Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999–2008

Wu, Bei; Liang, Jersey; Luo, Huabin; Furter, Robert T.

doi:10.3389/fpubh.2013.00065

Cited by 25 publications

(31 citation statements)

References 27 publications

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“…In an unadjusted analysis, lower OHL was found in racial minorities, those with lower education, unemployed or disabled individuals, single individuals, and those without a regular source of primary care or without dental insurance. These results are not surprising given that disparities among racial and ethnic minorities, men, low-income, and uninsured individuals are well documented [11,12,13,14,15,16,17,18,19]. Prior studies have reported on the effectiveness of educational interventions for improving oral health [31].…”

Section: Discussionmentioning

confidence: 95%

Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population

Henderson

Dalawari

Fitzgerald

et al. 2018

IJERPH

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To examine the association between oral health literacy (OHL) with sociodemographic variables and dental visitation in adults presenting to an urban emergency department (ED). Methods: This was a cross-sectional study of a convenience sample of 556 adults aged 18–90. Interview data from the study were used to collect self-reported sociodemographic characteristics and dental visitation history. The OHL of the study participants was measured using the Health Literacy in Dentistry scale (HeLD-14), and the score was dichotomized into low and high OHL. Bivariate associations between sociodemographic variables and OHL were conducted using chi-square tests, and logistic regression was used to examine the association between OHL and dental visitation within the past year. Results: Sixty percent of participants reported having visited a dentist within the past year. Over two-thirds of the sample was classified as having low OHL. Low OHL was more common in non-White races, less-educated, single, unemployed, and lower-income individuals, and those without a primary care physician or dental insurance (p < 0.05). Patients with low oral health literacy were 39% less likely to have visited the dentist in the past year (OR = 0.61; 95% CI 0.38, 0.96). Conclusions: This study highlights significant disparities in OHL. Interventions targeted toward the unique needs of underserved populations should be developed to improve health outcomes.

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Section: Discussionmentioning

confidence: 95%

Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population

Henderson

Dalawari

Fitzgerald

et al. 2018

IJERPH

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“…Despite the limitations, the current study went beyond that of prior research by including a reliable dental insurance variable while the previous studies used medical insurance as a proxy for dental insurance [12,30]. It is found that using medical insurance in place of dental insurance will lead to inaccurate results since private medical insurance does not cover dental care [12].…”

Section: Discussionmentioning

confidence: 97%

Racial/Ethnic Disparity in Utilization of General Dental Care Services Among US Adults: Medical Expenditure Panel Survey 2012

Zhang

2015

J. Racial and Ethnic Health Disparities

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Objective The objective of this study was to examine racial/ ethnic disparity and associated factors in general dental care utilization among US adults. Methods Data were adults 18-85 years old (N = 27,394) from the 2012 Medical Expenditure Panel Survey (MEPS). The outcome was the receipt of general dental care, measured by (1) whether the individual has ever had a general dental visit and (2) the number of general dental visits the individual has had during the past year. Race/ethnicity was the primary interest. Logistic regressions and negative binomial regressions were conducted using STATA version 12 to assess the effect of race/ethnicity on the receipt of general dental care both independently and adjusted for other demographic and socioeconomic factors. Results Non-Hispanic blacks (odds ratio (OR) 0.39, 95 % confidence intervals (CI) 0.37-0.43), Hispanics (0.34, 0.43-0.37), and other minorities (0.61, 0.56-0.68) were less likely to report general dental visits both independently and adjusted for other demographic and socioeconomic factors, compared with non-Hispanic whites. General dental visits were more likely to be observed among individuals who were female, married, native speakers, living in a metropolitan statistical area, and with dental insurance, and the number of visits was increasing with age, educational level, and family income. Conclusion The race/ethnicity disparity in the utilization of general dental care still existed. Policy makers and dental care providers should promote dental insurance coverage and language support programs, and increase the diversity of dental professionals among minorities to encourage their visits to dentists.

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“…In general terms, research focused on the accessibility of oral health services in Colombia and developing countries are scarce (de la Fuente-Hernández et al, 2010;Matos & Lima-Costa, 2007;Pilger et al, 2011;Wu et al, 2013). Studies conducted in Brazil found that the elderly tend to seek out oral health services in low frequency (Matos & Lima-Costa; Pilger et al).…”

Section: Discussionmentioning

confidence: 99%

Use of Oral Health Services in Elderly Population in Colombia: Paradoxes and Controversies

Agudelo‐Suárez

Vivares-Builes

Posada-López

et al. 2015

Int. J. Odontostomat.

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AGUDELO-SUÁREZ, A. A.; VIVARES-BUILES, A. M.; POSADA-LÓPEZ, A.; SÁNCHEZ-PATIÑO, D. & MENESES-GÓMEZ, E. J. Use of oral health services in elderly population in Colombia: Paradoxes and controversies. Int. J. Odontostomat., 9(1):5-11, 2015. ABSTRAβ-β-CT:This study aims to analyze the prevalence of use of oral health services in elderly population in Colombia according to selected socio-demographic and health outcomes. Cross-sectional analysis with information for 2650 subjects ≥ 65 years provided by the 2007 National Public Health Survey. Variables: Use of oral health services, selfrated health, oral health problems, oral pain, dental caries, gum bleeding, sex, educative level and ethnic origin. Multivariate Logistic regressions were conducted for the use of health services and different demographic and health variables by means of Odds Ratio (OR), and 95% Confidence Intervals (95%CI). Analyses were conducted separately for men (M) and women (W). Logistic regression analysis showed that women with university studies (aOR 21.76; 95% CI 9.72-48.73), with dental problems (aOR 3.29; 95% CI 2.26-4.77), specifically gum bleeding (aOR 4.91; 95% CI 1.88-12.80) and men with dental caries (aOR 8.22; 95% CI 4.11-14.41) were more likely to report the recent use of oral health services. Use of oral health services is higher in people belonging to minority groups, but no statistically significant differences were found. Differences in the usage profile for elderly people were found according to socio-demographic and health variables. More research is needed in order to explain some controversial results. KEY WORDS: oral health, dental health services, health services accessibility, health inequalities. AGUDELO-SUÁREZ, A. A.; VIVARES-BUILES, A. M.; POSADA-LÓPEZ, A.; SÁNCHEZ-PATIÑO, D. & MENESES-GÓMEZ, E. J. Use of oral health services in elderly population in Colombia: Paradoxes and controversies. Int. J. Odontostomat., 9(1):5-11, 2015. AGUDELO-SUÁREZ, A. A.; VIVARES-BUILES, A. M.; POSADA-LÓPEZ, A.; SÁNCHEZ-PATIÑO, D. & MENESES-GÓMEZ, E. J. Use of oral health services in elderly population in Colombia: Paradoxes and controversies. Int. J. Odontostomat., 9(1):5-11, 2015. AGUDELO-SUÁREZ, A. A.; VIVARES-BUILES, A. M.; POSADA-LÓPEZ, A.; SÁNCHEZ-PATIÑO, D. & MENESES-GÓMEZ, E. J. Use of oral health services in elderly population in Colombia: Paradoxes and controversies. Int. J. Odontostomat., 9(1):5-11, 2015.

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Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999–2008

Cited by 25 publications

References 27 publications

Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population

Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population

Racial/Ethnic Disparity in Utilization of General Dental Care Services Among US Adults: Medical Expenditure Panel Survey 2012

Use of Oral Health Services in Elderly Population in Colombia: Paradoxes and Controversies

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