Neighbourhood deprivation and dental service use: a cross-sectional analysis of older people in England
| Autor: | Iain A. Lang, S. J. Gibbs, David Melzer, Nicholas Steel |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Risk Psychometrics Cross-sectional study Oral Health Social class Logistic regression Surveys and Questionnaires Environmental health Confidence Intervals Humans Medicine Dental Health Services Poverty Neighbourhood (mathematics) Socioeconomic status Aged Aged 80 and over Models Statistical Health Survey for England business.industry Public Health Environmental and Occupational Health General Medicine Patient Acceptance of Health Care Cross-Sectional Studies Logistic Models Socioeconomic Factors Relative risk Housing Income Female business |
| Zdroj: | Journal of Public Health. 30:472-478 |
| ISSN: | 1741-3850 1741-3842 |
| DOI: | 10.1093/pubmed/fdn047 |
| Popis: | 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.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).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.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. |
| Databáze: | OpenAIRE |
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