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Disparity in Dental Attendance Among Older Adult Populations: A Comparative Analysis Across Selected European Countries and the United States

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Disparity in Dental Attendance Among Older Adult Populations: A Comparative Analysis Across Selected European Countries and the United States

Auteurs : Richard Manski [États-Unis] ; John Moeller [États-Unis] ; Haiyan Chen [États-Unis] ; Eeva Widström [Finlande] ; Stefan Listl [Allemagne]

Source :

International dental journal [ 0020-6539 ] ; 2015.

RBID : PMC:4728006

Abstract

Background

The current study addresses the extent to which diversity in dental attendance across population subgroups exists within and between the United States and selected European countries.

Method

The analyses relied on 2006/2007 data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) and 2004–2006 data from of the Health and Retirement Study (HRS) in the United States for respondents aged 51 years and older. Logistic regression models were estimated to identify impacts of dental care coverage and oral as well as general health status on dental care use.

Results

We were unable to discern significant differences in dental attendance across population subgroups in countries with and without social health insurance, between the USA and European countries, and between European countries classified by social welfare regime. Patterns of diverse dental use were found, but they did not appear predominately in countries classified by welfare state regime or by presence or absence of social health insurance.

Conclusions

Findings of this study suggest that income and education have stronger and more persistent correlation with dental use than the correlation between dental insurance and dental use across European countries. We conclude that (1) higher overall rates of coverage in most European countries, compared to relatively lower rates in the USA, contribute to this finding and that (2) policies targeted to improving the income of older persons and their awareness of the importance of oral health care in both Europe and the USA can contribute to improving the use of dental services.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728006

DOI: 10.1111/idj.12190
PubMed: 26465093
PubMed Central: 4728006

Affiliations:

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Disparity in Dental Attendance Among Older Adult Populations: A Comparative Analysis Across Selected European Countries and the United States

Disparity in Dental Attendance Among Older Adult Populations: A Comparative Analysis Across Selected European Countries and the United States

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