The impact of dentition status and barriers to dental care services on perceived oral health of medicare beneficiaries

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2023-11-29 DOI:10.1111/jphd.12592
Kyeonghee Kim PhD, Marjorie A. Rosenberg PhD, FSA
{"title":"The impact of dentition status and barriers to dental care services on perceived oral health of medicare beneficiaries","authors":"Kyeonghee Kim PhD,&nbsp;Marjorie A. Rosenberg PhD, FSA","doi":"10.1111/jphd.12592","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To examine the association among barriers to dental care services, dentition groups, and self-reported oral health status for Medicare beneficiaries.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We used data from the 2017 to 2018 National Health and Nutrition Examination Survey (NHANES), which included participants aged ≥65 years who were enrolled in Medicare and had completed the oral health exam. We created a dentition group variable using the detailed dental examination data to account for the presence of natural, replaced, removable, or missing teeth. Through bivariate and logistic analyses, we explored the relationship between barriers to receiving dental care services, dentition groups, and reported oral and general health statuses, along with other control variables.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>For the total Medicare population as well as in the four subgroup analyses, we showed that those with barriers to dental care services were more likely to report fair or poor oral health status. Those who were edentulous, had complete dentures, or had less than a full mouth of teeth had greater barriers and worse oral and general health than did those with all-natural teeth. Among those who reported fair or poor general health, those with less than a full mouth of teeth showed similar levels of barriers to dental care services and worse perceived oral health than did those without any teeth.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Helping the 65 years and older population retain their teeth in good condition will improve their overall health. Investment in oral hygiene and health for the current and future Medicare populations could improve their overall health.</p>\n </section>\n </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of public health dentistry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jphd.12592","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Objective

To examine the association among barriers to dental care services, dentition groups, and self-reported oral health status for Medicare beneficiaries.

Methods

We used data from the 2017 to 2018 National Health and Nutrition Examination Survey (NHANES), which included participants aged ≥65 years who were enrolled in Medicare and had completed the oral health exam. We created a dentition group variable using the detailed dental examination data to account for the presence of natural, replaced, removable, or missing teeth. Through bivariate and logistic analyses, we explored the relationship between barriers to receiving dental care services, dentition groups, and reported oral and general health statuses, along with other control variables.

Results

For the total Medicare population as well as in the four subgroup analyses, we showed that those with barriers to dental care services were more likely to report fair or poor oral health status. Those who were edentulous, had complete dentures, or had less than a full mouth of teeth had greater barriers and worse oral and general health than did those with all-natural teeth. Among those who reported fair or poor general health, those with less than a full mouth of teeth showed similar levels of barriers to dental care services and worse perceived oral health than did those without any teeth.

Conclusions

Helping the 65 years and older population retain their teeth in good condition will improve their overall health. Investment in oral hygiene and health for the current and future Medicare populations could improve their overall health.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
牙齿状况和障碍对医疗保险受益人感知口腔健康的影响。
目的:研究医疗保险受益人接受牙科保健服务的障碍、牙科群体和自我报告的口腔健康状况之间的关系。方法:我们使用2017年至2018年国家健康与营养调查(NHANES)的数据,其中包括年龄≥65岁、参加医疗保险并完成口腔健康检查的参与者。我们使用详细的牙齿检查数据创建了一个牙列组变量,以说明天然牙齿、替换牙齿、可移动牙齿或缺失牙齿的存在。通过双变量和逻辑分析,我们探讨了接受牙科保健服务的障碍、牙科群体、报告的口腔和一般健康状况以及其他控制变量之间的关系。结果:对于医疗保险总人口以及四个亚组分析,我们发现那些在牙科保健服务方面有障碍的人更有可能报告口腔健康状况一般或较差。那些没有牙齿的人,戴着全口假牙的人,或者牙齿不够全的人,比那些拥有天然牙齿的人有更大的障碍,口腔和整体健康状况更差。在那些总体健康状况一般或较差的人中,那些牙齿不完整的人与没有牙齿的人相比,在接受牙科保健服务方面表现出相似的障碍,他们认为口腔健康状况更差。结论:帮助65岁及以上人群保持良好的牙齿状态,可以改善他们的整体健康状况。对当前和未来的医疗保险人群的口腔卫生和健康进行投资可以改善他们的整体健康状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
期刊最新文献
Issue Information Associations between disability type and untreated dental decay among community dwelling US adults Evaluating the harmonization potential of oral health-related questionnaires in national longitudinal birth and child cohort surveys Educating long-term care staff on older adult oral health: Maine's oral team-based initiative vital access to education (MOTIVATE) program Integration of dental therapists in safety net practice increases access to oral health care in Minnesota
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1