Neighbourhood deprivation and dental service use: a cross-sectional analysis of older people in England
Identifieur interne : 002985 ( Istex/Curation ); précédent : 002984; suivant : 002986Neighbourhood deprivation and dental service use: a cross-sectional analysis of older people in England
Auteurs : I. A. Lang [Royaume-Uni] ; S. J. Gibbs [Royaume-Uni] ; N. Steel [Royaume-Uni] ; D. Melzer [Royaume-Uni]Source :
- Journal of Public Health [ 1741-3842 ] ; 2008-12.
Abstract
Background Appropriate dental care is an important part of maintaining good oral health. We examined the relationship between socioeconomic status, neighbourhood deprivation levels and older people's dental service use. Methods We used logistic regression analysis to assess the relationship between self-reported dental service use and neighbourhood deprivation, adjusting for individual socioeconomic and health factors, in individuals aged 65+ in the 2005 Health Survey for England (n = 4240). Results Among dentulous respondents, 69.9% reported attending for regular check-ups, 6.2% occasional check-ups, 18.4% only saw a dentist when in trouble and 5.6% never went to a dentist. In our adjusted model age, sex, region, education level, occupational social class, self-reported health and smoking status, but not degree of urbanization, were associated with use of dental services. Following adjustment for these other factors those living in the most deprived 20% of neighbourhoods, compared with those in the least deprived, had a relative risk ratio of 2.25 (95% confidence interval 1.59–3.17) of using dental services only when symptomatic, rather than going for regular or occasional check-ups. When alternative outcomes of reporting having recently seen a doctor or been a hospital inpatient were assessed these deprivation-related patterns in service use were not evident. Conclusion Levels of neighbourhood deprivation are associated with the use of dental services by older people. Action is needed to ensure older people in deprived communities access appropriate and comprehensive dental services.
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DOI: 10.1093/pubmed/fdn047
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I. A. Lang<affiliation><mods:affiliation></mods:affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>E-mail: iain.lang@pms.ac.uk</mods:affiliation><country wicri:rule="url">Royaume-Uni</country></affiliation>Le document en format XML
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J." last="Gibbs">S. J. Gibbs</name><affiliation wicri:level="1"><mods:affiliation>Public Health Directorate, Devon Primary Care Trust, Exeter EX1 1PQ, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Public Health Directorate, Devon Primary Care Trust, Exeter EX1 1PQ</wicri:regionArea></affiliation></author><author><name sortKey="Steel, N" sort="Steel, N" uniqKey="Steel N" first="N." last="Steel">N. Steel</name><affiliation wicri:level="1"><mods:affiliation>School of Medicine, Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Medicine, Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ</wicri:regionArea></affiliation></author><author><name sortKey="Melzer, D" sort="Melzer, D" uniqKey="Melzer D" first="D." last="Melzer">D. Melzer</name><affiliation wicri:level="1"><mods:affiliation>Epidemiology and Public Health Group, Peninsula Medical School, Exeter EX2 5DW, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Epidemiology and Public Health Group, Peninsula Medical School, Exeter EX2 5DW</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Public Health Directorate, Devon Primary Care Trust, Exeter EX1 1PQ, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Public Health Directorate, Devon Primary Care Trust, Exeter EX1 1PQ</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Public Health</title><idno type="ISSN">1741-3842</idno><idno type="eISSN">1741-3850</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2008-12">2008-12</date><biblScope unit="volume">30</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="472">472</biblScope><biblScope unit="page" to="478">478</biblScope></imprint><idno type="ISSN">1741-3842</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1741-3842</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Background Appropriate dental care is an important part of maintaining good oral health. We examined the relationship between socioeconomic status, neighbourhood deprivation levels and older people's dental service use. Methods We used logistic regression analysis to assess the relationship between self-reported dental service use and neighbourhood deprivation, adjusting for individual socioeconomic and health factors, in individuals aged 65+ in the 2005 Health Survey for England (n = 4240). Results Among dentulous respondents, 69.9% reported attending for regular check-ups, 6.2% occasional check-ups, 18.4% only saw a dentist when in trouble and 5.6% never went to a dentist. In our adjusted model age, sex, region, education level, occupational social class, self-reported health and smoking status, but not degree of urbanization, were associated with use of dental services. Following adjustment for these other factors those living in the most deprived 20% of neighbourhoods, compared with those in the least deprived, had a relative risk ratio of 2.25 (95% confidence interval 1.59–3.17) of using dental services only when symptomatic, rather than going for regular or occasional check-ups. When alternative outcomes of reporting having recently seen a doctor or been a hospital inpatient were assessed these deprivation-related patterns in service use were not evident. Conclusion Levels of neighbourhood deprivation are associated with the use of dental services by older people. Action is needed to ensure older people in deprived communities access appropriate and comprehensive dental services.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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