scholarly journals Predictors of dental care utilization in north‐central Appalachia in the USA

2019 ◽  
Vol 47 (4) ◽  
pp. 283-290 ◽  
Author(s):  
Mengxia Chen ◽  
Casey D. Wright ◽  
Oluwabunmi Tokede ◽  
Alfa Yansane ◽  
Alexander Montasem ◽  
...  
Keyword(s):  
Dental Care ◽  
Care Utilization ◽  
North Central ◽  
Dental Care Utilization ◽  
Central Appalachia ◽  
The Usa

scholarly journals Predictors of use of dental care by children in north-central Appalachia in the USA

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0250488
Author(s):  
Cecelia I. Nelson ◽  
Casey D. Wright ◽  
Jamey T. Brumbaugh ◽  
Katherine Neiswanger ◽  
Richard J. Crout ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Behavioral Model ◽  
Future Research ◽  
Dental Services ◽  
North Central ◽  
Dental Utilization ◽  
Central Appalachia ◽  
The Usa ◽  
Anxiety And Fear

Use of dental services in childhood, especially preventive care, is associated with many important oral health outcomes throughout life. The Andersen behavioral model of healthcare utilization posits that predisposing characteristics, enabling resources, and need factors predict utilization in oral and other healthcare domains. Inequities that produce lower utilization of dental services in north-central Appalachia have been documented in comparison to the USA generally. Additionally, within Appalachia, there are disparities, such as those across different states related to varying public policies and resources supporting healthcare. Predictors of dental utilization in Appalachia have been a focus in adults, but less so in children. The aim of the current study was to understand predictors of dental utilization in children in north-central Appalachia in order to inform future research about how to intervene to address these disparities. In this study, there were 1,178 children, ages 1 through 10 years, from selected representative counties in West Virginia and Pennsylvania, along with a parent/caregiver, who were part of the Center for Oral Health Research in Appalachia (COHRA1) cohort. Use of dental services by their child was indicated by parents/caregivers, who also reported on sociodemographic, dental care-related anxiety and fear, and values and attitudes associated with oral healthcare. Results indicated that use of professional dental services by children was related to child age, dental anxiety and fear, and parental oral health values and attitudes. Older children in this age group, those who evidenced more dental care-related anxiety and fear, and whose parent/caregiver placed higher value on oral health and healthcare for themselves, were more likely to have had a dental visit in the past year.

scholarly journals Social and Behavioral Factors, Oral Health, and Dental Care Utilization

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 799-800
Author(s):  
Bei Wu ◽  
Stephen Shuman ◽  
Elisa Ghezzi
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Oral Health ◽  
Health Outcomes ◽  
Dental Care ◽  
Care Utilization ◽  
Behavioral Factors ◽  
Dental Care Utilization ◽  
The Impact ◽  
The U.S

Abstract Oral health status and dental care utilization is strongly associated with social and behavioral factors and health outcomes. The five papers in this symposium address how several of these factors affect oral health and dental care among diverse groups of older adults. Using data from the Health and Retirement Study, the first paper examined the impact of early childhood disadvantages on oral health in later life among adults age 51 and above in the U.S. The second paper used large-scale epidemiological data that addressed the relationship between acculturation and subsequent oral health problems. It also tested the moderating role of neighborhood disorder in such a relationship among older Chinese Americans. The third paper demonstrated the importance of examining different pathways among foreign-born and native-born Chinese older adults with regard to offspring’s support on their oral health outcomes. While increasing evidence shows that cognitive function is associated with oral health, limited studies have been conducted to examine the impact of cognitive impairment, e.g., Alzheimer’s Disease (AD) and related dementias (RD), on dental care utilization and costs in older adults. The fourth paper aimed to address this knowledge gap. Results showed that AD and RD had different impacts on different types of dental care utilization and costs. The fifth paper further displayed that individuals with cognitive impairment face a significant challenge in handling dental-related medications. This symposium provides policy and clinical implications on improving oral health and dental care utilization among older adults in the U.S. Oral Health Interest Group Sponsored Symposium.

scholarly journals The Impact of Alzheimer’s Disease and Related Dementias on Dental Care Utilization and Costs in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 800-800
Author(s):  
Sam Li ◽  
Isaac Donkor ◽  
Liang Hong ◽  
Kevin Lu ◽  
Bei Wu
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Dental Care ◽  
Negative Binomial ◽  
Self Report ◽  
Care Utilization ◽  
Limited Information ◽  
Dental Care Utilization ◽  
The Impact ◽  
Care Costs

Abstract There is limited information on the impact of cognition function on dental care utilization and costs. This study used the Medicare current beneficiaries survey in 2016 and included 4,268 participants 65+. Dental care utilization and costs were measured by self-report and included preventive and treatment events. Negative binomial regression and generalized linear regression were used to examine the impact of Alzheimer’s disease (AD) and related dementia (RD) on dental care utilization and costs. We found that AD was not associated with dental care utilization, but RD was associated with a lower number of total treatment dental care visits (IRR: 0.60; 95% CI: 0.37~0.98). RD was not associated with dental care costs, but AD was associated with higher total dental care costs (estimate: 1.08; 95% CI: 0.14~2.01) and higher out-of-pocket costs (estimate: 1.25; 95% CI: 0.17~2.32). AD and RD had different impacts on different types of dental care utilization and costs. Part of a symposium sponsored by the Oral Health Interest Group.

scholarly journals Factors associated with future dental care utilization among low-income smokers overdue for dental visits

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Paula R. Blasi ◽  
Chloe Krakauer ◽  
Melissa L. Anderson ◽  
Jennifer Nelson ◽  
Terry Bush ◽  
...  
Keyword(s):  
Low Income ◽  
Dental Care ◽  
Care Utilization ◽  
Dental Visits ◽  
Factors Associated ◽  
Dental Care Utilization
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