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Determinants of dental treatment avoidance: findings from a nationally representative study

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-se...

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Autores principales: Spinler, Kristin, Aarabi, Ghazal, Walther, Carolin, Valdez, Richelle, Heydecke, Guido, Buczak-Stec, Elzbieta, König, Hans-Helmut, Hajek, André
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081684/
https://www.ncbi.nlm.nih.gov/pubmed/32754887
http://dx.doi.org/10.1007/s40520-020-01652-7
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author Spinler, Kristin
Aarabi, Ghazal
Walther, Carolin
Valdez, Richelle
Heydecke, Guido
Buczak-Stec, Elzbieta
König, Hans-Helmut
Hajek, André
author_facet Spinler, Kristin
Aarabi, Ghazal
Walther, Carolin
Valdez, Richelle
Heydecke, Guido
Buczak-Stec, Elzbieta
König, Hans-Helmut
Hajek, André
author_sort Spinler, Kristin
collection PubMed
description 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.
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spelling pubmed-80816842021-05-05 Determinants of dental treatment avoidance: findings from a nationally representative study Spinler, Kristin Aarabi, Ghazal Walther, Carolin Valdez, Richelle Heydecke, Guido Buczak-Stec, Elzbieta König, Hans-Helmut Hajek, André Aging Clin Exp Res Original Article 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. Springer International Publishing 2020-08-04 2021 /pmc/articles/PMC8081684/ /pubmed/32754887 http://dx.doi.org/10.1007/s40520-020-01652-7 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Spinler, Kristin
Aarabi, Ghazal
Walther, Carolin
Valdez, Richelle
Heydecke, Guido
Buczak-Stec, Elzbieta
König, Hans-Helmut
Hajek, André
Determinants of dental treatment avoidance: findings from a nationally representative study
title Determinants of dental treatment avoidance: findings from a nationally representative study
title_full Determinants of dental treatment avoidance: findings from a nationally representative study
title_fullStr Determinants of dental treatment avoidance: findings from a nationally representative study
title_full_unstemmed Determinants of dental treatment avoidance: findings from a nationally representative study
title_short Determinants of dental treatment avoidance: findings from a nationally representative study
title_sort determinants of dental treatment avoidance: findings from a nationally representative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081684/
https://www.ncbi.nlm.nih.gov/pubmed/32754887
http://dx.doi.org/10.1007/s40520-020-01652-7
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