|Title||Disparity in dental attendance among older adult populations: a comparative analysis across selected European countries and the USA.|
|Publication Type||Journal Article|
|Year of Publication||2016|
|Authors||Manski, RJ, Moeller, JF, Chen, H, Widstrom, E, Listl, S|
|Journal||Int Dent J|
|Date Published||2016 Feb|
|Keywords||Aged, Aged, 80 and over, Demography, Dental Care, Europe, Female, Humans, Insurance Coverage, Interviews as Topic, Male, Middle Aged, Oral Health, Patient Acceptance of Health Care, United States|
BACKGROUND: The current study addresses the extent to which diversity in dental attendance across population subgroups exists within and between the USA and selected European countries.
METHOD: The analyses relied on 2006/2007 data from the Survey of Health, Ageing and Retirement in Europe (SHARE) and 2004-2006 data from the Health and Retirement Study (HRS) in the USA for respondents≥51 years of age. Logistic regression models were estimated to identify impacts of dental-care coverage, and of oral and general health status, on dental-care use.
RESULTS: 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 according to social welfare regime. Patterns of diverse dental use were found, but they did not appear predominately in countries classified according to welfare state regime or according to the presence or absence of social health insurance.
CONCLUSIONS: The findings of this study suggest that income and education have a stronger, and more persistent, correlation with dental use than the correlation between dental insurance and dental use across European countries. We conclude that: (i) higher overall rates of coverage in most European countries, compared with relatively lower rates in the USA, contribute to this finding; and that (ii) 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.
|User Guide Notes|
|Alternate Journal||Int Dent J|
|PubMed Central ID||PMC4728006|
|Grant List||P01 AG08291 / AG / NIA NIH HHS / United States |
Y1-AG-4553-01 / AG / NIA NIH HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States
P30 AG012815 / AG / NIA NIH HHS / United States
P30 AG12815 / AG / NIA NIH HHS / United States
P01 AG008291 / AG / NIA NIH HHS / United States
R01 AG030153 / AG / NIA NIH HHS / United States
R21 AG025169 / AG / NIA NIH HHS / United States
3R01DE021678-06S1 / DE / NIDCR NIH HHS / United States
R01 DE021678 / DE / NIDCR NIH HHS / United States
U01AG009740 / AG / NIA NIH HHS / United States
U01 AG09740-13S2 / AG / NIA NIH HHS / United States
R01AG030153 / AG / NIA NIH HHS / United States
P01 AG005842 / AG / NIA NIH HHS / United States