Barriers Affecting the Utilization of Dental Health Services among Community Dwelling Older Adults

Saleh, Nadia; Elashri, Neamit; Mohamed, Heba; El‐Gilany, Abdel‐Hady

doi:10.21608/asalexu.2018.207750

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…22 SDF treatment is a non-invasive and easy-to-perform dental procedure that requires minimal time and budget, making it an excellent option for reducing barriers to dental health services. 23 , 24 Thailand’s universal health coverage covers SDF treatment, but it’s not widely used in the country. Therefore, it’s important to raise awareness about the benefits of SDF treatment.…”

Section: Discussionmentioning

confidence: 99%

The Older Adults’ Intention to Use Silver Diamine Fluoride for Dental Caries Treatment

Nakphu,

Urwannachotima,

Pisarnturakit

2024

CCIDE

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Purpose This study aimed to determine the intention of older adults to use silver diamine fluoride (SDF) for treating tooth decay. Patients and Methods A group of Thai-speaking individuals between the ages of 60 and 90 were asked to participate in the study. They were provided with information about SDF and then asked to complete a questionnaire based on the Theory of Reason Action (TRA). The questionnaire consisted of 23 questions divided into seven constructs aimed at determining the determinants of the intention to use SDF. These constructs were behavioral belief, evaluation of behavioral outcome, normative belief, motivation to comply, attitude towards behavior, subjective norm, and intention. The responses were rated on a 4-point Likert scale ranging from 1 (Strongly disagree) to 4 (Strongly agree). The characteristics and TRA scores of the participants were analyzed and compared based on their intention to use SDF, using the Chi-square test and t -test. Multiple logistic regression was employed to determine the determinants of the intention to use SDF. Results The study involved 588 participants, with an average age of 65.3 years (SD= 5.53). Of the participants, 52.7% were women, 58.1% were unemployed or retired, 80.8% lived with family, 63.4% had less than sixth-grade education, 62.9% had a monthly family income of less than 10,000 baht, and 63.6% had underlying diseases. The study found that 82.7% of the participants intended to use SDF for dental caries treatment, with an average score of 2.86 out of 4. The study also found that age, family income, underlying diseases, dental health problems, and fear of the dentist significantly affected their intention. Behavioral beliefs and evaluations of behavioral outcomes significantly affected the intention to use SDF treatment. Conclusion Most older adults in the study intended to use SDF for dental caries treatment.

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Section: Discussionmentioning

confidence: 99%

The Older Adults’ Intention to Use Silver Diamine Fluoride for Dental Caries Treatment

Nakphu,

Urwannachotima,

Pisarnturakit

2024

CCIDE

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“…Moreover, 56% of participants completely agreed and 21% partially agreed that older adults should attend dental examinations more frequently than younger patients. This high percentage may be due to dentists’ understanding that with increasing age, the demand for oral health increases, but it is often neglected, especially in low-middle income countries like Egypt, where older patients may only visit the dentist if they have a problem or may never visit at all [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

How dentists in Egypt perceive their knowledge, attitudes, and barriers they face in providing oral healthcare to geriatric patients: a cross-sectional study

Hall,

Ashmawy,

Karawia

et al. 2023

BMC Oral Health

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Background Geriatric dentistry is an understudied area in dental schools in Egypt. Our study aimed to assess the knowledge and attitudes of Egyptian dentists regarding geriatric oral health and identify barriers to delivering dental care to geriatric patients. Methods We conducted an anonymous online cross-sectional study in November and December 2022, targeting dentists with varying levels of experience working in different Egyptian institutions. A 30-item questionnaire assessed the respondent’s views on geriatric oral health, perceived knowledge, attitudes, and barriers. The Google form was distributed through emails and commonly used social media platforms. Results A total of 421 dentists responded to this online questionnaire. Of the respondents, 44.9% were male, 45.0% were between 20 and 29 years old, and 31.5% worked in more than one dental setting. Multivariate analysis revealed that female sex negatively affected attitude β = -1.72 [95%CI,-2.43 – -1.11]. The proportion of older patients who visited the respondents’ clinics per day (11–30%) and more than 30% increased perceived knowledge [β = 1.01 (95%CI, 0.41 –1.62), β = 1.50 (95%CI, 0.71–2.22)] and attitude [β = 0.70 (95%CI, 0.06–1.40), β = 0.73 (95%, 0.13–1.61)] while decreased the perceived barriers [β = -1.10 (95%CI, -1.91 – -0.32)] respectively. On the other hand, years of experience increased perceived knowledge only after 5–10 years [β = 1.02 (95%CI, 0.04–2.10)] and after more than 10 years [β = 1.30 (95%CI, 0.21–2.70)]. Governmental work only increased perceived barriers [β = 1.33 (95%CI, 0.10–2.54)], while living in the middle and west delta decreased perceived barriers [β = -0.91 (95%CI, -2.12 – -0.01 and β = -1.33, (95%CI, -2.22 – -0.40) respectively]. Conclusions Our study highlights the need to improve the knowledge and attitudes of young dentists towards geriatric dentistry. Furthermore, working conditions in dental facilities, particularly in the government sector and Upper Egypt, need to be improved to reduce barriers to delivering dental care to geriatric patients.

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Factors affecting oral and dental services` utilization among Elderly: a scoping review

Ghanbari-Jahromi,

Bastani,

Jalali

et al. 2023

BMC Oral Health

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Background Regular use of oral and dental services by the elderly is one of the important factors in reducing oral and dental diseases. This study aimed to identify the factors affecting oral and dental services` utilization among elderly. Methods The published articles on the factors affecting oral and dental services` utilization among elderly were found through a scoping search and using related keywords in PubMed, Scopus, Embase, and Web of Science databases within January 2000 - December 2022 according to the PRISMA guidelines. The data were analyzed using the thematic analysis method. Results Among the 2381 articles retrieved from the databases, forty-two were extracted. The factors affecting oral and dental services` utilization among elderly were classified into five main components as follows: access, demographic factors, social factors, health level, and mental factors. The results showed that income, education level, living area, number of teeth, and importance of care were the most frequent in the main components of access, demographic factors, social factors, health level, and mental factors, respectively. Conclusion Equitable utilization of oral and dental services is the right of all members of the society, especially the elderly. Therefore, it is necessary to provide the elderly with suitable conditions to utilize such services, which are mostly luxury items. Furthermore, increasing the elderly’s awareness and encouraging them to use oral and dental services regularly can help reduce the burden of oral and dental diseases.

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Barriers Affecting the Utilization of Dental Health Services among Community Dwelling Older Adults

Cited by 3 publications

References 20 publications

The Older Adults’ Intention to Use Silver Diamine Fluoride for Dental Caries Treatment

The Older Adults’ Intention to Use Silver Diamine Fluoride for Dental Caries Treatment

How dentists in Egypt perceive their knowledge, attitudes, and barriers they face in providing oral healthcare to geriatric patients: a cross-sectional study

Factors affecting oral and dental services` utilization among Elderly: a scoping review

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