Inequalities in Untreated Root Caries and Affordability of Dental Services among Older American Adults

被引:9
作者
Badr, Fatma [1 ,2 ]
Sabbah, Wael [2 ]
机构
[1] King Abdulaziz Univ, Fac Dent, Dept Oral Diagnost Sci, POB 80209, Jeddah 21589, Saudi Arabia
[2] Kings Coll London, Fac Dent Oral & Craniofacial Sci, Dent Publ Hlth, Denmark Hill Campus,2nd Floor Dent Extens, London SE5 9RS, England
关键词
aged; dental care; socioeconomic factors; risk factors; root caries; ORAL-HEALTH; TEETH; DISPARITIES; TRENDS; CARE; AGE;
D O I
10.3390/ijerph17228523
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The growing geriatric population is facing numerous economic challenges and oral health changes. This study explores the relationship between affordability of dental care and untreated root caries among older American adults, and whether that relationship is independent of ethnicity and socioeconomic factors. Data from 1776 adults (65 years or older) who participated in the National Health and Nutrition Examination Survey (NHANES) were analyzed. The association between affordability of dental care and untreated root caries was assessed using logistic regression models. Findings indicated that untreated root caries occurred in 42.5% of those who could not afford dental care, and 14% of those who could afford dental care. Inability to afford dental care remained a statistically significant predictor of untreated root caries in the fully adjusted regression model (odds ratio 2.79, 95% confidence interval: 1.78, 4.39). Other statistically significant predictors were gender (male), infrequent dental visits, and current smoking. The study concludes that the inability to afford dental care was the strongest predictor of untreated root caries among older Americans. The findings highlight the problems with access to and use of much needed dental services by older adults. Policy reform should facilitate access to oral healthcare by providing an alternative coverage for dental care, or by alleviating the financial barrier imposed on older adults.
引用
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页码:1 / 8
页数:8
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