Oral and dental health and health care for Māori with type 2 diabetes: A qualitative study

Reid, Jennifer; Koopu, Pauline; Burkhardt, Natalie; Stewart, Tereki; Anderson, Anneka; Harwood, Matire

doi:10.1111/cdoe.12501

Cited by 8 publications

(6 citation statements)

References 34 publications

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“…Older adults suffering from morbidities like diabetes and hypertension were found to have more tooth related problems compared to those not reporting the disease. Studies exploring the association of diabetes with dental care emphasized oral health assessment (27,41). A study by Kudpi et al,(42) on 211 older adult patients revealed that most of the patients with tooth loss were diabetic and hypertensive.…”

Section: Discussionmentioning

confidence: 99%

Tooth Problem and its Treatment-seeking Behavior among Older Adults in India

Srivastava¹,

Kumar²,

Sinha³

et al. 2021

Preprint

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Background: Growing untreated morbidities among the older adults on geriatric issues especially an optimal dental treatment has become an unfinished agenda and a long-neglected area for care and management in many low and middle-income countries. There is a continuous rise in the older population in India and at the same time, the rising of co-morbidities or multi-morbidities in the aging population creates catastrophic challenges at the individuals, household, community, and country levels, and therefore, it is important to address dental health problems and related issues in the aged population in India. The present study is an attempt to understand the prevalence of tooth related problems and their health-seeking behavior among the older adults in India.Methods: The present research used data from Building a Knowledge Base on Population Aging in India (BKPAI) which was a national level survey and was conducted in 2011, across seven states of India. The effective sample size of this study was 9541 older adults aged 60+ years. Descriptive statistics and bivariate analysis were used to fulfill the study objectives. Additionally, the study employed the Heckprobit selection model which is a two-equation model to understand the determinants of dental health problems.Results: Older adults in the age group of 70-79 years (36.9%) and 80+ years (51.9%) reported higher dental problems compared to 60-69 years (19.9%). Moreover, older women reported more dental problems (29.2%) and also used more dental aids (12.6%) compared to older men. Older adults in the age group 70-79 and 80+ years were 0.15 times and 0.40 times less likely to use dental aids respectively, as compared to 60-69 years older adults. Moreover, older women were 0.28 times more likely to use dental aids than older men. Education and wealth of older adults have a negative relationship with dental problems.Conclusion: This study clearly emphasized that awareness of tooth related problems should be promoted vigorously. Further, a holistic approach is needed to prevent dental diseases that occur because of other co-morbidities. For that, integration of the oral health program with programs dealing with morbidities can act as a solution to the existing problem.

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Section: Discussionmentioning

confidence: 99%

Tooth Problem and its Treatment-seeking Behavior among Older Adults in India

Srivastava¹,

Kumar²,

Sinha³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Elderly suffering from morbidities like diabetes and hypertension were found to be having more dental problems compared to those not reporting the disease. Studies exploring the association of diabetes with dental care emphasized oral health assessment (26,40). A study by Kudpi et al, (44) on 211 elderly patients revealed that most of the patients with tooth loss were diabetic and hypertensive.…”

Section: Discussionmentioning

confidence: 99%

Oral Health Matters- Tooth Problem and its Treatment-seeking Behaviour Among Older Adults in India

Srivastava¹,

Kumar²,

Sinha³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Growing untreated morbidities among the older adults on geriatric issues especially an optimal dental treatment has become an unfinished agenda and a long-neglected area for care and management in many low and middle-income countries. There is a continuous rise in the older population in India and at the same time, the rising of co-morbidities or multi-morbidities in the aging population creates catastrophic challenges at the individuals, household, community, and country levels, and therefore, it is important to address dental health problems and related issues in the aged population in India. The study aims to understand the prevalence of dental health problems and their health-seeking behaviour among older adults in India. Further, the study determines the factors associated with low access and under-coverage of dental health care services among the elderly populations in IndiaMethods: The present research used data from Building a Knowledge Base on Population Aging in India (BKPAI) which was a national level survey and was conducted in 2011, across seven states of India. The effective sample size of this study was 9541 older adults aged 60+ years. Descriptive statistics and bivariate analysis were used to fulfill the study objectives. Additionally, the study employed the Heckprobit selection model which is a two-equation model to understand the determinants of dental health problems.Results: Older adults in the age group of 70-79 years (36.9%) and 80+ years (51.9%) reported higher dental problems compared to 60-69 years (19.9%), older women reported more dental problems (29.2%) and also used more dental aids (12.6%) compared to older men. Older adults in the age group 70-79 and 80+ years were 0.15 times and 0.40 times less likely to use dental aids respectively, as compared to 60-69 years older adults. Moreover, older women were 0.28 times more likely to use dental aids than older men. Education and wealth of older adults have a negative relationship with dental problems.Conclusion: This study clearly emphasized that awareness of smoking-related health problems should be promoted vigorously. Further, a holistic approach is needed to prevent dental diseases that occur because of other co-morbidities. For that, integration of the oral health program with programs dealing with morbidities can act as a solution to the existing problem.

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“…A correlation between periodontitis severity and future increases in medical care costs was found among older Japanese (198). Adults with DM consistently have fewer regular dental checkups than their non-DM peers (22,(199)(200)(201)(202)(203)(204)(205)(206)(207)(208) with between 25 and 60% having had a dental visit the last year. Nonetheless, patients with DM who do receive dental care experience incremental higher costs for more complex treatment and restoration of missing teeth rather than preventive visits (203).…”

Section: Dental Treatment Reduces Healthcare-related Costs In Diabetesmentioning

confidence: 97%

Diabetes and Oral Health: Summary of Current Scientific Evidence for Why Transdisciplinary Collaboration Is Needed

Borgnakke

Poudel

2021

Front. Dent. Med

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This Perspective provides a brief summary of the scientific evidence for the often two-way links between hyperglycemia, including manifest diabetes mellitus (DM), and oral health. It delivers in a nutshell examples of current scientific evidence for the following oral manifestations of hyperglycemia, along with any available evidence for effect in the opposite direction: periodontal diseases, caries/periapical periodontitis, tooth loss, peri-implantitis, dry mouth (xerostomia/hyposalivation), dysbiosis in the oral microbiome, candidiasis, taste disturbances, burning mouth syndrome, cancer, traumatic ulcers, infections of oral wounds, delayed wound healing, melanin pigmentation, fissured tongue, benign migratory glossitis (geographic tongue), temporomandibular disorders, and osteonecrosis of the jaw. Evidence for effects on quality of life will also be reported. This condensed overview delivers the rationale and sets the stage for the urgent need for delivery of oral and general health care in patient-centered transdisciplinary collaboration for early detection and management of both hyperglycemia and oral diseases to improve quality of life.

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Oral and dental health and health care for Māori with type 2 diabetes: A qualitative study

Cited by 8 publications

References 34 publications

Tooth Problem and its Treatment-seeking Behavior among Older Adults in India

Tooth Problem and its Treatment-seeking Behavior among Older Adults in India

Oral Health Matters- Tooth Problem and its Treatment-seeking Behaviour Among Older Adults in India

Diabetes and Oral Health: Summary of Current Scientific Evidence for Why Transdisciplinary Collaboration Is Needed

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