Inequalities in Dental Attendance throughout the Life-course

Listl, Stefan

doi:10.1177/0022034512447953

Cited by 54 publications

(52 citation statements)

References 31 publications

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“…Interestingly, this association was only partly explained upon introduction of control variables for current health and living conditions, including current dental attendance patterns. Because there is evidence on the persistence of dental attendance patterns throughout the life course, 18,36,37 this may suggest that dental attendance in childhood can determine later dental visiting patterns and as such has a cumulative impact on oral well-being throughout the life cycle. In addition, our results coincide with previous studies showing that childhood socioeconomic background influences oral health outcomes in later life years.…”

Section: Discussionmentioning

confidence: 99%

Early Life Conditions, Adverse Life Events, and Chewing Ability at Middle and Later Adulthood

2014

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Objectives. We sought to determine the extent to which early life conditions and adverse life events impact chewing ability in middle and later adulthood. Methods. Secondary analyses were conducted based on data from waves 2 and 3 of the Survey of Health, Ageing, and Retirement in Europe (SHARE), collected in the years 2006 to 2009 and encompassing information on current chewing ability and the life history of persons aged 50 years or older from 13 European countries. Logistic regression models were estimated with sequential inclusion of explanatory variables representing living conditions in childhood and adverse life events. Results. After controlling for current determinants of chewing ability at age 50 years or older, certain childhood and later life course socioeconomic, behavioral, and cognitive factors became evident as correlates of chewing ability at age 50 years or older. Specifically, childhood financial hardship was identified as an early life predictor of chewing ability at age 50 years or older (odds ratio = 1.58; 95% confidence interval = 1.22, 2.06). Conclusions. Findings suggest a potential enduring impact of early life conditions and adverse life events on oral health in middle and later adulthood and are relevant for public health decision-makers who design strategies for optimal oral health.

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Section: Discussionmentioning

confidence: 99%

Early Life Conditions, Adverse Life Events, and Chewing Ability at Middle and Later Adulthood

2014

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“…The Survey of Health, Ageing and Retirement in Europe (SHARE) and the Health and Retirement Study (HRS) in the USA are unique surveys allowing comparisons within and across several European countries, as well as between the USA and European countries. Recent studies using SHARE data have confirmed income inequalities in dental attendance from wave 2 (2006–2007), and socio‐economic status inequalities throughout the life course from wave 3 (SHARELIFE), retrospective life histories. Another study pooled wave 2 SHARE data across European countries to compare intercountry attendance rates in several logistic regressions.…”

Section: Introductionmentioning

confidence: 98%

Disparity in dental attendance among older adult populations: a comparative analysis across selected European countries and the USA

Manski

Moeller

Chen

et al. 2016

International Dental Journal

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Background The current study addresses the extent to which diversity in dental attendance across population subgroups exists within and between the United States 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 of the Health and Retirement Study (HRS) in the United States for respondents aged 51 years and older. Logistic regression models were estimated to identify impacts of dental care coverage and oral as well as 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 by social welfare regime. Patterns of diverse dental use were found, but they did not appear predominately in countries classified by welfare state regime or by presence or absence of social health insurance. Conclusions Findings of this study suggest that income and education have stronger and more persistent correlation with dental use than the correlation between dental insurance and dental use across European countries. We conclude that (1) higher overall rates of coverage in most European countries, compared to relatively lower rates in the USA, contribute to this finding and that (2) 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.

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“…and "75 yrs. and older" [30]. For specific patients, higher DMF-T scores and inferior periodontal health in Poland have been reported [31,32].…”

Section: Discussionmentioning

confidence: 94%

Oral Health and Quality of Life in Old Age: A Cross-Sectional Pilot Project in Germany and Poland

Skośkiewicz−Malinowska¹,

Noack²,

Kaderali

et al. 2016

Adv Clin Exp Med

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Background. The process of ageing influences all dimensions of social life and personal well-being, but the influence of health on different dimensions of quality of life (QoL) among the elderly is rarely examined. Objectives. The aim of the pilot study is to test the feasibility of a comprehensive study design to evaluate general and dental health as well as QoL in a bi-national sample. In addition, this pilot study should allow for the exploration of potential interactions between QoL, socioeconomic, health and oral health variables. Material and Methods. Individuals aged 64 years and older (n = 100) from university dental clinics of the Wroclaw Medical University, Poland (n = 50) and of the University Hospital in Dresden, Germany (n = 50) were examined. The oral health status of participants was assessed by clinical examination. Socio-demographic, environmental and general health status were evaluated during the medical interview. General quality of life (GQoL) was assessed by an overall question with a visual analogue scale (VAS) from -5 (worst) to +5 (best). Health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL) were measured with the EQ-5D and OHIP-14 questionnaires. Statistical analyses comprised Pearson's c 2 test, Wilcoxon test, linear regression model for statistical analysis and different multivariate linear regression analyses. Results. For the GQoL-VAS-Score the results for QoL measurements were 1.22 ± 2.62 (x -± SD), for EQ-5D-Score 7.45 ± 2.25 (x -± SD), and for OHIP-14-ADD-Score 11.04 ± 13.56 (x -± SD). Differences between Polish and German populations were observed. Conclusions. The study design proved to be feasible for a senior population. The overall GQoL question, EQ-5D and OHIP-14 were regarded as appropriate instruments. Subjective and objective (oral) health measures showed differences between Germany and Poland. For methodological reasons, these differences are not generalizable, but of value for study hypotheses in larger samples (Adv Clin Exp Med 2016, 25, 5, 951-959).

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Inequalities in Dental Attendance throughout the Life-course

Cited by 54 publications

References 31 publications

Early Life Conditions, Adverse Life Events, and Chewing Ability at Middle and Later Adulthood

Early Life Conditions, Adverse Life Events, and Chewing Ability at Middle and Later Adulthood

Disparity in dental attendance among older adult populations: a comparative analysis across selected European countries and the USA

Oral Health and Quality of Life in Old Age: A Cross-Sectional Pilot Project in Germany and Poland

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