Demographic and Socioeconomic Predictors of Dental Care Utilization

Manski, Richard J.; Magder, Laurence S.

doi:10.14219/jada.archive.1998.0177

Cited by 80 publications

(70 citation statements)

References 7 publications

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“…In other studies, Hispanic patients have lower insurance coverage and are less likely to have a usual source of care (personal doctors or nurses), which can limit their access to specialized care. 38,41 In addition, lower education and economic disparities (e.g., higher poverty rates) may negatively impact oral healthcare use among Hispanics. 42 Acculturation could also influence dental care among these minority groups, 43 which is concerning as Hispanics who are less acculturated have been found to have higher levels of oral diseases.…”

Section: Figmentioning

confidence: 99%

Dental Care for Survivors of Adolescent and Young Adult Cancer: Special Considerations

Kaul

Fair

Wright

et al. 2016

Journal of Adolescent and Young Adult Oncology

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Purpose: Oral health is important for quality of life, but may be undermanaged for survivors of cancer. We examine dental care use and barriers among long-term survivors of adolescent and young adult (AYA) cancer in comparison to individuals without a history of cancer. Methods: The 2008-2012 Medical Expenditure Panel Survey (MEPS) identified 1216 individuals diagnosed with cancer at AYA ages (15-39 years), who were at least 5 years from diagnosis. A comparison group was matched using age, sex, and other factors. We evaluated self-reported dental visits in the previous 12 months , and inability and delay in receiving necessary dental care among survivors and the comparison group. Furthermore, individual factors associated with dental care use were identified using multivariable logistic regressions. Results: Of survivors, 60.86% reported no dental visits in the previous year compared to 51.96% of the comparison individuals ( p < 0.001). Survivors were more likely to report inability (10.71% vs. 6.29%, p = 0.001) and delay (8.12% vs. 4.45%, p = 0.001) in getting necessary dental care than the comparison group. Notably, survivors without dental insurance were more likely to report inability and delay. Female survivors were more likely to use dental care than males (odds ratio = 1.76, 95% confidence interval 1.15-2.71, p = 0.01). Hispanic survivors, those diagnosed at younger ages, and uninsured survivors were less likely to have at least one dental visit. Conclusion: Survivors of AYA cancer need timely surveillance to manage late effects, including dental complications. Yet, these survivors, particularly those who are uninsured, delay dental care more often than individuals from the general population. Survivor-specific interventions are needed to reduce dental care barriers.

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Section: Figmentioning

confidence: 99%

Dental Care for Survivors of Adolescent and Young Adult Cancer: Special Considerations

Kaul

Fair

Wright

et al. 2016

Journal of Adolescent and Young Adult Oncology

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“…In the other side, oral diseases rank as the fourth most expensive diseases to be treated in almost every country (22). Globally, the greatest burden of oral diseases is on the socially marginalized and poor people (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33). To tackle this public health issue in favor of human's life OH should be taken into consideration (34)(35)(36)(37)(38)(39).…”

mentioning

confidence: 99%

Oral hygiene status in a general population of Iran, 2011: a key lifestyle marker in relation to common risk factors of non-communicable diseases

Asgari

Majidi

Koohpayehzadeh

et al. 2015

Int J Health Policy Manag

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Background: To estimate Oral Hygiene (OH) status in the Iranian population in 2011, and to determine the influence of socio-economic characteristics on OH, and its interrelation with common risk factors of Non-Communicable Diseases (NCDs). Methods: Data including a total of 12,105 individuals aged 6-70 years were obtained from the sixth round of the surveys of NCDs risk factors in Iran. OH was recorded through a structured questionnaire measuring daily frequencies of tooth brushing and dental flossing. Descriptive analyses were performed on demographic characteristics in the complex sample survey setting. We also employed weighted binary logistic regression to compute Odds Ratio (OR) as a measure of association between the response and explanatory factors. Furthermore, to construct an asset index, we utilized Principal Component Analysis (PCA). Results:The percentage with minimum recommended daily OH practices was 3.7% among men and 7.7% among women (OR= 2.3; P< 0.001). Urban citizens were more likely to have their teeth cleaned compared to rural people (OR= 2.8; P< 0.001). For both genders, a relatively better condition was observed in the 25-34 age group (male: 5.6%; female: 10.3%). In addition, OH status improved significantly by increase in both level of education (P< 0.001) and economic status (P< 0.001). There were also apparent associations between self-care practices and specific behavioral risk factors, though the correlation with dietary habits and tobacco use could be largely explained by socio-economic factors. Conclusion: OH situation in Iran calls for urgent need to assign proper interventions and strategies toward raising public awareness and reducing disparities in access to health facilities.

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“…Decreases in levels of dental caries have as high as 75% after 2 years of application in permanent dentition (49) and 44% in primary dentition (51,74,77). These effects have been shown in both biting surfaces of the teeth (15,51,74,76,143) and proximal areas (87,108), and there is evidence that fluoride varnishes have a greater effect on recently erupted teeth (82).…”

Section: Professional Fluoride Treatmentsmentioning

confidence: 99%

“…Use of the dentist also varied with racial origin. Poor, less educated Hispanic or Black individuals are less likely than Whites, nonpoor, and well-educated to use the dentist (76). In another survey, nearly half of those reporting unmet dental care needs (43.7%) said they had limited their activities because of the dental problems (89).…”

Section: Access To Carementioning

confidence: 99%

Oral Health in the United States: The Post-Fluoride Generation

Milgrom

Reisine

2000

Annu. Rev. Public Health

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Tremendous strides have been made in reducing the incidence of tooth decay, periodontal diseases, and associated loss of teeth in adults and children since the inception of community water fluoridation programs. Yet the disadvantaged and poor have not fully shared in the benefits. Other challenges to oral health remain. Oral cancer and related smoking and smokeless tobacco use remain major public health problems. Access to preventive and therapeutic dental care is far from universal. Public health programs similar in commitment to the approach of community water fluoridation programs initiated in the 1950s and 1960s are needed to address neglected oral health needs of underserved and high-risk populations in the United States.

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Demographic and Socioeconomic Predictors of Dental Care Utilization

Cited by 80 publications

References 7 publications

Dental Care for Survivors of Adolescent and Young Adult Cancer: Special Considerations

Dental Care for Survivors of Adolescent and Young Adult Cancer: Special Considerations

Oral hygiene status in a general population of Iran, 2011: a key lifestyle marker in relation to common risk factors of non-communicable diseases

Oral Health in the United States: The Post-Fluoride Generation

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