Older adults’ dependence in activities of daily living: Implications for oral health

Saintrain, Maria Vieira de Lima; Saintrain, Suzanne Vieira; Sampaio, Edgar Gomes Marques; Ferreira, Bruno Souza P; Nepomuceno, Taffarel Canuto; Frota, Mirna Albuquerque; Vieira‐Meyer, Anya Pimentel Gomes Fernandes

doi:10.1111/phn.12529

Cited by 23 publications

(25 citation statements)

References 11 publications

(15 reference statements)

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“…Our findings did not show significant associations between any ADL and having a dentist, though ADLs have been associated with reduced dental utilization in a Japanese sample and poorer oral healthcare outcomes elsewhere . However, we observed an association with two IADLs, that is, needing help with doing light housework (housekeeping) and needing help with transportation, which might reflect respondents’ lack of social support and the absence of easy access to public transportation, respectively.…”

Section: Discussioncontrasting

confidence: 81%

Predictors of having a dentist among older adults in Iowa

Marchini

Reynolds

Caplan

et al. 2020

Comm Dent Oral Epid

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Objectives:Oral health plays an important role in the general well-being of older adults, yet older adults experience unique barriers to dental care. In the United States, almost two-thirds of older adults are dentally uninsured -a reflection of the exclusion of dental benefits from Medicare. The aim of this study was to investigate potential predictors of having a dentist among older adults receiving services funded through the Iowa Department on Aging (IDA).Methods: This was a cross-sectional analysis on a convenience sample (n = 2692) of adults age 65+ who completed a required survey to determine eligibility to receive services from the IDA. Data from questionnaires completed between March and December 2017 were used to generate multivariable logistic regression models that identified predictors of having a dentist. The dependent variable, having a dentist, was gathered by self-report in the survey. Explanatory variables eligible for inclusion in the models included demographic and geographic factors, indicators of access to dental care, and factors related to activities of daily living. Results:Fewer than half (46.2%) of the respondents reported having a dentist. In the final regression model, individuals with dental insurance were more than twice as likely to have a dentist than those without insurance. Conversely, individuals with a tooth/mouth problem and who need help with housekeeping and with transportation were significantly less likely to have a dentist than their counterparts. Conclusions:These results align with known insurance-related barriers and identify certain activities of daily living that might influence older adults' ability to access care. The finding that individuals with oral health problems were less likely to have a dentist underscores the need to reduce barriers to care for this population. K E Y W O R D Saccess, dental services research, geriatrics

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Section: Discussioncontrasting

confidence: 81%

Predictors of having a dentist among older adults in Iowa

Marchini

Reynolds

Caplan

et al. 2020

Comm Dent Oral Epid

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“…Studies of older people have reported associations between oral function and physical or psychological factors, such as nutritional status, physical function, mental function, cognitive function and living function . In contrast, social and environmental factors, such as the association between the number and frequency of social participation and the number of remaining teeth, FGO and oral health awareness, maximal tongue pressure and leisure activities and networks with neighbors, have also been reported, but few reports have focused on oral function and FGO.…”

Section: Discussionmentioning

confidence: 99%

Association between decrease in frequency of going out and oral function in older adults living in major urban areas

Mikami

Watanabe

Motokawa

et al. 2019

Geriatrics Gerontology Int

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Aim To examine the association between a decrease in the frequency of going out and oral function in independent older adults living in the urban area of Tokyo. Methods The participants analyzed were 785 older adults from the “Takashimadaira Study” (344 men and 441 women, age 77.0 ± 4.6 years). This study investigated the following items: decrease in frequency of going out; basic characteristics (sex, age); physical factors, such as oral function (difficulty chewing, difficulty swallowing, dry mouth); body pain; the Japan Science and Technology Agency Index of Competence; physical activities; psychological factors, such as the Geriatric Depression Scale‐15 score; and social and environmental factors, such as the presence or absence of participation in organization activities. Results To investigate the factors associated with a decrease in frequency of going out, logistic regression analysis showed an association with age (OR 1.08, 95% CI 1.03–1.13), difficulty chewing (OR 2.41, 95% CI 1.52–3.83), dry mouth (OR 1.68, 95% CI 1.07–2.64), body pain (OR 1.78, 95% CI 1.14–2.78), Japan Science and Technology Agency Index of Competence scores (OR 0.91, 95% CI 0.84–0.99), physical activities (OR 0.99, 95% CI 0.98–1.00), Geriatric Depression Scale‐15 scores (OR 1.13, 95% CI 1.05–1.21) and organization activities (OR 1.94, 95% CI 1.22–3.07). Covariance structural analyses showed that both “difficulty chewing” and “dry mouth” significantly affected “decrease in frequency of going out.” In addition, decrease in frequency of going out was significantly affected by “ Geriatric Depression Scale‐15 scores” through oral function. Conclusions The relationship between oral function and decrease in frequency of going out was clarified, after the multifaceted factors were adjusted. Geriatr Gerontol Int 2019; 19: 792–797.

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“…This can be because of functional dependency in activities of daily living (ADL) including eating or drinking, brushing teeth, and going to the toilet have implications to oral health. [18] However, it was interesting finding that those who were dependent on care givers to brush their teeth were more likely satisfied with their oral health. This could be either oral health care provided by the staff in the care home were sufficient or the residents have low perceived dental needs due to lack of oral health awareness as they were dependent to the carers for their ADL.…”

Section: Discussionmentioning

confidence: 99%

Oral health status and self-perceived oral health satisfaction among residents in the largest care home in east coast Malaysia and its associated factors: A cross-sectional study

Mohd¹,

Said²,

Yusof³

et al. 2020

J Int Oral Health

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Older adults’ dependence in activities of daily living: Implications for oral health

Abstract: Functional dependence in activities of daily living has implications for the oral health status of older people.

Cited by 23 publications

References 11 publications

Predictors of having a dentist among older adults in Iowa

Predictors of having a dentist among older adults in Iowa

Association between decrease in frequency of going out and oral function in older adults living in major urban areas

Oral health status and self-perceived oral health satisfaction among residents in the largest care home in east coast Malaysia and its associated factors: A cross-sectional study

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