Predictors of having a dentist among older adults in Iowa

Marchini, Leonardo; Reynolds, Julie C.; Caplan, Daniel J.; Sasser, Shan; Russell, Carlene

doi:10.1111/cdoe.12521

Cited by 9 publications

(10 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Third, in contrast to other studies involving older adults, we found evidence that users of the public health system present a higher prevalence of utilisation of dental services in the previous year 33,37,39,46,50 . Higher FHS coverage was also associated with greater rates of utilisation of dental services in the previous year.…”

Section: Discussioncontrasting

confidence: 99%

Factors associated with utilisation of dental services by the elders from São Paulo, Brazil

et al. 2020

View full text Add to dashboard Cite

Background: Population ageing in Brazil is rapid and is likely to place additional pressure over the Brazilian public health system. Objective: This study aims to examine the factors associated with utilisation of dental services in the previous year among a representative sample of older adults from São Paulo, Brazil. Methods: The sample included 5951 older adults who participated in the SBSP-15 study, an epidemiological survey conducted in 2015 in the State of São Paulo, Brazil.The outcome "utilisation of dental services" was defined as having visited a dentist in the previous year. Chi-square tests were employed in the bivariate analyses and Poisson regressions with robust variance in the multilevel analysis.Results: Only 30.5% of the participants had their last dental appointment within the previous year. Number of teeth and dental pain presented the strongest effects on the investigated outcome. Education, income, age, ethnicity, living alone, higher Family Health Strategy coverage and the Metropolitan area were associated with having visited a dentist in the previous year. Older adults who rated their oral health as positive did not report treatment need nor prosthodontic need, presented negative oral health-related quality of life, had their last dental appointment in the public health system and sought treatment due to pain or extraction also were more likely to report the utilisation of dental services in the previous year. Conclusion:Regional, sociodemographic and subjective factors are associated with utilisation of dental services in the previous year among the elders from the State of

show abstract

Section: Discussioncontrasting

confidence: 99%

Factors associated with utilisation of dental services by the elders from São Paulo, Brazil

et al. 2020

View full text Add to dashboard Cite

show abstract

“…ACA also allowed states to expand their Medicaid programs to cover more people with low incomes, and these programs could include reimbursement for dental care [79]. Many US older adults are at risk for poor oral health, which can have a negative impact on their systemic and mental health [80]. Older adults with lower socio-economic status have multiple barriers accessing oral healthcare, which includes transportation, finding a dentist educated in geriatric dentistry who is prepared to care for them, paying for dental care, and a lack of understanding about the availability of financial assistance programs [80].…”

Section: The United Statesmentioning

confidence: 99%

Global Perspectives of Oral Health Policies and Oral Healthcare Schemes for Older Adult Populations

Jiang

Chu

Duangthip

et al. 2021

Front. Oral. Health

Self Cite

View full text Add to dashboard Cite

The aim of this study was to present a concise summary of the oral health policies and oral healthcare schemes for older adult populations in a number of selected countries around the world. In this paper, the current and planned national/regional oral health policies and oral healthcare schemes of nine countries (Australia, Brazil, China including Hong Kong, India, Japan, Switzerland, Thailand, the United Kingdom, and the United States) are reported. Barriers and challenges in oral health promotion in terms of devising oral health policies, implementing oral health schemes, and educating the future dental workforce are discussed. In response to the aging of population, individual countries have initiated or reformed their healthcare systems and developed innovative approaches to deliver oral health services for older adults. There is a global shortage of dentists trained in geriatric dentistry. In many countries, geriatric dentistry is not formally recognized as a specialty. Education and training in geriatric dentistry is needed to produce responsive and competent dental professionals to serve the increasing number of older adults. It is expected that oral health policies and oral healthcare services will be changing and reforming in the coming decades to tackle the enduring oral health challenges of aging societies worldwide.

show abstract

“…These barriers can be grouped as socio-economic, general health and oral health problems [5]. Socio-economic barriers include but are not limited to ageism [6], financial constraints [7], lack of dental insurance [8], lack of social support [7], and being institutionalized [9]. General healthrelated barriers are due to the increased complexity of care caused by the presence of multiple co-morbidities [10], polypharmacy [11], cognitive impairments, such as dementia [12], reduced mobility [8], and impaired manual dexterity [13].…”

Section: Introductionmentioning

confidence: 99%

“…Socio-economic barriers include but are not limited to ageism [6], financial constraints [7], lack of dental insurance [8], lack of social support [7], and being institutionalized [9]. General healthrelated barriers are due to the increased complexity of care caused by the presence of multiple co-morbidities [10], polypharmacy [11], cognitive impairments, such as dementia [12], reduced mobility [8], and impaired manual dexterity [13]. Oral health issues that make dental care more challenging for these persons include xerostomia [11], root caries [14], heavily restored dentitions [14] and inability to maintain oral hygiene independently [14].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 and Geriatric Dentistry: What will be the new-normal?

Marchini

Ettinger

2020

BDS

Self Cite

View full text Add to dashboard Cite

Older adults may face many barriers when accessing oral health care. The most vulnerable groups are people living in long term care institutions and the homebound. These barriers are related but not limited to socio-economic issues, medical and oral health problems. Some socio-economic problems are lack of finances, absence of dental insurance, lack of social support networks, and being institutionalized. Some general health problems are multiple co-morbidities, polypharmacy, dementia, and reduced autonomy. Some oral health problems are having heavily restored dentitions, dry mouth, root caries, and inability to maintain adequate oral hygiene independently. In addition to these existing barriers, many new barriers have arisen which are expected to further reduce access to oral health care for older adults due to the emergence of the COVID-19 pandemic. Older adults are at greater risk of fatal outcomes from COVID-19 infection and many dental procedures have an increased risk of creating aerosols, thereby spreading COVID-19 infection. Consequently, older adults due to fear are less likely to seek or receive oral health care until a treatment or vaccine is developed for COVID-19 infections. In this article, the authors discuss the implications of the COVID-19 pandemic to the practice of geriatric dentistry, and what is expected to be the “new normal” in this field of dentistry. KeywordsAged; COVID-19; Geriatric dentistry; Older adults,;Oral health; SARS-CoV-2.

show abstract

Predictors of having a dentist among older adults in Iowa

Cited by 9 publications

References 35 publications

Factors associated with utilisation of dental services by the elders from São Paulo, Brazil

Factors associated with utilisation of dental services by the elders from São Paulo, Brazil

Global Perspectives of Oral Health Policies and Oral Healthcare Schemes for Older Adult Populations

COVID-19 and Geriatric Dentistry: What will be the new-normal?

Contact Info

Product

Resources

About