Determinants of dental treatment avoidance: findings from a nationally representative study
| Autor: | Guido Heydecke, Ghazal Aarabi, André Hajek, Kristin Spinler, Elzbieta Buczak-Stec, Richelle Valdez, Carolin Walther, Hans-Helmut König |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Aging Younger age Determinants of oral health Population Health care utilization Oral Health Logistic regression Dental avoidance Dental treatments Dental health services German Ageing Survey 03 medical and health sciences Dental visits 0302 clinical medicine Physical functioning Germany Medicine Humans 030212 general & internal medicine education Socioeconomic status Aged education.field_of_study business.industry 030206 dentistry Dental care Cross-Sectional Studies Income Marital status Original Article Female Geriatrics and Gerontology business Demography |
| Zdroj: | Aging Clinical and Experimental Research |
| ISSN: | 1720-8319 1594-0667 |
| Popis: | Background Oral health care of older adults is of rising importance due to ongoing demographic changes. There is a lack of studies examining the determinants of dental treatment avoidance in this age group. Therefore, the objective of this study was to identify those determinants. Methods Cross-sectional data were drawn from the second wave (year 2002) of the German Ageing Survey which is a population-based sample of community-dwelling individuals ≥ 40 years in Germany (n = 3398). Dental treatment avoidance was quantified using the question “Did you need dental treatments in the past twelve months, but did not go to the dentist?” [no; yes, once; yes, several times]. Socioeconomic and health-related determinants were adjusted for in the analysis. Multiple logistic regressions were performed. Results In terms of need, 6.7% of individuals avoided dental treatment in the preceding twelve months. Multiple logistic regressions revealed that dental treatment avoidance was associated with younger age (total sample [OR 0.978; 95% CI 0.958–0.998] and men [OR 0.970; 95% CI 0.942–0.999]), unemployment (total sample [OR 1.544; 95% CI 1.035–2.302] and men [OR 2.004; 95% CI 1.085–3.702]), lower social strata (women [OR 0.814; 95% CI 0.678–0.977]), increased depressive symptoms (men [OR 1.031; 95% CI 1.001–1.062]), and increased physical illnesses (total sample [OR 1.091; 95% CI 1.006–1.183] and men [OR 1.165; 95% CI 1.048–1.295]). The outcome measure was not associated with income poverty, marital status and physical functioning. Conclusions The present study highlights the association between dental treatment avoidance and different socioeconomic and health-related factors. These results suggest that it is necessary to promote the importance of dental visits. |
| Databáze: | OpenAIRE |
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