Disparity in Dental Attendance Among Older Adult Populations: A Comparative Analysis Across Selected European Countries and the United States
Identifieur interne : 002600 ( Pmc/Corpus ); précédent : 002599; suivant : 002601Disparity in Dental Attendance Among Older Adult Populations: A Comparative Analysis Across Selected European Countries and the United States
Auteurs : Richard Manski ; John Moeller ; Haiyan Chen ; Eeva Widström ; Stefan ListlSource :
- International dental journal [ 0020-6539 ] ; 2015.
Abstract
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.
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.
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.
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:
DOI: 10.1111/idj.12190
PubMed: 26465093
PubMed Central: 4728006
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PMC:4728006Le document en format XML
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<author><name sortKey="Manski, Richard" sort="Manski, Richard" uniqKey="Manski R" first="Richard" last="Manski">Richard Manski</name>
<affiliation><nlm:aff id="A1">Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA</nlm:aff>
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<author><name sortKey="Moeller, John" sort="Moeller, John" uniqKey="Moeller J" first="John" last="Moeller">John Moeller</name>
<affiliation><nlm:aff id="A1">Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA</nlm:aff>
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<author><name sortKey="Chen, Haiyan" sort="Chen, Haiyan" uniqKey="Chen H" first="Haiyan" last="Chen">Haiyan Chen</name>
<affiliation><nlm:aff id="A1">Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA</nlm:aff>
</affiliation>
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<author><name sortKey="Widstrom, Eeva" sort="Widstrom, Eeva" uniqKey="Widstrom E" first="Eeva" last="Widström">Eeva Widström</name>
<affiliation><nlm:aff id="A2">National Institute for Health and Welfare, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name>
<affiliation><nlm:aff id="A3">University of Heidelberg, Department of Conservative Dentistry, Heidelberg, Germany</nlm:aff>
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<affiliation><nlm:aff id="A4">Munich Center for the Economics of Aging, Max-Planck-Institute for Social Law and Social Policy, Munich, Germany</nlm:aff>
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<author><name sortKey="Manski, Richard" sort="Manski, Richard" uniqKey="Manski R" first="Richard" last="Manski">Richard Manski</name>
<affiliation><nlm:aff id="A1">Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA</nlm:aff>
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<author><name sortKey="Moeller, John" sort="Moeller, John" uniqKey="Moeller J" first="John" last="Moeller">John Moeller</name>
<affiliation><nlm:aff id="A1">Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA</nlm:aff>
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<author><name sortKey="Chen, Haiyan" sort="Chen, Haiyan" uniqKey="Chen H" first="Haiyan" last="Chen">Haiyan Chen</name>
<affiliation><nlm:aff id="A1">Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA</nlm:aff>
</affiliation>
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<author><name sortKey="Widstrom, Eeva" sort="Widstrom, Eeva" uniqKey="Widstrom E" first="Eeva" last="Widström">Eeva Widström</name>
<affiliation><nlm:aff id="A2">National Institute for Health and Welfare, Helsinki, Finland</nlm:aff>
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<author><name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name>
<affiliation><nlm:aff id="A3">University of Heidelberg, Department of Conservative Dentistry, Heidelberg, Germany</nlm:aff>
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<affiliation><nlm:aff id="A4">Munich Center for the Economics of Aging, Max-Planck-Institute for Social Law and Social Policy, Munich, Germany</nlm:aff>
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<series><title level="j">International dental journal</title>
<idno type="ISSN">0020-6539</idno>
<idno type="eISSN">1875-595X</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">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.</p>
</sec>
<sec id="S2"><title>Method</title>
<p id="P2">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.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">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.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">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.</p>
</sec>
</div>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0374714</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4270</journal-id>
<journal-id journal-id-type="nlm-ta">Int Dent J</journal-id>
<journal-id journal-id-type="iso-abbrev">Int Dent J</journal-id>
<journal-title-group><journal-title>International dental journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0020-6539</issn>
<issn pub-type="epub">1875-595X</issn>
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<article-meta><article-id pub-id-type="pmid">26465093</article-id>
<article-id pub-id-type="pmc">4728006</article-id>
<article-id pub-id-type="doi">10.1111/idj.12190</article-id>
<article-id pub-id-type="manuscript">NIHMS713008</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Disparity in Dental Attendance Among Older Adult Populations: A Comparative Analysis Across Selected European Countries and the United States</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Manski</surname>
<given-names>Richard</given-names>
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<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author"><name><surname>Moeller</surname>
<given-names>John</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Haiyan</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Widström</surname>
<given-names>Eeva</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Listl</surname>
<given-names>Stefan</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
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<aff id="A1"><label>1</label>
Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA</aff>
<aff id="A2"><label>2</label>
National Institute for Health and Welfare, Helsinki, Finland</aff>
<aff id="A3"><label>3</label>
University of Heidelberg, Department of Conservative Dentistry, Heidelberg, Germany</aff>
<aff id="A4"><label>4</label>
Munich Center for the Economics of Aging, Max-Planck-Institute for Social Law and Social Policy, Munich, Germany</aff>
<author-notes><corresp id="FN1"><underline>Corresponding author:</underline>
Richard J. Manski, DDS, MBA, PhD, Professor and Chief, Dental Public Health, University of Maryland School of Dentistry, 650 West Baltimore Street, Room 2209, Baltimore, MD 21201 (<email>rmanski@umaryland.edu</email>
)</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>7</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>14</day>
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>2</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>2</month>
<year>2017</year>
</pub-date>
<volume>66</volume>
<issue>1</issue>
<fpage>36</fpage>
<lpage>48</lpage>
<pmc-comment>elocation-id from pubmed: 10.1111/idj.12190</pmc-comment>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">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.</p>
</sec>
<sec id="S2"><title>Method</title>
<p id="P2">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.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">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.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">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.</p>
</sec>
</abstract>
<kwd-group><kwd>dental attendance</kwd>
<kwd>dental insurance coverage</kwd>
<kwd>older populations</kwd>
<kwd>USA</kwd>
<kwd>Europe</kwd>
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</front>
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