Periodontal health, perceived oral health, and dental care utilization of breast cancer survivors

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.

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Prevalence and Patterns of Dental Care Utilization among US-Born and Non–US Born Hispanics in the Hispanic Community Health Study/Study of Latinos

JDR Clinical & Translational Research ◽

10.1177/2380084420923338 ◽

2020 ◽

pp. 238008442092333

Author(s):

A.A. Akinkugbe ◽

S.E. Raskin ◽

E.E. Donahue ◽

M.E. Youngblood ◽

N.N. Laniado ◽

...

Keyword(s):

Oral Health ◽

Dental Care ◽

Odds Ratio ◽

Health Study ◽

Care Utilization ◽

Dental Visit ◽

Dental Care Utilization ◽

Perceived Need ◽

Hispanic Community ◽

Utilization Patterns

Objectives: Access to routine dental services is important to maintaining good oral health. The aims of this study were to describe the dental care utilization patterns of a diverse group of Hispanic/Latino men and women and assess differences in dental care utilization by perceived need for dental care and proxy measures of acculturation. Methods: Data from 13,792 participants of the Hispanic Community Health Study were analyzed with SAS 9.4. Time since last dental visit was dichotomized into <1 and ≥1 y. Acculturation measures included the language and social subscales of the Short Acculturation Scale for Hispanics, the Multiethnic Study of Atherosclerosis nativity subscore, and immigrant generation. Survey logistic regression adjusted for demographic (age and sex) and health-related variables, estimated associations among perceived need for dental care, acculturation measures, and dental care utilization. Results: About a quarter (23%) of the participants were born in the 50 US states, excluding territories, while 77% were non–US born. Overall, 74% perceived a need for dental care. Upon covariate adjustment, perceiving a need for dental care was associated with reduced odds of reporting a past-year dental visit (odds ratio, 0.32; 95% CI, 0.28 to 0.37), while there appeared to be no meaningful association between proxy measures of acculturation and past-year dental visit. Having health insurance was significantly associated with a past-year dental visit (odds ratio, 2.23; 95% CI, 1.99 to 2.49) for all groups combined and among the different Hispanic/Latino background groups. Conclusions: Acculturation affects general health and contributes to general health disparities; however, its role in dental care utilization remains questionable. Given that acculturation is a process that occurs over several years, longitudinal studies that evaluate oral health trajectories along the acculturation continuum are needed. Knowledge Transfer Statement: The results of this study are valuable for dental public health program planning and implementation for minority groups, as it describes the varying patterns of dental care utilization among US-born and non–US born Hispanics/Latinos and identifies factors that may partly explain dental care utilization patterns, such as acculturation.

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Exploring associations between oral health and frailty in community-dwelling older people

Journal of Frailty & Aging ◽

10.14283/jfa.2020.55 ◽

2020 ◽

pp. 1-7

Author(s):

B. Everaars ◽

K. Jerković – Ćosić ◽

N. Bleijenberg ◽

N.J. de Wit ◽

G.J.M.G. van der Heijden

Keyword(s):

At Risk ◽

Oral Health ◽

Older People ◽

Dental Care ◽

Community Dwelling ◽

Care Utilization ◽

Emergency Visit ◽

Dental Care Utilization ◽

Community Dwelling Older People ◽

Dental Emergency

Background: In frail older people with natural teeth factors like polypharmacy, reduced salivary flow, a decrease of oral self-care, general healthcare issues, and a decrease in dental care utilization contribute to an increased risk for oral complications. On the other hand, oral morbidity may have a negative impact on frailty. Objective: This study explored associations between oral health and two frailty measures in community-dwelling older people. Design: A cross-sectional study. Setting: The study was carried out in a Primary Healthcare Center (PHC) in The Netherlands. Participants: Of the 5,816 persons registered in the PHC, 1,814 persons were eligible for participation at the start of the study. Measurements: Two frailty measures were used: 1. Being at risk for frailty, using Electronical Medical Record (EMR) data, and: 2. Survey-based frailty using ‘The Groningen Frailty Indicator’ (GFI). For oral health measures, dental-record data (dental care utilization, dental status, and oral health information) and self-reported oral problems were recorded. Univariate regression analyses were applied to determine the association between oral health and frailty, followed by age- and sex-adjusted multivariate logistic regressions. Results: In total 1,202 community-dwelling older people were included in the study, 45% were male and the mean age was 73 years (SD=8). Of all participants, 53% was at risk for frailty (638/1,202), and 19% was frail based on the GFI (222/1,202). A dental emergency visit (Odds Ratio (OR)= 2.0, 95% Confidence Interval (CI)=1.33;3.02 and OR=1.58, 95% CI=1.00;2.49), experiencing oral problems (OR=2.07, 95% CI=1.52;2.81 and OR=2.87, 95% CI= 2.07;3.99), and making dietary adaptations (OR=2.66, 95% CI=1.31;5.41 and OR=5.49, 95% CI= 3.01;10.01) were associated with being at risk for frailty and survey-based frailty respectively. Conclusions: A dental emergency visit and self-reported oral health problems are associated with frailty irrespective of the approach to its measurement. Healthcare professionals should be aware of the associations of oral health and frailty in daily practice.

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Abstract PD4-4: Prevalence, health care utilization and costs of concomitant depression among breast cancer survivors

10.1158/1538-7445.sabcs14-pd4-4 ◽

2015 ◽

Author(s):

Diana D Jeffery

Keyword(s):

Breast Cancer ◽

Health Care ◽

Health Care Utilization ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Care Utilization

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PERCEIVED ORAL HEALTH NEEDS AND DENTAL CARE UTILIZATION AMONG PREGNANT WOMEN ATTENDING FAMILY HEALTH FACILITIES IN ALEXANDRIA

Alexandria Dental Journal ◽

10.21608/adjalexu.2020.122844 ◽

2020 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

Sherine Khaled ◽

Susan Saleh ◽

Wafaa Abdelaziz

Keyword(s):

Oral Health ◽

Pregnant Women ◽

Dental Care ◽

Family Health ◽

Health Facilities ◽

Health Needs ◽

Care Utilization ◽

Dental Care Utilization

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Oral health–related quality of life in breast cancer survivors

Supportive Care in Cancer ◽

10.1007/s00520-019-04792-3 ◽

2019 ◽

Vol 28 (1) ◽

pp. 65-71 ◽

Cited By ~ 1

Author(s):

Luísa Comerlato Jardim ◽

Priscila Trindade Flores ◽

Maria do Carmo dos Santos Araújo ◽

Juarez Chiesa ◽

Cristina Machado Bragança de Moraes ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Oral Health ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Dental care utilization in the west of Iran: a cross-sectional analysis of socioeconomic determinants

International Journal of Human Rights in Healthcare ◽

10.1108/ijhrh-06-2016-0008 ◽

2016 ◽

Vol 9 (4) ◽

pp. 235-241 ◽

Cited By ~ 5

Author(s):

Satar Rezaei ◽

Esmail Ghahramani ◽

Mohammad Hajizadeh ◽

Bijan Nouri ◽

Sheno Bayazidi ◽

...

Keyword(s):

Oral Health ◽

Socioeconomic Factors ◽

Dental Care ◽

Care Utilization ◽

Major Public Health Problem ◽

Socioeconomically Disadvantaged ◽

Cross Sectional ◽

Content Type ◽

Factors Affecting ◽

Dental Care Utilization

Purpose Oral health is a major public health problem, both in developed and developing countries. The purpose of this paper is to examine the utilization of dental care and identify the main socioeconomic factors affecting the use of these services in the city of Sanandaj, west of Iran, in 2015. Design/methodology/approach A cross-sectional survey using multistage sampling was conducted to obtain information on the dental care visits of 520 head of households in Sanandaj. A self-administered questionnaire was used to collect data on the utilization of dental visits. Multivariable logistic regression was used to identify the main socioeconomic factors affecting the utilization of dental care in Sanandaj. Findings Results showed that 61.3 percent of the respondents visited a dentist at least once in the last year, of which 45 percent visited dentist for restoration, 27.9 percent had extraction and 10.3 percent had a dental checkup. The average number of dentist visits by respondents was 1.9. Regression results indicated a significant association between socioeconomic factors (e.g. income, educational level and employment status) and utilization of dental care. Originality/value This study suggested that dental care visit was influenced by socioeconomic status of households. Therefore, strategies aimed at improving dental care utilization for socioeconomically disadvantaged households (e.g. dental health insurance) are required to promote oral health among socioeconomically disadvantaged groups.

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