Dental Insurance Visits and Expenditures Among Older Adults

Manski, Richard J.; Goodman, Harold S.; Reid, Britt C.; Macek, Mark D.

doi:10.2105/ajph.94.5.759

Cited by 69 publications

(75 citation statements)

References 16 publications

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“…The analysis conducted in this paper clearly demonstrates unequal utilisation of dental care across income groups of the elderly population: the low-income elderly group appears to be less likely to use dental care services compared with their wealthier counterparts (as reflected by the income gradient in the respective odds ratios of consulting a dentist). Generally, such finding is in line with those previously reported in several studies conducted in developed countries [1,2,4,7,10,[18][19][20]. However, by carefully considering the intricate relationship between individuals' incomes and the density of dental practitioners, results indicate that the higher the density of dental practitioners is the lower the role of income would be.…”

Section: Discussionsupporting

confidence: 91%

Density of dental practitioners and access to dental care for the elderly: A multilevel analysis with a view on socio-economic inequality

et al. 2011

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Section: Discussionsupporting

confidence: 91%

Density of dental practitioners and access to dental care for the elderly: A multilevel analysis with a view on socio-economic inequality

et al. 2011

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“…In the United States, it is more common for older adults to pay for dental services themselves without the benefit of insurance [9, 18]. Medicare does not cover routine services, and Medicaid provides only limited coverage in certain states; the majority of older adults lose their dental insurance when they retire [9].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Tooth Loss in Older Adults in Rural Colorado

et al. 2015

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The purpose of this paper is to examine factors that are associated with tooth loss in older adults living in the San Luis Valley (SLV), Colorado, which is a rural and large geographical area (roughly the size of Connecticut) that has a large population age 60 years or older. Data used in this manuscript were collected as a part of the SLV Community Health Survey. The analyzed sample included 308 adults over the age of 65 years who completed the survey. Basic descriptive statistics and a series of step-wise binary logistic regression analyses were conducted; the dependent variable was the number of permanent teeth removed because of tooth decay or gum disease. Fifty-two percent of the participants were male, Hispanic participants made up 40 % of the sample and 76 % of the participants had at least a high school education. Tooth loss was significantly associated with older age (OR = 1.09; p = 0.02), lower income (OR = 0.01; p = 0.00), less than high school education (OR = 0.32; p = 0.01), being Hispanic (OR = 2.15; p = 0.05), self-reported fair-poor health status (OR 2.94; p = 0.02), consumption of one or more than one sweet beverage per day (OR = 4.52; p = 0.00), no dental insurance (OR = 4.70; p = 0.01) and length of time since last dental visit (OR = 0.21; p = 0.01). The findings of the present study suggest possible causes for tooth loss in rural adults and underscore the need for in-depth research to study the overall oral health of rural older adults living in SLV.

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“…However, White respondents also had higher levels of income and education, which are associated with greater utilization of dental healthcare services and better dental health. [11][12][13][14] Among minority older adults, Chinese immigrants were more likely to report poor dental health, were less likely to report dental care utilization and dental insurance, and were less satisfied with their dental care compared to all other racial/ethnic groups. These disparities may be related, in part, to significant differences in language fluency.…”

Section: Discussionmentioning

confidence: 99%

Ethnic Disparities in Self-Reported Oral Health Status and Access to Care among Older Adults in NYC

et al. 2011

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There is a growing burden of oral disease among older adults that is most significantly borne by minorities, the poor, and immigrants. Yet, national attention to oral heath disparities has focused almost exclusively on children, resulting in large gaps in our knowledge about the oral health risks of older adults and their access to care. The projected growth of the minority and immigrant elderly population as a proportion of older adults heightens the urgency of exploring and addressing factors associated with oral health-related disparities. In 2008, the

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Dental Insurance Visits and Expenditures Among Older Adults

Abstract: These analyses help to describe the needs of older adults as they cope with diminishing resources as a consequence of retirement, including persons previously accustomed to accessing oral health services with dental insurance.

Cited by 69 publications

References 16 publications

Density of dental practitioners and access to dental care for the elderly: A multilevel analysis with a view on socio-economic inequality

Density of dental practitioners and access to dental care for the elderly: A multilevel analysis with a view on socio-economic inequality

Factors Associated with Tooth Loss in Older Adults in Rural Colorado

Ethnic Disparities in Self-Reported Oral Health Status and Access to Care among Older Adults in NYC

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