Dental Care Utilization and Service Needs Among American Indian/Alaska Native/Native Hawaiian Elders: 2008 to 2017

2018 ◽  
Vol 31 (10) ◽  
pp. 1917-1940
Author(s):  
Shawnda Schroeder ◽  
Collette Adamsen ◽  
Cole Ward
Keyword(s):  
Older Adults ◽  
Native American ◽  
American Indian ◽  
Dental Care ◽  
Alaska Native ◽  
Native Hawaiian ◽  
The United States ◽  
Care Utilization ◽  
Dental Care Utilization ◽  
Need For Treatment

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.

scholarly journals Social and Behavioral Factors, Oral Health, and Dental Care Utilization

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 799-800
Author(s):  
Bei Wu ◽  
Stephen Shuman ◽  
Elisa Ghezzi
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Oral Health ◽  
Health Outcomes ◽  
Dental Care ◽  
Care Utilization ◽  
Behavioral Factors ◽  
Dental Care Utilization ◽  
The Impact ◽  
The U.S

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.

scholarly journals Dental Care Utilization Among Caregivers Who Care for Older Adults

2014 ◽  
Vol 37 (4) ◽  
pp. 388-412 ◽  
Author(s):  
Bei Wu ◽  
Huabin Luo ◽  
Elizabeth Flint ◽  
Lu Qin
Keyword(s):  
Older Adults ◽  
Dental Care ◽  
Care Utilization ◽  
Dental Care Utilization

scholarly journals Dental care utilization among North Carolina rural older adults

2012 ◽  
Vol 72 (3) ◽  
pp. 190-197 ◽  
Author(s):  
Thomas A. Arcury ◽  
Margaret R. Savoca ◽  
Andrea M. Anderson ◽  
Haiying Chen ◽  
Gregg H. Gilbert ◽  
...  
Keyword(s):  
Older Adults ◽  
North Carolina ◽  
Dental Care ◽  
Care Utilization ◽  
Dental Care Utilization ◽  
Rural Older Adults

scholarly journals Wealth effect and dental care utilization in the United States

2012 ◽  
Vol 72 (3) ◽  
pp. 179-189 ◽  
Author(s):  
Richard J. Manski ◽  
John F. Moeller ◽  
Haiyan Chen ◽  
Patricia A. St. Clair ◽  
Jody Schimmel ◽  
...  
Keyword(s):  
United States ◽  
Dental Care ◽  
Wealth Effect ◽  
The United States ◽  
Care Utilization ◽  
Dental Care Utilization

scholarly journals The Influence of Changes in Dental Care Coverage on Dental Care Utilization Among Retirees and Near-Retirees in the United States, 2004–2006

2011 ◽  
Vol 101 (10) ◽  
pp. 1882-1891 ◽  
Author(s):  
Richard J. Manski ◽  
John F. Moeller ◽  
Patricia A. St Clair ◽  
Jody Schimmel ◽  
Haiyan Chen ◽  
...  
Keyword(s):  
United States ◽  
Dental Care ◽  
The United States ◽  
Care Utilization ◽  
Dental Care Utilization

scholarly journals Tribal child welfare practice in the United States

Social Work ◽  
2020 ◽  
Author(s):  
Lisa Byers ◽  
Dallas Pettigrew
Keyword(s):  
United States ◽  
Native American ◽  
Child Welfare ◽  
American Indian ◽  
Alaska Native ◽  
The United States ◽  
Welfare Programs ◽  
Federal Policies ◽  
State Compliance ◽  
Tribal Nations

Tribal child welfare in what is now the United States encompasses hundreds of tribal nations engaged in a government-to-government relationship with the United States. Please note that tribal, native, American Indian and Alaska Native, and Native American are used interchangeably. Each tribe has distinct languages and customs. Within this diversity the factors that bind tribal nations to make a discussion of tribal child welfare meaningful are communal childrearing, colonization, trauma, contemporary disparities, sovereign status, and detrimental federal policies. Communal cultures provide children with multiple caregivers that assure the youngest are cared for daily. This web of relations combined with high levels of respect for children within the life cycle guarded against abuse and neglect prior to colonization. The establishment of the United States, and federal-level assimilation policies created immense trauma and cultural disruption for tribal nations and child welfare. Government-funded boarding schools and the practice of placing tribal children in non-native homes are two specific assimilation practices that explicitly targeted children. The ability of tribal nations to protect their children and maintain their cultures has been strengthened by a federal law designed to give tribal nation’s a stake in child welfare proceedings. Many tribes now have their own child welfare programs, courts, and other services. State compliance with the law is an ongoing issue. Increased collaboration, respect for the sovereign status of tribes, and evaluation with clear implications for noncompliance needs to ensue are necessary to fully empower tribal child welfare. In addition, truth and reconciliation related to the separation of children from family and culture based on past federal policy practices is necessary to foster communal and generational healing for American Indian and Alaska Native peoples.

scholarly journals The Impact of Expanded Insurance Coverage of Dental Prosthetic Services on Dental Care Utilization Among Older Adults in South Korea: Based on the Korean Health Panel Survey.

2020 ◽  
Author(s):  
Jin-Sun Choi ◽  
Se-Hwan Jung
Keyword(s):  
Older Adults ◽  
Dental Implants ◽  
Dental Implant ◽  
Dental Care ◽  
Statistical Significance ◽  
Insurance Coverage ◽  
Care Utilization ◽  
Sociodemographic Characteristics ◽  
Dental Care Utilization ◽  
The Impact

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

Impact of race on incidence and survival from colorectal cancer in young adults in the United States.

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 62-62
Author(s):  
Dhruvika Mukhija ◽  
Sajan Nagpal
Keyword(s):  
Colorectal Cancer ◽  
Older Adults ◽  
Young Adults ◽  
American Indian ◽  
Alaska Native ◽  
The United States ◽  
Tumor Location ◽  
Asian Pacific ◽  
The Impact ◽  
White Patients

62 Background: Multiple studies have reported an increasing incidence of colorectal cancer (CRC) in young( < 45 years)adults.However, the impact of race on the incidence, tumor location and survival in adults < 45 years with CRC has not been explored. Methods: Using Surveillance,Epidemiology and End Results database,we identified patients with CRC and abstracted data on patient demographics,tumor location and survival between 1973-2014, and compared these variables in patients 18-44 years with those > 45 years. Cases where CRC was not the first/only malignancy were excluded.Categorical variables were compared using the Chi-square test and overall survival was analyzed using Kaplan-Meier method. Results: Overall, 453,019 patients were included (27, 352 < 45,and 425,667 >45 years). 81.7% among those > 45 years were caucasian, as compared to 74.3% < 45 years of age. Among those < 45, 14.3% were black, 10.3% were Asian/Pacific Islander (API) and 1.1% were American Indian/Alaska Native (compared to 10.1%, 7.5% and 0.6% respective in adults > 45) (p < 0.0001*) (Table). 73.1% of those < 45 had left sided disease (descending, sigmoid colon and rectum) as compared to 60.1% in those > 45 (p < 0.0001*).Survival was poorer for non-white patients (black, API and AI) (94 months, 95%CI 90-100) as compared to white patients (153 months, 95%CI 145-161) overall, and individually for the < 45 and >45 years subgroups as well. Conclusions: Racial distribution in patients with CRC differs significantly among patients < 45 as compared to older adults,with incidence in young American Indian/Alaska Natives approaching 2 times that of older adults,and 1.5 times in young Blacks and Asian/Pacific Islanders.Non-white races have poorer survival across all age groups.With rates of CRC rising sharply in young adults, underlying reasons for these differences require further investigation to better channelize efforts for education and screening. [Table: see text]

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