Exploring the Link Between Oral Health and Self-Care Difficulty in Older Adults

The aging population in the United States continues to grow, emphasizing the need to promote independence and healthy aging. Oral health is an important indicator of overall well-being. Occupational therapists (OTs) are positioned to address oral health. This study examined the relationship between oral health and functional independence in self-care tasks among older adults. A secondary analysis of National Health and Nutrition Examination Survey (NHANES) data, years 2011–2018, was conducted with 4,791 adults aged 65 and older. A multivariable logistic regression was used to estimate odds ratios for self-care difficulty associated with oral health variables. Poorer self-reported oral health and less frequent flossing were significantly associated with difficulty in self-care tasks. Education, income, and age also demonstrated significant relationships with difficulty in self-care tasks. OTs should integrate oral health interventions into practice to enhance functional independence among older adults.

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Publication Details

Journal
OTJR Occupational Therapy Journal of Research
Published
2026-03-29
DOI
https://doi.org/10.1177/15394492261431575
Primary Topic
Dental Health and Care Utilization
Type
article
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article

Exploring the Link Between Oral Health and Self-Care Difficulty in Older Adults

Claire E. Altman, Leah Botkin
OTJR Occupational Therapy Journal of Research
Dental Health and Care Utilization
article

Exploring the Link Between Oral Health and Self-Care Difficulty in Older Adults

Claire E. Altman, Leah Botkin
article en

Abstract

The aging population in the United States continues to grow, emphasizing the need to promote independence and healthy aging. Oral health is an important indicator of overall well-being. Occupational therapists (OTs) are positioned to address oral health. This study examined the relationship between oral health and functional independence in self-care tasks among older adults. A secondary analysis of National Health and Nutrition Examination Survey (NHANES) data, years 2011–2018, was conducted with 4,791 adults aged 65 and older. A multivariable logistic regression was used to estimate odds ratios for self-care difficulty associated with oral health variables. Poorer self-reported oral health and less frequent flossing were significantly associated with difficulty in self-care tasks. Education, income, and age also demonstrated significant relationships with difficulty in self-care tasks. OTs should integrate oral health interventions into practice to enhance functional independence among older adults.

OTJR Occupational Therapy Journal of Research
Texas Christian University (US), University of Missouri (US)
No poverty
Openalex Percentile: Top 2%
Dental Health and Care Utilization
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Exploring the Link Between Oral Health and Self-Care Difficulty in Older Adults — Claire E. Altman, Leah Botkin · OTJR Occupational Therapy Journal of Research (2026) | TGRS Research Map | TGRS