Dental health among older Israeli adults: is this a reflection of a medical care model inadequately addressing oral health?

Sgan‐Cohen, Harold D.; Livny, Alon; Listl, Stefan

doi:10.1111/idj.12135

Cited by 4 publications

(3 citation statements)

References 30 publications

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“…They influence oral health outcomes while being influenced by overarching societal, economic and political factors. 4 There are clear social inequalities in the utilization of dental services; older adults with higher income, [5][6][7][8][9][10][11] higher educational level [9][10][11] and professional occupations 12,13 tend to use dental services more frequently than those from more disadvantaged backgrounds. These inequalities become even greater for preventive dental visits.…”

Section: Introductionmentioning

confidence: 99%

“…These inequalities become even greater for preventive dental visits. 6,14 Furthermore, a number of factors, such as gender, 7,9,11,12 age, 12 area of residence, 5,7 social support 8,11 and limiting health conditions, 5,8 have been associated with inequalities in dental service use. Moreover, inequalities in access to dental services have been suggested to explain oral health inequalities, although previous studies show that they do not fully explain them, partially because of their narrow impact on the structural determinants of oral health.…”

Section: Introductionmentioning

confidence: 99%

“…There are clear social inequalities in the utilization of dental services; older adults with higher income, 5–11 higher educational level 9–11 and professional occupations 12,13 tend to use dental services more frequently than those from more disadvantaged backgrounds. These inequalities become even greater for preventive dental visits 6,14 . Furthermore, a number of factors, such as gender, 7,9,11,12 age, 12 area of residence, 5,7 social support 8,11 and limiting health conditions, 5,8 have been associated with inequalities in dental service use.…”

Section: Introductionmentioning

confidence: 99%

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Inequalities in dental services use by older adults in Chile according to eligibility for a national dental programme

Aravena‐Rivas,

Venturelli,

Stennett

et al. 2023

Comm Dent Oral Epid

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ObjectivesThe objectives of this study were to determine the prevalence and trends in dental service use among Chilean older adults (60+ years) between 2006 and 2017; to assess the association between socioeconomic factors and dental service use and type (public/private) in 2017 and whether these differ by eligibility to a national dental programme (GES‐60).MethodsThis study involved secondary data analysis of five nationally representative cross‐sectional surveys between 2006 and 2017. Trends were assessed for use of dental services and types of services used among 60‐79‐year‐olds. Logistic regression models examined the association between use of dental services in 2017 and socioeconomic variables (income and education), accounting for covariates (age, gender, residence, ethnicity, cohabiting status, employment and disability). Estimated marginal means and odds ratios (ORs) were calculated to assess the association between socioeconomic variables and the outcomes by GES‐60 eligibility.ResultsAcross surveys, the average prevalence of use of dental services in the last 3 months was 5.0%. There was a slight increase in dental visits between 2006 and 2017. This trend was higher among GES‐60 eligible individuals using public dental services. Inequalities were observed in regression analyses. Compared to the poorest quintile and those with no formal education respectively, the ORs were 2.36 (95% confidence interval (CI) 1.79–5.68) for the richest quintile and ranged from 2.91 (95% CI 1.49–5.68) to 6.43 (3.26–12.68) for each higher level of educational attainment. Inequalities were wider among GES‐60 non‐eligible than GES‐60 eligible older adults for both outcomes.ConclusionsSocioeconomic inequalities were present among older adults regardless of GES‐60 eligibility. However, these inequalities were more pronounced among non‐eligible individuals. Our findings suggest a limited impact of GES‐60 only among eligible older adults. Policies considering the needs of the whole older adult population are likely to have a stronger impact.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Inequalities in dental services use by older adults in Chile according to eligibility for a national dental programme

Aravena‐Rivas,

Venturelli,

Stennett

et al. 2023

Comm Dent Oral Epid

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Oral health approach in universal health coverage

Marques dos Santos,

Andrade,

Galvão

et al. 2024

BMC Public Health

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Indicators of integrating oral health care within universal health coverage and general health care in low-, middle-, and high-income countries: a scoping review

2023

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Background The World Health Organization (WHO) has recently devoted special attention to oral health and oral health care recommending the latter becoming part of universal health coverage (UHC) so as to reduce oral health inequalities across the globe. In this context, as countries consider acting on this recommendation, it is essential to develop a monitoring framework to measure the progress of integrating oral health/health care into UHC. This study aimed to identify existing measures in the literature that could be used to indicate oral health/health care integration within UHC across a range of low-, middle- and high-income countries. Methods A scoping review was conducted by searching MEDLINE via Ovid, CINAHL, and Ovid Global Health databases. There were no quality or publication date restrictions in the search strategy. An initial search by an academic librarian was followed by the independent reviewing of all identified articles by two authors for inclusion or exclusion based on the relevance of the work in the articles to the review topic. The included articles were all published in English. Articles concerning which the reviewers disagreed on inclusion or exclusion were reviewed by a third author, and subsequent discussion resulted in agreement on which articles were to be included and excluded. The included articles were reviewed to identify relevant indicators and the results were descriptively mapped using a simple frequency count of the indicators. Results The 83 included articles included work from a wide range of 32 countries and were published between 1995 and 2021. The review identified 54 indicators divided into 15 categories. The most frequently reported indicators were in the following categories: dental service utilization, oral health status, cost/service/population coverage, finances, health facility access, and workforce and human resources. This study was limited by the databases searched and the use of English-language publications only. Conclusions This scoping review identified 54 indicators in a wide range of 15 categories of indicators that have the potential to be used to evaluate the integration of oral health/health care into UHC across a wide range of countries.

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Dental health among older Israeli adults: is this a reflection of a medical care model inadequately addressing oral health?

Cited by 4 publications

References 30 publications

Inequalities in dental services use by older adults in Chile according to eligibility for a national dental programme

Inequalities in dental services use by older adults in Chile according to eligibility for a national dental programme

Oral health approach in universal health coverage

Indicators of integrating oral health care within universal health coverage and general health care in low-, middle-, and high-income countries: a scoping review

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