Recent dental visits and family caregiving among individuals with dental symptoms: A nationwide cross-sectional study in Japan

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2023-11-02 DOI:10.1111/cdoe.12926
Miho Ishimaru, Takashi Zaitsu, Shiho Kino, Yuko Inoue, Kento Taira, Hideto Takahashi, Nanako Tamiya
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Abstract

Objectives

With the increasing number of family caregivers due to the ageing population, physical and mental health problems among caregivers are of concern. However, few studies have evaluated their oral health. This study aimed to evaluate the association between being a family caregiver and recent dental visits for dental symptoms in Japan, with consideration of gender.

Methods

A cross-sectional study was conducted using the 2016 Comprehensive Survey of Living Conditions (CSLC) in Japan. Participants with dental symptoms were included in this study. The primary outcome was recent dental visits. The exposure variable of interest was being a primary caregiver for a family member requiring long-term care. A logistic regression analysis was conducted adjusting for contributing factors such as age, gender, marital status, working hours per week, education, household expenditure per month, self-rated health and the interaction between gender and caregiving. A stratified analysis by gender was also performed.

Results

Of the 5100 eligible participants, 233 (4.6%) were family caregivers. Of all participants, 2746 (53.8%) reported dental visits. The adjusted odds ratio (aOR) of family caregivers having recent dental visits was 0.83 (95% confidence interval [CI], 0.64–1.09). In a gender stratified analysis, family caregivers were less likely to visit dental clinics than were non-family caregivers in the male subsample (aOR: 0.56, 95% CI: 0.34–0.92) but not in the female subsample (aOR: 0.99, 95% CI: 0.72–1.38).

Conclusions

The findings indicate that family caregivers, especially male caregivers, had fewer dental visits than non-family caregivers. These findings suggest the need to improve the accessibility of dental clinics to family caregivers with dental symptoms.

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最近有牙科症状的人的牙科就诊和家庭护理:日本的一项全国性横断面研究。
目标:随着人口老龄化,家庭护理人员的数量不断增加,护理人员的身心健康问题令人担忧。然而,很少有研究评估他们的口腔健康。本研究旨在评估在日本,作为家庭护理者与最近因牙齿症状就诊之间的关系,并考虑性别因素。方法:采用2016年日本生活条件综合调查(CSLC)进行横断面研究。有牙科症状的参与者被纳入本研究。主要结果是最近的牙科就诊。感兴趣的暴露变量是需要长期护理的家庭成员的主要护理者。对年龄、性别、婚姻状况、每周工作时间、教育、每月家庭支出、自我评估的健康状况以及性别与护理之间的相互作用等因素进行了逻辑回归分析。还按性别进行了分层分析。结果:在5100名符合条件的参与者中,233人(4.6%)是家庭照顾者。在所有参与者中,2746人(53.8%)报告了牙科就诊。最近就诊的家庭护理人员的调整比值比(aOR)为0.83(95%置信区间[CI],0.64-1.09)。在性别分层分析中,在男性子样本中,家庭护理人员比非家庭护理人员更不可能去牙科诊所(aOR:0.56,95%CI:0.34-0.92),但在女性子样本中则不然(aOR:0.99,95%CI:0.72-1.38)。这些发现表明,有必要提高牙科诊所对有牙科症状的家庭护理人员的可及性。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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