Gender-Stratified Models to Examine the Relationship Between Financial Hardship and Self-Reported Oral Health for Older US Men and Women
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Auteurs : Donald L. Chi ; Reginald Tucker-SeeleySource :
- American Journal of Public Health [ 0090-0036 ] ; 2013.
Abstract
Url:
DOI: 10.2105/AJPH.2012.301145
PubMed: 23327271
PubMed Central: 4007872
Affiliations:
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<author><name sortKey="Chi, Donald L" sort="Chi, Donald L" uniqKey="Chi D" first="Donald L." last="Chi">Donald L. Chi</name>
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<author><name sortKey="Tucker Seeley, Reginald" sort="Tucker Seeley, Reginald" uniqKey="Tucker Seeley R" first="Reginald" last="Tucker-Seeley">Reginald Tucker-Seeley</name>
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<series><title level="j">American Journal of Public Health</title>
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<front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic>
We evaluated the relationship between financial hardship and self-reported oral health for older men and women.</p>
<p><italic>Methods.</italic>
We focused on adults in the 2008 Health and Retirement Study (n = 1359). The predictor variables were 4 financial hardship indicators. We used Poisson regression models to estimate the prevalence ratio of poor self-reported oral health.</p>
<p><italic>Results.</italic>
In the non–gender-stratified model, number of financial hardships was not significantly associated with self-reported oral health. Food insecurity was associated with a 12% greater prevalence of poor self-reported oral health (95% confidence interval [CI] = 1.04, 1.21). In the gender-stratified models, women with 3 or more financial hardships had a 24% greater prevalence of poor self-reported oral health than women with zero (95% CI = 1.09, 1.40). Number of hardships was not associated with self-reported oral health for men. For men, skipping medications was associated with 50% lower prevalence of poor self-reported oral health (95% CI = 0.32, 0.76).</p>
<p><italic>Conclusions.</italic>
Number of financial hardships was differentially associated with self-reported oral health for older men and women. Most financial hardship indicators affected both genders similarly. Future interventions to improve vulnerable older adults’ oral health should account for gender-based heterogeneity in financial hardship experiences.</p>
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<name sortKey="Tucker Seeley, Reginald" sort="Tucker Seeley, Reginald" uniqKey="Tucker Seeley R" first="Reginald" last="Tucker-Seeley">Reginald Tucker-Seeley</name>
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