eligible for the periodontal evaluation if they had at least one tooth (excluding third molars) and did not meet any of the health exclusion criteria. Medical health-screening questions were asked to the participants by the oral health examiners prior to beginning to oral health examination in accordance with approved study protocols for the prevention of infective endocarditis.

 

Protocol and Procedure

All examiners for 2009-10 oral health examination were dental hygienists registered in at least one U.S. state. In 2009-10, the basic screening exam construct is similar to the assessment conducted in 2005-08. The dental fluorosis assessment was limited to the upper six anterior teeth. The 2009-10 periodontal examination was a full-mouth, six-site per tooth assessment.

 

Quality Assurance & Quality Control

The quality of data in this survey is controlled by (1) an intense training period for the health technologists who were assigned to conduct the oral health examinations with calibration of OH examiners prior to the beginning of the survey, (2) periodic monitoring and recalibration of OH examiners, and (3) periodic retraining of OH examination teams. The reference examiner will visit each team three times per year to observe field operations and to replicate 20 to 25 OH examinations during each visit. The purpose of these “expert replications” is to determine if the field examiners are maintaining the examination standards achieved during training and to measure the degree of deviation, if any, from those standards. If the inter-rater correlation is not within acceptable limits, retraining is conducted on site and future monitoring of the field examiner intensified. An annual retraining session for each dental examiner also is conducted by the reference examiner to reinforce existing protocols and to accommodate protocol updates as needed. All OH training, calibration, and field replicate exams were conducted by the NHANES survey expert dentist.

Automated data collection procedures for the survey were introduced in NHANES 1999. In the mobile examination centers (MECs), data for the oral health component are recorded directly onto a computerized data collection form. The system is integrated centrally and it allows for ongoing monitoring of much of the data. As part of an on-going quality control practice, all data are reviewed systematically for logical inconsistencies and examiner error. Internal quality control data review indicates that data quality is acceptable.

 

Data Processing and Editing

Frequency counts were checked, "skip" patterns were verified, and the reasonableness of responses to the questions was reviewed.

 

Analytic Notes

The oral health data is released in three separate data files as follows: Dentition Exam (ohxden_f):

Oral health data from these 3 files can be linked using the unique survey participant identifier, SEQN. In addition to the oral health examination data, oral health questionnaire data can be found in the oral health section of the NHANES 2009–2010 Home Interview Files (OHQ). These data may be linked using the unique survey participant identifier, SEQN. Although these data were collected as part of the household questionnaire, if they are merged with the MEC exam data, exam sample weights should be used for the analyses. Please refer to the Analytic Guidelines on the NHANES website for further details on the use of sample weights and other analytic issues. The Analytic Guidelines are available on the NHANES website.

If data from this release is combined with oral health data data from previous data cycles for analysis, users should understand that methodological differences (in data collection) may exist among similar, earlier assessments and this may bias the analysis conducted.

At the time of this first release of the NHANES 2009-2010 oral health data, the 2009-2010 dental fluorosis data was not available for release because of ongoing data review.

 

References

Codebook and Frequencies

SEQN - Respondent sequence number

Variable Name:
SEQN
SAS Label:
Respondent sequence number
English Text:
Respondent sequence number.
Target:
Both males and females 3 YEARS - 19 YEARS

OHDEXSTS - Overall Oral Health Exam Status

Variable Name:
OHDEXSTS
SAS Label:
Overall Oral Health Exam Status
English Text:
Overall Oral Health Exam Status
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Complete 7145 7145
2 Partial 44 7189
3 Not Done 1000 8189
. Missing 0 8189

OHDRCSTS - Recommendation Care Status Code

Variable Name:
OHDRCSTS
SAS Label:
Recommendation Care Status Code
English Text:
Recommendation Care Status Code
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Complete 7145 7145
2 Partial 5 7150
3 Not Done 1039 8189
. Missing 0 8189

OHAREC - Overall recommendation for care

Variable Name:
OHAREC
SAS Label:
Overall recommendation for care
English Text:
Overall recommendation for care
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 See a dentist immediately 18 18
2 See a dentist within the next 2 weeks 151 169
3 See a dentist at your earliest convenience 3044 3213
4 Continue your regular routine care 3933 7146
. Missing 1043 8189

OHAROCDT - Decayed teeth

Variable Name:
OHAROCDT
SAS Label:
Decayed teeth
English Text:
Decayed teeth
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 1584 1584
2 No 14 1598
. Missing 6591 8189

OHAROCGP - Gum disease/problem

Variable Name:
OHAROCGP
SAS Label:
Gum disease/problem
English Text:
Gum disease/problem
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 1597 1597
2 No 16 1613
. Missing 6576 8189

OHAROCOH - Oral hygiene

Variable Name:
OHAROCOH
SAS Label:
Oral hygiene
English Text:
Oral hygiene
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 2578 2578
2 No 6 2584
. Missing 5605 8189

OHAROCCI - Clinical impression soft tissue conditon

Variable Name:
OHAROCCI
SAS Label:
Clinical impression soft tissue conditon
English Text:
Clinical impression of soft tissue condition
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 56 56
2 No 3 59
. Missing 8130 8189

OHAROCDE - Denture/Partial Denture/Plates

Variable Name:
OHAROCDE
SAS Label:
Denture/Partial Denture/Plates
English Text:
Denture/Partial Denture/Plates
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 169 169
2 No 2 171
. Missing 8018 8189

OHARNF - No significant findings

Variable Name:
OHARNF
SAS Label:
No significant findings
English Text:
No significant findings
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 3856 3856
2 No 13 3869
. Missing 4320 8189

OHAROTH - Some other finding (specify w/referral)

Variable Name:
OHAROTH
SAS Label:
Some other finding (specify w/referral)
English Text:
Some other finding (specify w/referral letter)
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 12 12
2 No 1 13
. Missing 8176 8189

OHAPOS - Was participant exam position recumbent

Variable Name:
OHAPOS
SAS Label:
Was participant exam position recumbent
English Text:
Was the SP in a recumbent (laying down) position for all eligible assessments of the oral health exam?
English Instructions:
Was the SP in a recumbent (laying down) position for all eligible assessments of the oral health exam (Oral-facial--Loss of Attachment)?
Target:
Both males and females 3 YEARS - 19 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 7024 7024
2 No 123 7147
. Missing 1042 8189