Differences Among Older Adults In The Types Of Dental Services Used In The United States
Identifieur interne : 000760 ( Pmc/Checkpoint ); précédent : 000759; suivant : 000761Differences Among Older Adults In The Types Of Dental Services Used In The United States
Auteurs : Richard J. Manski ; Jody Schimmel Hyde ; Haiyan Chen ; John F. MoellerSource :
- Inquiry : a journal of medical care organization, provision and financing [ 0046-9580 ] ; 2016.
Abstract
The purpose of this article is to explore differences in the socioeconomic, demographic characteristics of older adults in the United States with respect to their use of different types of dental care services.
The 2008 Health and Retirement Study (HRS) collected information about patterns of dental care use and oral health from individuals in the U.S. aged 55 years and older. We analyze these data and explore patterns of service use by key characteristics before modeling the relationship between service use type and those characteristics.
The most commonly used service category was fillings, inlays or bonding, reported by 43.6 percent of those with any utilization. Just over one-third of those with any utilization reported a visit for a crown, implant or prosthesis, and one-quarter reported a gum treatment or tooth extraction. The strongest consistent predictors of use type are denture, dentate, and oral health status along with dental insurance coverage and wealth.
Our results provide insight into the need for public policies to address inequalities in access to dental services among an older US population. Our findings that showed lower income, less wealthy elderly with poor oral health are more likely to not use any dental services rather than using only preventive dental care, and that cost prevents most non-users who say they need dental care from going to the dentist, suggest a serious access problem and one that ultimately produces even worse oral health and expensive major procedures for this population in the future.
Url:
DOI: 10.1177/0046958016652523
PubMed: 27284127
PubMed Central: 4905592
Affiliations:
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<author><name sortKey="Manski, Richard J" sort="Manski, Richard J" uniqKey="Manski R" first="Richard J." last="Manski">Richard J. Manski</name>
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<author><name sortKey="Hyde, Jody Schimmel" sort="Hyde, Jody Schimmel" uniqKey="Hyde J" first="Jody Schimmel" last="Hyde">Jody Schimmel Hyde</name>
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<author><name sortKey="Chen, Haiyan" sort="Chen, Haiyan" uniqKey="Chen H" first="Haiyan" last="Chen">Haiyan Chen</name>
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<author><name sortKey="Moeller, John F" sort="Moeller, John F" uniqKey="Moeller J" first="John F." last="Moeller">John F. Moeller</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">The purpose of this article is to explore differences in the socioeconomic, demographic characteristics of older adults in the United States with respect to their use of different types of dental care services.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">The 2008 Health and Retirement Study (HRS) collected information about patterns of dental care use and oral health from individuals in the U.S. aged 55 years and older. We analyze these data and explore patterns of service use by key characteristics before modeling the relationship between service use type and those characteristics.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">The most commonly used service category was fillings, inlays or bonding, reported by 43.6 percent of those with any utilization. Just over one-third of those with any utilization reported a visit for a crown, implant or prosthesis, and one-quarter reported a gum treatment or tooth extraction. The strongest consistent predictors of use type are denture, dentate, and oral health status along with dental insurance coverage and wealth.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Our results provide insight into the need for public policies to address inequalities in access to dental services among an older US population. Our findings that showed lower income, less wealthy elderly with poor oral health are more likely to not use any dental services rather than using only preventive dental care, and that cost prevents most non-users who say they need dental care from going to the dentist, suggest a serious access problem and one that ultimately produces even worse oral health and expensive major procedures for this population in the future.</p>
</sec>
</div>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0171671</journal-id>
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<journal-id journal-id-type="nlm-ta">Inquiry</journal-id>
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<title-group><article-title>Differences Among Older Adults In The Types Of Dental Services Used In The United States</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Manski</surname>
<given-names>Richard J.</given-names>
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<degrees>D.D.S., M.B.A., Ph.D.</degrees>
<email>rmanski@umaryland.edu</email>
<aff id="A1">Professor and Chair, Department of Dental Public Health, University of Maryland School of Dentistry, 650 West Baltimore Street, Room 2209, Baltimore, Maryland 21201, 410-706-7245 (Voice) - 410-706-4031 (Fax)</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Hyde</surname>
<given-names>Jody Schimmel</given-names>
</name>
<degrees>Ph.D.</degrees>
<aff id="A2">Mathematica Policy Research, Inc</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Haiyan</given-names>
</name>
<degrees>MD, Ph.D.</degrees>
<aff id="A3">Assistant Research Professor, Dental Public Health, University of Maryland School of Dentistry</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Moeller</surname>
<given-names>John F.</given-names>
</name>
<degrees>Ph.D.</degrees>
<aff id="A4">Research Professor, Dental Public Health, University of Maryland School of Dentistry</aff>
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<pub-date pub-type="nihms-submitted"><day>4</day>
<month>5</month>
<year>2016</year>
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<pub-date pub-type="epub"><day>09</day>
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<pub-date pub-type="pmc-release"><day>09</day>
<month>6</month>
<year>2017</year>
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<volume>53</volume>
<elocation-id>10.1177/0046958016652523 0046958016652523</elocation-id>
<abstract><sec id="S1"><title>Objective</title>
<p id="P1">The purpose of this article is to explore differences in the socioeconomic, demographic characteristics of older adults in the United States with respect to their use of different types of dental care services.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">The 2008 Health and Retirement Study (HRS) collected information about patterns of dental care use and oral health from individuals in the U.S. aged 55 years and older. We analyze these data and explore patterns of service use by key characteristics before modeling the relationship between service use type and those characteristics.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">The most commonly used service category was fillings, inlays or bonding, reported by 43.6 percent of those with any utilization. Just over one-third of those with any utilization reported a visit for a crown, implant or prosthesis, and one-quarter reported a gum treatment or tooth extraction. The strongest consistent predictors of use type are denture, dentate, and oral health status along with dental insurance coverage and wealth.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Our results provide insight into the need for public policies to address inequalities in access to dental services among an older US population. Our findings that showed lower income, less wealthy elderly with poor oral health are more likely to not use any dental services rather than using only preventive dental care, and that cost prevents most non-users who say they need dental care from going to the dentist, suggest a serious access problem and one that ultimately produces even worse oral health and expensive major procedures for this population in the future.</p>
</sec>
</abstract>
<kwd-group><kwd>Dental Insurance</kwd>
<kwd>Coverage</kwd>
<kwd>Dental Use</kwd>
<kwd>Service Type</kwd>
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</front>
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<name sortKey="Hyde, Jody Schimmel" sort="Hyde, Jody Schimmel" uniqKey="Hyde J" first="Jody Schimmel" last="Hyde">Jody Schimmel Hyde</name>
<name sortKey="Manski, Richard J" sort="Manski, Richard J" uniqKey="Manski R" first="Richard J." last="Manski">Richard J. Manski</name>
<name sortKey="Moeller, John F" sort="Moeller, John F" uniqKey="Moeller J" first="John F." last="Moeller">John F. Moeller</name>
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