scholarly journals Dental care utilization: examining the associations between health services deficits and not having a dental visit in past 12 months

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
M. Nawal Lutfiyya ◽  
Andrew J. Gross ◽  
Burke Soffe ◽  
Martin S. Lipsky
Keyword(s):  
Health Services ◽  
Dental Care ◽  
Care Utilization ◽  
Dental Visit ◽  
Dental Care Utilization

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

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.

scholarly journals Fatores associados à utilização dos serviços de saúde bucal pela população pediátrica: uma revisão integrativa

2018 ◽  
Vol 23 (5) ◽  
pp. 1561-1576
Author(s):  
Davi Silva Carvalho Curi ◽  
Andreia Cristina Leal Figueiredo ◽  
Silvia Regina Jamelli
Keyword(s):  
Health Services ◽  
Dental Care ◽  
Critical Appraisal ◽  
Health Services Utilization ◽  
Dental Health ◽  
Care Utilization ◽  
Services Utilization ◽  
Dental Health Services ◽  
Dental Care Utilization ◽  
Child Preschool

Resumo O objetivo desta revisão integrativa da literatura foi analisar estudos publicados entre 2006-2016, disponibilizados em português, inglês ou espanhol, sobre fatores associados à utilização dos serviços de saúde bucal pela população pediátrica entre 0 e 15 anos. Foi realizado um levantamento nas bases de dados Lilacs e Medline, utilizando a estratégia de busca: (“dental care/utilization” OR “dental health services/utilization”) AND (child OR “child, preschool”) AND NOT adult. Para análise da qualidade metodológica, utilizou-se o Critical Appraisal Skill Programme (CASP) adaptado e o Agency for Healthcare and Research and Quality (AHRQ). Destacam-se como preditores do uso: fatores da criança ou adolescente (idade, frequência de escovação, condições crônicas), do cuidador (escolaridade, percepção da saúde bucal do filho, necessidades bucais referidas), do dentista (disponibilidade à noite e nos finais de semana) e o acompanhamento da saúde bucal pela equipe de saúde da família. Estes fatores são inerentes ao planejamento de políticas ou programas em saúde bucal na população pediátrica, entretanto, variam de acordo com o contexto em que se inserem. Portanto, uma análise contextual é necessária.

scholarly journals Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan Gigi dan Mulut di Puskesmas Karanganyar Purbalingga Jawa Tengah: Studi tentang Faktor Pengetahuan, Pendidikan, Pekerjaan, Pendapatan, dan Aksesibilitas

e-GIGI ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 273
Author(s):  
Sindiawani G. Radiani ◽  
Oedijani Santoso ◽  
Yoghi B. Prabowo ◽  
Tira H. Skripsa
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Dental Care ◽  
Care Utilization ◽  
Chi Square ◽  
Dental Care Utilization ◽  
Regression Test ◽  
Chi Square Test ◽  
Oral Health Services ◽  
Logistic Regression Test

Abstract: Utilization of dental and oral health services cover the health service and the usage of facilities. This study was aimed to determine and to analyze the relationship between knowledge, education, income, occupation, and accessibility of dental care utilization and oral health services at Karang- anyar health centers of Purbalingga. This was an analytical survey study with a cross sectional design. There were 185 respondents of the working area of Karanganyar health center selected by consecutive sampling. Data were collected by using a validated questionnaire. Data were analyzed by using chi-square test followed by logistic regression test. The results showed that there were 76.8% of respondents who used dental care and oral health services in the three last months before pandemic Covid-19; 35% of respondents had no work; 69.2% had low level of education; 81.21% had high level of knowledge; 83.2% had low income; and 85.1% clarified that the accessibility was not reachable. The chi-square test showed a significant correlation between levels of knowledge (p=0.02), income (p=0.04), education (p=0.012) and dental care utilization as well as oral health services. The logistic regression test showed that knowledge (OR=0.569 (95%CI:0.358-0.903) was the most dominant correlated to dental care utilization and oral health services. In conclusion, levels of knowledge, income, and education had significant relationships with dental care utilization and oral health services at Karanganyar health center.Keywords: knowledge; income; education; dental care utilization and oral health servicesAbstrak: Pemanfaatan pelayanan kesehatan gigi dan mulut mencakup pelayanan dan penggunaan fasilitas pelayanan kesehatan gigi dan mulut. Penelitian ini bertujuan untuk mengetahui dan menganalisis hubungan antara pengetahuan, pendapatan, pendidikan, pekerjaan, dan aksesibilitas terhadap pemanfaatan pelayanan kesehatan gigi dan mulut di Puskesmas Karanganyar Kabupaten Purbalingga. Jenis penelitian ialah survei analitik dengan desain potong lintang. Sampel penelitian ialah 185 masyarakat di wilayah kerja Puskesmas Karanganyar, dipilih secara consecutive sampling. Pengambilan data dilakukan dengan menggunakan kuisioner yang sudah divalidasi. Data dianalisis menggunakan uji chi-square dilanjutkan dengan uji regresi logistik. Hasil penelitian mendapatkan bahwa responden yang memanfaatkan pelayanan kesehatan gigi dan mulut tida bulan terakhir sebelum pandemi covid-19 sebanyak 76,8%; tidak bekerja 35%; pendidikan rendah 69,2%; tingkat pengetahuan tinggi 81,1%; pendapatan rendah 83,2%; dan 85.1% menyatakan aksesibilitas tidak terjangkau. Hasil uji chi-square menunjukkan hubungan bermakna antara tingkat pengetahuan (p=0,02), pendapatan (p=0,04), pendidikan (p=0,012) terhadap pemanfaatan pelayanan kesehatan gigi dan mulut. Hasil uji regresi logistik menunjukkan bahwa faktor pengetahuan OR=0,569 (95% CI:0,358-0,903) yang paling dominan berhubungan dengan pemanfaatan pelayanan kesehatan gigi dan mulut. Simpulan penelitian ini ialah tingkat pengetahuan, pendapatan, pendidikan memiliki hubungan bermakna dengan pemanfaatanpelayanan kesehatan gigi dan mulut di Puskesmas Karanganyar.Kata kunci: pengetahuan; pendapatan; pendidikan; pemanfaatan pelayanan kesehatan gigi dan mulut 

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 The Impact of Alzheimer’s Disease and Related Dementias on Dental Care Utilization and Costs in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 800-800
Author(s):  
Sam Li ◽  
Isaac Donkor ◽  
Liang Hong ◽  
Kevin Lu ◽  
Bei Wu
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Dental Care ◽  
Negative Binomial ◽  
Self Report ◽  
Care Utilization ◽  
Limited Information ◽  
Dental Care Utilization ◽  
The Impact ◽  
Care Costs

Abstract There is limited information on the impact of cognition function on dental care utilization and costs. This study used the Medicare current beneficiaries survey in 2016 and included 4,268 participants 65+. Dental care utilization and costs were measured by self-report and included preventive and treatment events. Negative binomial regression and generalized linear regression were used to examine the impact of Alzheimer’s disease (AD) and related dementia (RD) on dental care utilization and costs. We found that AD was not associated with dental care utilization, but RD was associated with a lower number of total treatment dental care visits (IRR: 0.60; 95% CI: 0.37~0.98). RD was not associated with dental care costs, but AD was associated with higher total dental care costs (estimate: 1.08; 95% CI: 0.14~2.01) and higher out-of-pocket costs (estimate: 1.25; 95% CI: 0.17~2.32). AD and RD had different impacts on different types of dental care utilization and costs. Part of a symposium sponsored by the Oral Health Interest Group.

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