The influence of dental insurance on institutionalized older adults in ranking their oral health status.
Identifieur interne : 010D05 ( Main/Exploration ); précédent : 010D04; suivant : 010D06The influence of dental insurance on institutionalized older adults in ranking their oral health status.
Auteurs : Albert O. Adegbembo [États-Unis] ; James L. Leake ; Patricia A. Main ; Herenia P. Lawrence ; Mary L. ChipmanSource :
- Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [ 0275-1879 ]
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne, Assurance dentaire, Attitude envers la santé, Bouche édentée (psychologie), Canada, Classe sociale, Comportement en matière de santé, Couverture d'assurance, Denture, Facteurs de l'âge, Femelle, Foyers pour personnes agées, Humains, Institutionnalisation, Mâle, Santé buccodentaire, Satisfaction personnelle, Soins dentaires, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé.
- MESH :
- psychologie : Bouche édentée.
- Activités de la vie quotidienne, Assurance dentaire, Attitude envers la santé, Canada, Classe sociale, Comportement en matière de santé, Couverture d'assurance, Denture, Facteurs de l'âge, Femelle, Foyers pour personnes agées, Humains, Institutionnalisation, Mâle, Santé buccodentaire, Satisfaction personnelle, Soins dentaires, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Attitude to Health, Canada, Dental Care, Dentition, Female, Health Behavior, Health Status, Homes for the Aged, Humans, Institutionalization, Insurance Coverage, Insurance, Dental, Male, Mouth, Edentulous (psychology), Oral Health, Personal Satisfaction, Social Class.
- MESH :
- geographic : Canada.
- psychology : Mouth, Edentulous.
- Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Attitude to Health, Dental Care, Dentition, Female, Health Behavior, Health Status, Homes for the Aged, Humans, Institutionalization, Insurance Coverage, Insurance, Dental, Male, Oral Health, Personal Satisfaction, Social Class.
Abstract
To assess whether dental insurance influences how institutionalized older adults ages 65 and older rank their oral health status, a census survey was designed for residents of Durham's (Canada) Municipal Homes for the Aged. The odds ratio (OR) and the Cochran & Mantel-Haenszel's OR were used to estimate the crude and adjusted effect of dental insurance on oral health status, respectively. Overall, 64 percent participated in the interview. Oral health status was ranked as "good," "very good" or "excellent" by 57 percent of the participants. This ranking was clearly unrelated to the residents having dental insurance, as only 28 percent had dental coverage. Significant effect modifiers included age, dental status and whether the participant had visited the dentist within the last year. Dental insurance positively influenced how dentate participants ranked their oral health status (OR = 2.26; 95 percent CI = 1.19; 4.28). In edentulous participants, age and visiting the dentist within the last year modified the effect of dental insurance on oral health status. Having dental insurance reduced the odds of reporting "good," "very good" or "excellent" oral health (OR = 0.20; 95 percent CI = 0.08; 0.49) among the participants ages 85 and older who did not visit the dentist within the last year; however, the opposite was true for their younger counterparts who visited the dentist within the last year (OR = 7.20; 95 percent CI = 1.08; 47.96). In this population, therefore, dental insurance was associated with higher oral health status rank among the dentate, but its effect on the edentulous population depended on age and the pattern of visiting the dentist.
PubMed: 16463599
Affiliations:
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Le document en format XML
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Adegbembo</name><affiliation wicri:level="1"><nlm:affiliation>Division of Public Health Services and Research, College of Dentistry University of Florida, Gainesville, USA. aadegbembo@dental.ufl.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Public Health Services and Research, College of Dentistry University of Florida, Gainesville</wicri:regionArea><wicri:noRegion>Gainesville</wicri:noRegion></affiliation></author><author><name sortKey="Leake, James L" sort="Leake, James L" uniqKey="Leake J" first="James L" last="Leake">James L. Leake</name></author><author><name sortKey="Main, Patricia A" sort="Main, Patricia A" uniqKey="Main P" first="Patricia A" last="Main">Patricia A. Main</name></author><author><name sortKey="Lawrence, Herenia P" sort="Lawrence, Herenia P" uniqKey="Lawrence H" first="Herenia P" last="Lawrence">Herenia P. 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Chipman</name></author></analytic><series><title level="j">Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry</title><idno type="ISSN">0275-1879</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Attitude to Health</term><term>Canada</term><term>Dental Care</term><term>Dentition</term><term>Female</term><term>Health Behavior</term><term>Health Status</term><term>Homes for the Aged</term><term>Humans</term><term>Institutionalization</term><term>Insurance Coverage</term><term>Insurance, Dental</term><term>Male</term><term>Mouth, Edentulous (psychology)</term><term>Oral Health</term><term>Personal Satisfaction</term><term>Social Class</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Assurance dentaire</term><term>Attitude envers la santé</term><term>Bouche édentée (psychologie)</term><term>Canada</term><term>Classe sociale</term><term>Comportement en matière de santé</term><term>Couverture d'assurance</term><term>Denture</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Foyers pour personnes agées</term><term>Humains</term><term>Institutionnalisation</term><term>Mâle</term><term>Santé buccodentaire</term><term>Satisfaction personnelle</term><term>Soins dentaires</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>État de santé</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Attitude to Health</term><term>Dental Care</term><term>Dentition</term><term>Female</term><term>Health Behavior</term><term>Health Status</term><term>Homes for the Aged</term><term>Humans</term><term>Institutionalization</term><term>Insurance Coverage</term><term>Insurance, Dental</term><term>Male</term><term>Oral Health</term><term>Personal Satisfaction</term><term>Social Class</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Assurance dentaire</term><term>Attitude envers la santé</term><term>Canada</term><term>Classe sociale</term><term>Comportement en matière de santé</term><term>Couverture d'assurance</term><term>Denture</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Foyers pour personnes agées</term><term>Humains</term><term>Institutionnalisation</term><term>Mâle</term><term>Santé buccodentaire</term><term>Satisfaction personnelle</term><term>Soins dentaires</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>État de santé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To assess whether dental insurance influences how institutionalized older adults ages 65 and older rank their oral health status, a census survey was designed for residents of Durham's (Canada) Municipal Homes for the Aged. The odds ratio (OR) and the Cochran & Mantel-Haenszel's OR were used to estimate the crude and adjusted effect of dental insurance on oral health status, respectively. Overall, 64 percent participated in the interview. Oral health status was ranked as "good," "very good" or "excellent" by 57 percent of the participants. This ranking was clearly unrelated to the residents having dental insurance, as only 28 percent had dental coverage. Significant effect modifiers included age, dental status and whether the participant had visited the dentist within the last year. Dental insurance positively influenced how dentate participants ranked their oral health status (OR = 2.26; 95 percent CI = 1.19; 4.28). In edentulous participants, age and visiting the dentist within the last year modified the effect of dental insurance on oral health status. Having dental insurance reduced the odds of reporting "good," "very good" or "excellent" oral health (OR = 0.20; 95 percent CI = 0.08; 0.49) among the participants ages 85 and older who did not visit the dentist within the last year; however, the opposite was true for their younger counterparts who visited the dentist within the last year (OR = 7.20; 95 percent CI = 1.08; 47.96). In this population, therefore, dental insurance was associated with higher oral health status rank among the dentate, but its effect on the edentulous population depended on age and the pattern of visiting the dentist.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Chipman, Mary L" sort="Chipman, Mary L" uniqKey="Chipman M" first="Mary L" last="Chipman">Mary L. Chipman</name><name sortKey="Lawrence, Herenia P" sort="Lawrence, Herenia P" uniqKey="Lawrence H" first="Herenia P" last="Lawrence">Herenia P. Lawrence</name><name sortKey="Leake, James L" sort="Leake, James L" uniqKey="Leake J" first="James L" last="Leake">James L. Leake</name><name sortKey="Main, Patricia A" sort="Main, Patricia A" uniqKey="Main P" first="Patricia A" last="Main">Patricia A. Main</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Adegbembo, Albert O" sort="Adegbembo, Albert O" uniqKey="Adegbembo A" first="Albert O" last="Adegbembo">Albert O. Adegbembo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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