Is Accessibility to Dental Care Facilities in Rural Areas Associated with Number of Teeth in Elderly Residents?

Hamano, Tsuyoshi; Takeda, Mitsunobu; Tominaga, Kazumichi; Sundquist, Kristina; Nabika, Toru

doi:10.3390/ijerph14030327

Cited by 28 publications

(26 citation statements)

References 17 publications

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“…It is known that public transport networks are less developed in rural areas than in urban areas, lack of access to dental facilities can be an obstacle to routine dental visit [3,4]. In urban areas it may be more advantageous than rural areas because having no shortages such as remote geographical, low socioeconomic levels, and inadequate access to dental and oral care services, so that urban communities can contribute to oral health or quality of life associated with oral health.…”

Section: Introductionmentioning

confidence: 99%

“…People in rural areas tend to have low incomes, lack of health knowledge, more caries, fewer teeth, have no health insurance coverage, and lower economic conditions for dental care than residents in urban areas. Rural populations are often associated with lower levels of education, and low level of knowledge and poor service utilization [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Relationship Between Health Service Access to Dental Conditions in Urban and Rural Areas in Indonesia

Akbar

Pasinringi

Awang³

2019

Pesqui. bras. odontopediatria clín. integr.

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Objective: To determine relationship between access to dental health services with dental health conditions of adult communities in urban areas represented by Somba Opu and rural districts represented by Patalassang subdistrict in Gowa subdistrict. Material and Methods: This was pilot pathfinder survey, conducted in Gowa District in April 2018 with 420 subjects. Data were collected using a CoHRE questionnaire. Information regarding gender, age and location (rural and urban), transportation (public and private), toothache in past one year, dental treatment in past one year, dental treatment frequency (regular and irregular), smoking, alcohol consumption, routine activity, drugs intake, oral problems, driving car, distance to health facility (near and far) were collected. The number of teeth was dichotomized to less than 20 and 20 or more. Data were analyzed using Chi-square test and the level of significance was set at 5%. Results: In the urban area there was an association between routine activities with dental health conditions (p=0.002). There is no significant association between distance or access to health care facility with dental condition in adult society in urban area (p>0.05). In rural area there is a significant association between distance or access to health care facility with dental condition (p=0.046). Conclusion: There is an association between access to dental health services with dental health conditions of adult communities in urban areas represented by Somba Opu and rural disparities represented by Patalassang subdistrict in Gowa district.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relationship Between Health Service Access to Dental Conditions in Urban and Rural Areas in Indonesia

Akbar

Pasinringi

Awang³

2019

Pesqui. bras. odontopediatria clín. integr.

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“…The observed increases in dental health expenditure could be attributed to the ease of accessibility to dental health facilities. There are geographical and economical barriers to access to dental healthcare facilities in Japan (Hamano et al 2017;Nishide et al 2017). Given the exemption from the copayment and improved accessibility to health facilities, it is reasonable to speculate that both the number of dentists and the evacuation rate were related to dental healthcare expenditure.…”

Section: Discussionmentioning

confidence: 99%

Worsening Health Status among Evacuees: Analysis of Medical Expenditures after the 2011 Great East Japan Earthquake and Nuclear Disaster in Fukushima

Hasegawa

Murakami

Nomura

et al. 2019

Tohoku J. Exp. Med.

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After Fukushima disaster in 2011, the health status of the region's residents deteriorated. We analyzed the health status, care needs, and access to health services among evacuees and non-evacuees using healthcare expenditure (for self-employed and unemployed individuals aged < 75 years) and long-term care expenditure (mainly for individuals aged ≥ 65 years). Fukushima Prefecture was divided into four areas according to their evacuation status: non-EOAs (municipalities that did not include evacuation order areas (EOAs)); EOAs/non-EOAs (municipalities that included both EOAs and non-EOAs); short-term EOAs (municipalities where the EOA designation was lifted in most areas by fiscal year (FY) 2011); and long-term EOAs (municipalities where most EOA designations remained in place until the end of FY 2015). Increases in expenditure on healthcare and long-term care per capita in short-term and long-term EOAs were greater in FY 2015 than the average values in FYs 2008-2010. The increases in expenditure were higher in shortterm and long-term EOAs than those in non-EOAs and EOAs/non-EOAs. The increases in dental health expenditure were attributed to enhanced accessibility to dental health facilities. Furthermore, the evacuations contributed to increases in healthcare and long-term care expenditure, independent of aging and improved accessibly to health facilities. Possible explanations for these increases include the poor health status of the evacuees following the evacuations, reduced availability of informal care provided by family members and neighbors, and reduced patient copayments. The findings highlight the necessity of health promotion among evacuees.

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“…Individuals that cannot afford dental expenses may be more likely to neglect their oral health and avoid regular dental maintenance. In addition, the distance to dental care facilities has also been considered a significant risk factor for tooth loss [15].…”

Section: Discussionmentioning

confidence: 99%

Untitled

2017

Journal of Dentistry & Oral Health

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Objectives: Edentulism is a debilitating condition with a multifactorial etiology, serving as a terminal marker for oral disease. The aim of this study was to examine the risk factors, as well as associated comorbidities, in an edentulous group younger than fifty years of age at the University of Pittsburgh School of Dental Medicine.Methods: Data from the Dental Registry and DNA Repository (DRDR) at the University of Pittsburgh School of Dental Medicine were analyzed and included 5,392 records. Studied risk factors included smoking, hypertension, diabetes mellitus, HIV+ status, depression/psychiatric illness, number of medications being taken, ethnicity, sex, education, employment, and body mass index (BMI). Of the total records, 100 individuals were included in the study for being completely edentulous and younger than fifty years old.Result: Smoking prevalence was 73% among all 100 individuals. Hypertension, diabetes, and HIV+ prevalence were 26%, 13%, and 5%, respectively.41% of 68 individuals reported a current or history of depression/psychiatric illness. Of 67 individuals, 55% reported taking three or more medications, 32.8% reported taking five or more, and 22.4% taking seven or more. Of

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Is Accessibility to Dental Care Facilities in Rural Areas Associated with Number of Teeth in Elderly Residents?

Cited by 28 publications

References 17 publications

Relationship Between Health Service Access to Dental Conditions in Urban and Rural Areas in Indonesia

Relationship Between Health Service Access to Dental Conditions in Urban and Rural Areas in Indonesia

Worsening Health Status among Evacuees: Analysis of Medical Expenditures after the 2011 Great East Japan Earthquake and Nuclear Disaster in Fukushima

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