Longitudinal pathways between perceived oral health and regular service use of adult Finns

Torppa-Saarinen, Eeva; Suominen, Anna Liisa; Lahti, Satu; Tolvanen, Mimmi

doi:10.1111/cdoe.12478

Cited by 14 publications

(12 citation statements)

References 14 publications

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“…The target was to improve access to oral health care and reduce inequalities. However, in spite of that reform, we found an increase in individual self‐assessed treatment need in our longitudinal national study between 2000 and 2011 6 . In the same study, we also found that regular service use led to good subjective oral health, as also suggested by Andersen's model 7 …”

Section: Introductionsupporting

confidence: 67%

Changes and determinants of unmet oral health treatment need

Torppa-Saarinen

Tolvanen

Lahti

et al. 2020

Comm Dent Oral Epid

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Objectives Our aim was to describe the nature and determinants of the changes in unmet treatment need between the years 2000 and 2011 after a major oral healthcare reform and a wider supply of subsidized care. Methods The study used a longitudinal sample (n = 3838) of adults who had participated in both the Health 2000 and 2011 surveys (BRIF 8901). Those reporting self‐assessed treatment need without having visited a dentist in the previous 12 months were categorized as having unmet treatment need. Two logistic regression models were applied to determine the effects of predisposing and enabling factors on change in unmet treatment need. Model 1 was conducted among those who reported unmet treatment need in 2000 and evaluated the determinants for improvement. Model 2 was conducted among those who did not have unmet treatment need in 2000 to evaluate the risk factors for having unmet treatment need by 2011. Results Unmet treatment need was reported by 25% of the participants in 2000 and by 20% in 2011. Those with unmet treatment need in 2000 were less likely to report improvement by 2011 if they had poor subjective oral health, basic or intermediate education level, or poor perceived economic situation in 2000. Those who did not have unmet treatment need in 2000 were more likely to have it in 2011 if they were males or from northern Finland and less likely to if they came from central Finland or were older. Conclusions The wider supply of subsidized oral health care during the study years did not lead to complete elimination of treatment need. The determinants of unmet treatment need, such as low or intermediate education level and perceived economic difficulties, should be used in targeting the services at those with treatment need to achieve better oral health outcomes.

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Section: Introductionsupporting

confidence: 67%

Changes and determinants of unmet oral health treatment need

Torppa-Saarinen

Tolvanen

Lahti

et al. 2020

Comm Dent Oral Epid

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“…According to a previous national study, subjective oral health among older Finnish adults has improved 38 . However, in a longitudinal study among Finnish adults, less regular use of dental services has been shown to lead to poorer subjective oral 26 . In the current study population, subjective oral health was reported to be poorer with the utilisation of oral health services being less frequent among domiciliary care clients.…”

Section: Discussionmentioning

confidence: 50%

“…38 However, in a longitudinal study among Finnish adults, less regular use of dental services has been shown to lead to poorer subjective oral. 26 In the current study population, subjective oral health was reported to be poorer with the utilisation of oral health services being less frequent among domiciliary care clients. More frequent use of dental services in 2011 might have resulted from improved accessibility of oral health services.…”

Section: Discussionmentioning

confidence: 64%

“…16,17 Poor oral health can lead to various complications, as poor oral health has been found to be associated with cardiovascular diseases, 18 pulmonary infections, 19 systemic infections, 20 diabetes, 21 lower life expectancy 22,23 and poor nutrition intake. 24,25 Oral health-related quality of life (OHRQoL) also decreases along with non-regular oral health service use, 26 poor oral health and tooth loss. 23,25,[27][28][29] Oral health is not routinely assessed during domiciliary care planning, 10 and domiciliary care clients with functional limitations have poorer oral health.…”

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confidence: 99%

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Perceived oral health and oral health behaviours among home‐dwelling older people with and without domiciliary care

et al. 2021

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Objectives The aim was to compare the perceived oral health and oral health behaviours of home‐dwelling older people with and without domiciliary care. Background Oral health is poor in long‐term care, but less is known about perceived oral health of home‐dwelling older people receiving domiciliary care. Materials and methods Data from the Health 2000 and Health 2011 surveys (BRIF8901) were used. Interview participants were at least 70 years old and living at home with or without domiciliary care (n = 1298 in 2000 and n = 1027 in 2011). Differences in perceived oral health (subjective oral health, pain, eating difficulties) and oral health behaviours (hygiene, use of services) were compared based on the use of domiciliary care and stratified by gender. Differences between groups were compared with the chi‐square test. Results In 2011, compared to non‐clients, domiciliary care clients more often had poor subjective oral health (40.3% vs. 28.9%, P = .045). In both surveys, they also used oral health services less recently (2000, 76.4% vs. 60.9%; and 2011, 61.1% vs. 46.6%) and more often had difficulties chewing hard food (2000, 50.6% vs. 34%, P < .001; and 2011, 38.4% vs. 20.7%, P < .001) than non‐clients. In 2000, clients had more difficulty eating dry food without drinking (39.5% vs. 21.6%, P < .001) and cleaning their teeth and mouth (14.3% vs. 1.1%, P < .001) than non‐clients. Women clients in 2011 brushed their teeth less often than non‐clients (43.5% vs. 23.7%, respectively, P = .001). Conclusion Domiciliary care clients have poorer perceived oral health, and greater difficulties with eating and oral hygiene maintenance than non‐clients.

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“…Other studies also confirmed higher perceived oral health in those who had access to oral healthcare services and had more regular DAP. 20,21 In this study, individuals with higher SES had high consumption of cariogenic items. However, they experienced less caries due to better TC pattern, which was in agreement with the results of Sabbah et al, 22 who showed higher SES individuals had better TC behaviors.…”

Section: Originalmentioning

confidence: 61%

Influential factors on oral health status of the elderly Iranians: A Path analysis

Tolou

Jadidfard

Ghasemi

et al. 2022

J. Contemp. Med. Sci.

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Objectives: This study aimed at assessing the influential factors on oral health status of the elderly Iranian population (65 to 74 years of age) by using Path analysis. Methods: This study was conducted on 7,521 elderly individuals participating in the Iranian National Oral Health Survey in 2012. After data collection process, initially decayed, missing, and filled teeth (DMFT) index as well as functional health (FH) index were evaluated in this study by using clinical data. The socio-economic status (SES), insurance type (IT), dental attendance pattern (DAP), reason of attendance (R of A), tooth cleaning (TC), and nutritional pattern (NP) were evaluated according to responses provided to the questions in the questionnaire by participant. Path analysis was applied to analyze the patterns between these variables and DMFT and FH index. Results: The participants’ mean DMFT was 26.6±8.03, and the median FH was 0 (0.10). Path analysis revealed that seniors with higher SES, and having a dental insurance with greater coverage had a direct effect on more regular DAP, and indirect effect on improvement of FH and reduction in DMFT index. More regular DAP had a direct effect on improvement of FH, and reduction of DMFT index. Also, NP with lower risk of caries had a direct effect on improvement of FH and reduction of DMFT index. Conclusion: Out of all the evaluated factors, IT, SES, DAP, and NP demonstrated to be particularly important and significantly affecting DMFT and FH indices in the elderly population. Out of all aforementioned factors, IT in low SES individuals was more important for obtaining required oral healthcare services. Apparently, seniors’ oral health is absolutely in need of special attention with particular focus on providing access to early prevention and care.

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Longitudinal pathways between perceived oral health and regular service use of adult Finns

Cited by 14 publications

References 14 publications

Changes and determinants of unmet oral health treatment need

Changes and determinants of unmet oral health treatment need

Perceived oral health and oral health behaviours among home‐dwelling older people with and without domiciliary care

Influential factors on oral health status of the elderly Iranians: A Path analysis

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