scholarly journals Dental care utilization among older adults with cognitive impairment in the USA

2014 ◽  
Vol 15 (3) ◽  
pp. 255-260 ◽  
Author(s):  
Kyung Hee Lee ◽  
Bei Wu ◽  
Brenda L Plassman
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 799-800
Author(s):  
Bei Wu ◽  
Stephen Shuman ◽  
Elisa Ghezzi

Abstract Oral health status and dental care utilization is strongly associated with social and behavioral factors and health outcomes. The five papers in this symposium address how several of these factors affect oral health and dental care among diverse groups of older adults. Using data from the Health and Retirement Study, the first paper examined the impact of early childhood disadvantages on oral health in later life among adults age 51 and above in the U.S. The second paper used large-scale epidemiological data that addressed the relationship between acculturation and subsequent oral health problems. It also tested the moderating role of neighborhood disorder in such a relationship among older Chinese Americans. The third paper demonstrated the importance of examining different pathways among foreign-born and native-born Chinese older adults with regard to offspring’s support on their oral health outcomes. While increasing evidence shows that cognitive function is associated with oral health, limited studies have been conducted to examine the impact of cognitive impairment, e.g., Alzheimer’s Disease (AD) and related dementias (RD), on dental care utilization and costs in older adults. The fourth paper aimed to address this knowledge gap. Results showed that AD and RD had different impacts on different types of dental care utilization and costs. The fifth paper further displayed that individuals with cognitive impairment face a significant challenge in handling dental-related medications. This symposium provides policy and clinical implications on improving oral health and dental care utilization among older adults in the U.S. Oral Health Interest Group Sponsored Symposium.


2014 ◽  
Vol 37 (4) ◽  
pp. 388-412 ◽  
Author(s):  
Bei Wu ◽  
Huabin Luo ◽  
Elizabeth Flint ◽  
Lu Qin

2012 ◽  
Vol 72 (3) ◽  
pp. 190-197 ◽  
Author(s):  
Thomas A. Arcury ◽  
Margaret R. Savoca ◽  
Andrea M. Anderson ◽  
Haiying Chen ◽  
Gregg H. Gilbert ◽  
...  

2018 ◽  
Vol 31 (10) ◽  
pp. 1917-1940
Author(s):  
Shawnda Schroeder ◽  
Collette Adamsen ◽  
Cole Ward

Objective: This study describes trends in self-reported dental care utilization and services needed among American Indian/Alaska Native/Native Hawaiian (AI/AN/NH) elders 2008 to 2017, including demographic and socioeconomic variability. Method: Researchers utilized data from the Survey of Elders administered by the National Resource Center on Native American Aging, representing all regions of the United States and 262 tribes. Data were analyzed comparing means over time and between/within groups. Results: Between April 2008 and March 2017, there was a statistically significant ( p < .001) increase in the proportion of older adults who visited a dentist and an increase in need for treatment. A smaller proportion of older adults reported need for treatment among those who were privately insured, high income, had no tobacco use, were employed, and had visited a dental professional in the last year. Discussion: These findings highlight current dental needs among tribal elders while also identifying elders at greater risk of poor oral health.


2020 ◽  
Author(s):  
Jin-Sun Choi ◽  
Se-Hwan Jung

Abstract Background: In Korea, the National Health Insurance Service (NHIS) began its coverage of dentures and dental implants for older people in 2012 and 2014, respectively. This study aimed to investigate the impact of these policies on dental care utilization among people aged 65 years or older according to their sociodemographic characteristics. Methods: Data was collected from the Korea Health Panel (KHP; years 2012 and 2015). The statistical significance of the relationships between sociodemographic characteristics and use of outpatient dental care, denture, and dental implant were analyzed. Results: Results showed an increase of 5.7%, 1.4%, and 2.8% for use of outpatient dental care, denture, and dental implant, respectively, over the course of three years. Including dentures increased its use by 2.5–3.7 times among people aged 70 years or older. Including dental implants alleviated the disparities among age groups and duration of education, except among uneducated people; however, it caused inequity according to household income. Conclusions: Thus, some Korean older adults remain neglected from the benefits of the expanded NHIS; the NHIS should aim for the provision of universal health coverage, and older adults’ access to dental care should be enhanced by the implementation of policies to promote oral health care utilization, Dental prosthetic services, Older adults, Insurance coverage


2019 ◽  
Vol 47 (4) ◽  
pp. 283-290 ◽  
Author(s):  
Mengxia Chen ◽  
Casey D. Wright ◽  
Oluwabunmi Tokede ◽  
Alfa Yansane ◽  
Alexander Montasem ◽  
...  

2014 ◽  
Vol 145 (2) ◽  
pp. 150-158 ◽  
Author(s):  
Wonik Lee ◽  
Seok-Joo Kim ◽  
Jeffrey M. Albert ◽  
Suchitra Nelson

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S606-S606
Author(s):  
Yanyan Wu ◽  
Wei Zhang ◽  
Bei Wu

Abstract Oral health is an essential part of staying healthy. Neglect of dental care may lead to tooth decay/ loss, poor nutrition, and affects individuals’ quality of life. Over the past decades, dental care utilization has risen considerably, however, racial/ethnic and socioeconomic disparities still persist in the U.S. Additionally, poor oral health is a contributing factor to, and a consequence of chronic diseases such as cognitive impairment, diabetes and cardiovascular disease. Faced with the complex and intertwined health and social challenges, it’s imperative to understand the disparities of dental care utilization and the relationships among oral health and chronic diseases so that effective policies and preventions can be implemented to improve quality of care. In this symposium, we present findings for older adults from diverse racial/ethnic populations in the U.S. We begin with results from two national-wide trend analyses: a 15-year review of dental care utilization and the evaluation of dental care performance over a 16-year period in nursing homes. The next study presents the barriers of dental care utilization in Hawaii. Finally, we present results of the negative effects of diabetes and poor oral health on cognitive function. Our studies address the disparities of dental care utilization among minority and under-represented ethnic groups as well as the connections between oral health and chronic conditions. Our results are helpful in educating policy makers and health practitioners about how to improve dental care and how dental care can be effectively integrated into chronic disease prevention and health promotion activities.


Sign in / Sign up

Export Citation Format

Share Document