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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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Gender-Stratified Models to Examine the Relationship Between Financial Hardship and Self-Reported Oral Health for Older US Men and Women

Auteurs : Donald L. Chi ; Reginald Tucker-Seeley

Source :

RBID : PMC:4007872

Abstract

Objectives. We evaluated the relationship between financial hardship and self-reported oral health for older men and women.

Methods. 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.

Results. 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).

Conclusions. 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.


Url:
DOI: 10.2105/AJPH.2012.301145
PubMed: 23327271
PubMed Central: 4007872

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PMC:4007872

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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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<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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<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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<article-title>Gender-Stratified Models to Examine the Relationship Between Financial Hardship and Self-Reported Oral Health for Older US Men and Women</article-title>
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<aff>Donald L. Chi is with the Department of Oral Health Sciences, University of Washington, Seattle, WA. Reginald Tucker-Seeley is with the Dana-Farber Cancer Institute and the Department of Society, Human Development, and Health, Harvard University, Boston, MA.</aff>
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<corresp>Correspondence should be sent to Donald L. Chi, University of Washington, School of Dentistry, Department of Oral Health Sciences, Box 357475, Seattle, WA 98195-7475 (e-mail:
<email>dchi@uw.edu</email>
). Reprints can be ordered at
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by clicking the “Reprints” link.</corresp>
<fn>
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<bold>Contributors</bold>
</p>
<p>D. L. Chi conceptualized the study, synthesized the analysis plan, assisted with interpreting findings, and led the writing of the article. R. Tucker-Seeley assisted with conceptualizing the study, managed and analyzed the data, interpreted findings, and assisted with writing the article.</p>
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<pub-date pub-type="ppub">
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<month>8</month>
<year>2013</year>
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<pub-date pub-type="pmc-release">
<day>1</day>
<month>8</month>
<year>2014</year>
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<volume>103</volume>
<issue>8</issue>
<fpage>1507</fpage>
<lpage>1515</lpage>
<history>
<date date-type="accepted">
<day>10</day>
<month>11</month>
<year>2012</year>
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<copyright-statement>© American Public Health Association 2013</copyright-statement>
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<abstract>
<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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