“Seniors only want respect”: designing an oral health program for older adults

Estrada, Ivette; Kunzel, Carol; Schrimshaw, Eric W.; Greenblatt, Ariel Port; Metcalf, Sara S.; Northridge, Mary E.

doi:10.1111/scd.12265

Cited by 4 publications

(8 citation statements)

References 27 publications

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“…In concert with the public health perspective of this review, the present model was adapted from an ecological model on health behavior and education (120) and based on an analysis of findings from systematic reviews of cardiovascular disease and cancer disparities (28,36,56,57,94). Nevertheless, it has also proved useful in contextualizing multilevel influences on oral health disparities, their intervention targets, and the key stakeholders and outcomes that are affected by the devised interventions (44,58,(97)(98)(99)(100)102).…”

Section: Separate Systems Of Oral Health and Medical Care Provisionmentioning

confidence: 99%

“…Moreover, this history forms the background of current disparities and thus is briefly reviewed next (89). Then, a conceptual model for understanding factors that influence disparities in access to care and quality of health care services, by level, is presented (115), along with applications to oral health care per se (44,58,98,101). The following section introduces the life course perspective (14,15), which serves as an organizing framework for the subsequent section that details strategies to reduce disparities in access to oral health care from pregnancy through older adulthood (99).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Disparities in Access to Oral Health Care

Northridge

Kumar²,

Kaur³

2020

Annu. Rev. Public Health

Self Cite

246

198

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In the United States, people are more likely to have poor oral health if they are low-income, uninsured, and/or members of racial/ethnic minority, immigrant, or rural populations who have suboptimal access to quality oral health care. As a result, poor oral health serves as the national symbol of social inequality. There is increasing recognition among those in public health that oral diseases such as dental caries and periodontal disease and general health conditions such as obesity and diabetes are closely linked by sharing common risk factors, including excess sugar consumption and tobacco use, as well as underlying infection and inflammatory pathways. Hence, efforts to integrate oral health and primary health care, incorporate interventions at multiple levels to improve access to and quality of services, and create health care teams that provide patient-centered care in both safety net clinics and community settings may narrow the gaps in access to oral health care across the life course.

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Section: Separate Systems Of Oral Health and Medical Care Provisionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Disparities in Access to Oral Health Care

Northridge

Kumar²,

Kaur³

2020

Annu. Rev. Public Health

Self Cite

246

198

View full text Add to dashboard Cite

show abstract

“…Further barriers, such as characteristics of the care facilities, lack of cooperation of the residents, resistant behaviour of the staff, lack of training, time constraints, are but a few of the various explications which have been put forth for the lack of perseverance and failed outcomes . Most studies have primarily focused on the oral care programme per se, or on the efficacy of specific instruments in providing the oral hygiene . None of the studies have focused on the actual prevalence of these tools amongst the hospitalised elders or for that matter whether the elders are aware of the existence of such tools.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of oral hygiene tools amongst hospitalised elders: A cross‐sectional survey

et al. 2019

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Objective This study aimed to evaluate the prevalence of various oral hygiene tools amongst hospitalised elders and to associate their cognitive status with the prevalence of tools and oral hygiene status. Materials and method Elderly hospitalised participants were included in the study and underwent a brief clinical intra‐oral examination. A semi‐structured questionnaire evaluated the awareness and personal possession of the various oral hygiene tools. Participants’ personal information and various clinical parameters including DMF (T) index, plaque index, CPITN index, denture plaque and calculus index were collected. Mini‐Mental State Examination (MMSE) scores were retrieved from the medical records. Linear regression models were applied for statistical analyses (P < 0.05). Results A total of 100 hospitalised elders (age = 84.5 ± 6.9 years; ♀ = 72, age = 84.9 ± 7.2 years; ♂ = 28, age = 83.3 ± 5.8 years) participated in this study. Awareness was high for manual toothbrush (100%), electric toothbrush (86%), dental floss (79%), interdental brush (44%), interdental stick (55%) and mouthwash (75%), but was low for tongue scraper (9%), while the prevalence of use was 93%, 17%, 27%, 21%, 29%, 39% and 4%, respectively. Linear regression models revealed plaque scores were lower when more hygiene tools were used by the participants (P = 0.0059). Participants with high MMSE scores had lower plaque scores (P = 0.0004) and possessed more oral hygiene tools (P = 0.0203). Conclusion Poor oral hygiene is often noticed in institutionalised elders and might be related to a lack of knowledge about existing oral hygiene tools. These may help optimising oral hygiene, especially in cognitively impaired elders. Oral hygiene tools should be prescribed according to the patient’s need, functional and cognitive status.

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“…Estrada, 2018 24 Affordability, provider and system level supports for patients, for example, public insurance representatives Guo, 2006 43 Costs of medications Kurpas, 2018 51 Affordability (financial resources)…”

Section: Discussionmentioning

confidence: 99%

“…Two reviewers (KS and CC) developed, piloted (and revised, with the addition of fields such as care setting) a data extraction form based on independent extraction by two reviewers (CC and KS) of the the first three available studies. [22][23][24] The following data were then extracted from all studies: study first author; publication date; language; country of study; setting (type of health service, for example, home care); population; definitions of the key concepts of equity, need, access and coverage; each theory or framework's listed domains and definitions, if provided, of factors affecting access to services, and equity of service coverage. All data charting was conducted independently by two reviewers (KS and CC) with inconsistencies resolved by discussion.…”

Section: Data Items and Data Charting Processmentioning

confidence: 99%

Equity in healthcare access and service coverage for older people: a scoping review of the conceptual literature

Sworn

Tsuchiya

Maden

et al. 2022

Integrated Healthcare Journal

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There is currently no global review of the conceptual literature on the equity of healthcare coverage (including access) for older people. It is important to understand the factors affecting access to health and social care for this group, so that policy and service actions can be taken to reduce potential inequities. A scoping review of published and grey literature was conducted with the aim of summarising how health and social care service access and coverage for older people has been conceptualised. PubMed, MEDLINE, PsycINFO, CINAHL, Web of Science, SciELO, LILACS, BIREME and Global Index Medicus were searched. Selection of sources and data charting were conducted independently by two reviewers. The database searches retrieved 10 517 citations; 32 relevant articles were identified for inclusion from a global evidence base. Data were summarised and a meta-framework and model produced listing concepts specific to equitable health and social care service coverage relating to older people. The meta-framework identified the following relevant factors: acceptability, affordability, appropriateness, availability and resources, awareness, capacity for decision-making, need, personal social and cultural circumstances, physical accessibility. This scoping review is relevant to the development and specification of policy for older people. It conceptualises those factors, such as acceptability and affordability, that affect an older person’s ability and capacity to access integrated, person-centred health and social care services in a meaningful way. These factors should be taken into account when seeking to determine whether equity in service use or access is being achieved for older people.

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“Seniors only want respect”: designing an oral health program for older adults

Cited by 4 publications

References 27 publications

Disparities in Access to Oral Health Care

Disparities in Access to Oral Health Care

Prevalence of oral hygiene tools amongst hospitalised elders: A cross‐sectional survey

Equity in healthcare access and service coverage for older people: a scoping review of the conceptual literature

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