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Holmavuo K, Suominen AL, Lammintakanen J, Nykänen I, Välimäki T, Koponen S, Savela R, Schwab U. Informal caregivers' perceptions of oral care and their association with the use of oral health services: A cross‐sectional study among informal caregivers and their care recipients. Clin Exp Dent Res 2022; 8:589-599. [PMID: 35368149 PMCID: PMC9033540 DOI: 10.1002/cre2.552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 02/11/2022] [Indexed: 11/08/2022] Open
Abstract
Objective This study aimed to describe informal caregivers' perceptions of the importance of oral care and investigate the association between these perceptions and the use of oral health services during the past year. Background There is limited research on informal caregivers' perceptions of oral care. These perceptions presumably influence oral self‐care along with caregivers' and care recipients' use of oral health services. Materials and Methods Baseline data from the multidisciplinary Lifestyle, Nutrition, and Oral health in caregivers (LENTO) intervention study were analyzed. Informal caregivers (n = 125) and care recipients (n = 120) ≥65 years of age and living in Eastern Finland participated in the study. Data were collected through semi‐structured interviews. Results A majority (81%) of the informal caregivers considered oral care very important. Informal caregivers who considered oral care very important had 10 or more years of education, and considered service fees reasonable were more likely to have visited oral health services during the past year than other caregivers. No association between informal caregivers' perceptions of oral care and care recipients' use of oral health services during the past year was observed. Conclusions The study provides insight into informal caregivers' perceptions of oral care, with most informal caregivers considering oral care to be very important. Our findings support what has been reported in previous studies in that favorable perceptions of oral care are associated with oral health service visits. This association, however, did not hold true for care recipients' use of services.
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Affiliation(s)
- Karoliina Holmavuo
- Department of Health and Social Management, Faculty of Social Sciences and Business Studies University of Eastern Finland Kuopio Finland
| | - Anna Liisa Suominen
- Institute of Dentistry University of Eastern Finland Kuopio Finland
- Department of Oral and Maxillofacial Diseases Kuopio University Hospital Kuopio Finland
| | - Johanna Lammintakanen
- Department of Health and Social Management, Faculty of Social Sciences and Business Studies University of Eastern Finland Kuopio Finland
| | - Irma Nykänen
- Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences University of Eastern Finland
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences University of Eastern Finland Kuopio Finland
| | - Tarja Välimäki
- Department of Nursing Science, Faculty of Health Sciences University of Eastern Finland Kuopio Finland
| | - Sohvi Koponen
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences University of Eastern Finland Kuopio Finland
| | - Roosa‐Maria Savela
- Department of Nursing Science, Faculty of Health Sciences University of Eastern Finland Kuopio Finland
| | - Ursula Schwab
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences University of Eastern Finland Kuopio Finland
- Department of Endocrinology and Clinical Nutrition Kuopio University Hospital Kuopio Finland
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NHS dental service utilisation and social deprivation in older adults in North West England. Br Dent J 2017; 223:102-107. [PMID: 28729568 DOI: 10.1038/sj.bdj.2017.624] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2017] [Indexed: 11/08/2022]
Abstract
Objective To explore NHS dental service utilisation (attendance and treatment activity) of older adults.Design Retrospective analysis of dental treatment claim forms (FP17s) over a 15 month period.Population A total of 690,433 older adults in North West England.Results NHS dental care attendance decreased with increasing age; 49% in 65-74 years, 39% in 75-84 years and 23% in the over 85 years age group. Across all older age stratifications, the more deprived patients had a higher rate of examinations, extractions, dentures and preventative advice compared to the least deprived patients. However, the relationship was opposite for the rate of fillings and complex restorative treatment; the rate was higher for the least deprived older adult patients.Conclusions Despite 95% of older adults living in the community, the number of older adults accessing NHS dental care in this data set is thought-provoking. Additionally, there is a complex relationship between the type of treatment provided and the patient's IMD level. The authors acknowledge the major limitations of this dataset; affluent people are more likely to access private dental care and the availability of NHS dental services is likely to vary across different regions. However, the use of 'big data' is necessary to provide a pragmatic approach for future research in the management of older adults in general dental services.
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Edman K, Holmlund A, Nordström B, Öhrn K. Attitudes to dental care, Sweden 2003-2013, and clinical correlates of oral health-related quality of life in 2013. Int J Dent Hyg 2017; 16:257-266. [PMID: 28133937 DOI: 10.1111/idh.12269] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2016] [Indexed: 11/27/2022]
Affiliation(s)
- K Edman
- Center for Oral Rehabilitation; Public Dental Services; Falun Sweden
- Department of Surgical Sciences, Oral and Maxillofacial Surgery; Medical Faculty; Uppsala University; Uppsala Sweden
| | - A Holmlund
- Public Dental Services; Gävleborg Sweden
- Center for Clinical Research; Uppsala University/Region Gävleborg; Gävle Sweden
| | - B Nordström
- Center for Public Dental Services; Falun Sweden
| | - K Öhrn
- School of Education, Health and Social Studies; Falun Sweden
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Bommireddy VS, Koka KM, Pachava S, Sanikommu S, Ravoori S, Chandu VC. Dental Service Utilization: Patterns and Barriers among Rural Elderly in Guntur District, Andhra Pradesh. J Clin Diagn Res 2016; 10:ZC43-7. [PMID: 27135000 PMCID: PMC4843385 DOI: 10.7860/jcdr/2016/17834.7456] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2015] [Accepted: 01/21/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The biological process of ageing is outside human control and has its own dynamics. It is a known fact that elderly people have more treatment needs compared to the younger population and at the same time elderly people are facing a multitude of barriers in utilization of health care as well as oral health care. AIM To identify the utilization patterns of oral health care and barriers for utilization among rural population. MATERIALS AND METHODS A cross-sectional study was done on 621 rural elderly subjects to identify the utilization of oral health care services and the barriers for utilization. Using stratified cluster sampling study area was stratified into 13 rural clusters, fifty houses were randomly selected from each stratum. All the elderly subjects, as defined by the age criteria were considered for study. The data were analysed using SPSS 20 v and Chi-square tests were used to analyse the data. RESULTS Only 31.9% of participants reported visiting a dentist in the past while 36.7% reported experiencing a dental problem at some point in their life. There were no significant differences in utilization of dental services based on gender, socio-economic status, age groups and religion. However, significant differences were found in utilization of dental services based on the response of participants to past experience of dental problems. CONCLUSION The present study results conclude that fear was one of the most commonly reported barriers for utilisation of dental services and there is a need for oral health education and promotion among elderly population.
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Affiliation(s)
- Vikram Simha Bommireddy
- Senior Lecturer, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
| | - Krishna Mohan Koka
- Senior Lecturer, Department of Conservative Dentistry And Endodontics, Sree Sai Dental College and Research Institute, Chapuram, Srikakulam, India
| | - Srinivas Pachava
- Professor and Head, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
| | - Suresh Sanikommu
- Reader, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
| | - Srinivas Ravoori
- Senior Lecturer, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
| | - Viswa Chaitanya Chandu
- Post Graduate Student, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
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Mariño RJ, Khan AR, Tham R, Khew CW, Stevenson C. Pattern and factors associated with utilization of dental services among older adults in rural Victoria. Aust Dent J 2014; 59:504-10. [DOI: 10.1111/adj.12216] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/26/2014] [Indexed: 11/29/2022]
Affiliation(s)
- RJ Mariño
- Oral Health Cooperative Research Centre; Melbourne Dental School; The University of Melbourne; Victoria
| | - AR Khan
- Oral Health Cooperative Research Centre; Melbourne Dental School; The University of Melbourne; Victoria
| | - R Tham
- School of Rural Health; Monash University; Victoria
| | - C-W Khew
- Bendigo Health Care Group; Victoria
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Bhagavatula P, Xiang Q, Eichmiller F, Szabo A, Okunseri C. Racial/ethnic disparities in provision of dental procedures to children enrolled in Delta Dental insurance in Milwaukee, Wisconsin. J Public Health Dent 2012; 74:50-6. [PMID: 22970893 PMCID: PMC4121860 DOI: 10.1111/j.1752-7325.2012.00366.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Most studies on the provision of dental procedures have focused on Medicaid enrollees known to have inadequate access to dental care. Little information on private insurance enrollees exists. This study documents the rates of preventive, restorative, endodontic, and surgical dental procedures provided to children enrolled in Delta Dental of Wisconsin (DDWI) in Milwaukee. METHODS We analyzed DDWI claims data for Milwaukee children aged 0-18 years between 2002 and 2008. We linked the ZIP codes of enrollees to the 2000 U.S. Census information to derive racial/ethnic estimates in the different ZIP codes. We estimated the rates of preventive, restorative, endodontic, and surgical procedures provided to children in different racial/ethnic groups based on the population estimates derived from the U.S. Census data. Descriptive and multivariable analysis was done using Poisson regression modeling on dental procedures per year. RESULTS In 7 years, a total of 266,380 enrollees were covered in 46 ZIP codes in the database. Approximately, 64 percent, 44 percent, and 49 percent of White, African American, and Hispanic children had at least one dental visit during the study period, respectively. The rates of preventive procedures increased up to the age of 9 years and decreased thereafter among children in all three racial groups included in the analysis. African American and Hispanic children received half as many preventive procedures as White children. CONCLUSION Our study shows that substantial racial disparities may exist in the types of dental procedures that were received by children.
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Affiliation(s)
| | - Qun Xiang
- Division of Biostatistics, Medical College of Wisconsin
| | | | - Aniko Szabo
- Division of Biostatistics, Medical College of Wisconsin
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Naka O, Anastassiadou V. Assessing oral health promotion determinants in active Greek elderly. Gerodontology 2011; 29:e427-34. [DOI: 10.1111/j.1741-2358.2011.00491.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
Many patients requiring surgery possess poor oral health. The presence of decayed teeth and periodontitis represent potentially potent causes of odontogenic infection that could significantly compromise the surgical outcome. Geriatric patients presenting for surgery who have not had a dental examination for years may be harboring an undetected oral infection. In the perioperative period, the harmful effects of such an infection are amplified in terms of treatment and expenses. This article will elaborate on the association between oral health and systemic disease, present unique intraoral characteristics of elderly patients, and emphasize the importance of obtaining a dental evaluation and treating any acute oral infection before surgery. Augmenting the awareness of the perioperative dental considerations in the geriatric population can lead to the implementation of effective and preventive measures that can contain costs and achieve optimal patient care.
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Affiliation(s)
- Jeffrey S Yasny
- Department of Anesthesiology, Mount Sinai Medical Center, New York, NY, USA.
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Yasny J. The Importance of Oral Health for Cardiothoracic and Vascular Patients. Semin Cardiothorac Vasc Anesth 2010; 14:38-40. [DOI: 10.1177/1089253210362272] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Prior to cardiothoracic or vascular surgery, a patient's oral health is not usually a high priority for the surgical team. Yet, oral neglect often mirrors systemic disease and the need for proper dental care is often unmet. In the perioperative period, the presence of untreated decayed teeth and periodontal disease can result in a potent odontogenic infection with significant consequences. Patients can unknowingly present for such operations with undetected oral infections that can magnify the likelihood of an adverse outcome, increase costs, morbidity, and possibly mortality. Considering scheduling constraints and the urgency of the procedure, a pre-operative dental screening is suggested for patients who undergo elective cardiothoracic or vascular surgery, to ensure that any oral infection is diagnosed and definitively treated. Implementing such an effective and preventive approach can improve surgical outcome and overall patient health.
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Weyant RJ, Manz M, Corby P, Rustveld L, Close J. Factors associated with parents? and adolescents? perceptions of oral health and need for dental treatment. Community Dent Oral Epidemiol 2007; 35:321-30. [PMID: 17822480 DOI: 10.1111/j.1600-0528.2006.00336.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The aim of this study was to characterize the association between clinical and psychosocial factors as they related to perceptions by parents and adolescents to the adolescent's oral health status and treatment need. Additionally, the degree to which adolescent's and parent's perceptions of oral health and treatment need were related was examined. METHODS Data from the Pennsylvania oral health needs assessment for 530 parent-adolescent pairs were used to address the objectives of this study. Comparisons between clinical oral health measures, psychosocial factors, and the parent- and adolescent-reported perceptions of the adolescent's oral health status were made using descriptive and inferential statistics, including exploratory factor analysis and path analysis. RESULTS Parents and adolescents exhibited only modest concordance on ratings of the adolescent's oral health status and need for dental treatment. Furthermore, parents tended to rate their adolescent's oral health status as better than did the adolescent. The results of the path analysis showed that adolescents based their ratings of oral health status more on oral symptoms, while parents rated their adolescent's oral health more on esthetic or psychosocial factors. CONCLUSIONS Adolescents and parents based their perceptions of oral health status and treatment need on different underlying factors. Additionally, adolescents' perceptions of their oral health status and treatment needs did not appear to be communicated to their parents.
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Affiliation(s)
- Robert J Weyant
- Department of Dental Public Health, Center for Oral Health Research in Appalachia, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.
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Riley JL, Gilbert GH, Heft MW. Dental attitudes: proximal basis for oral health disparities in adults. Community Dent Oral Epidemiol 2006; 34:289-98. [PMID: 16856949 DOI: 10.1111/j.1600-0528.2006.00280.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES Behavioral science postulates that underlying characteristics of populations, rather than sociodemographic groupings, are more proximal causes of oral health disparities through differing oral health behaviors. To our knowledge this is the first report in the literature that examines longitudinal correlates of oral health and dental care using groups of persons holding similar attitudes and beliefs. METHODS The subjects were 873 participants in the Florida Dental Care Study, a longitudinal study of oral health among dentate adults. Hierarchical cluster analysis identified four groups with similar dental attitudes that were labeled 'favorable attitudes about dental care', 'frustrated believers in dental care', 'negative attitudes and cost concerns', 'pessimistic about personal and professional oral care'. RESULTS The attitudinal groups cut across race, sex, and age with race and educational status the best discriminators among sociodemographic and economic variables. The negative attitude group reported the least preventive care and the largest oral health decrements on clinical examination at baseline and 24 months. The group with favorable attitudes about dental care reported the highest number of preventive and restorative visits and the lowest point-prevalence of toothache pain, temperature sensitivity, and painful gums. The frustrated believers have access to dental care equivalent to the favorable attitude group, but may delay seeking dental care until oral disease becomes more severe, based on their pattern of preventive, restorative, and dental extraction visits. Additional group differences on oral health and dental care are reported. CONCLUSION This study takes a novel approach to examining oral healthy disparities. Differences in oral health behaviors support the validity of the groups.
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Affiliation(s)
- Joseph L Riley
- Division of Public Health Services and Research, College of Dentistry University of Florida, Gainesville, FL, USA.
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Affiliation(s)
- H. Asuman Kiyak
- Department of Oral & Maxillofacial Surgery; Department of Psychology; Institute on Aging at the University of Washington
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Abstract
OBJECTIVE To examine associations between childhood dental visits and attitudes and beliefs about dental care, and oral health as measured during adulthood. METHODS The data were taken from the Florida Dental Care Study (FDCS), a prospective longitudinal study of oral health and dental care, among 683 adults 45 years of age and older who answered questions about early dental history at the 54-month follow-up interview. RESULTS Fifty-nine per cent (n = 400) reported having had a dental visit before 18 years of age. Of those with a childhood visit, 72% reported that the first dental visit was a negative experience. Having a childhood dental visit was associated with several positive attitudes and beliefs about dental care. In addition, having early experiences with a dentist was associated with preventive and restorative dental visits and several objective and subjective measures of oral health. Having a negative childhood experience was associated with only one of the adult dental attitude and beliefs subscales, and none of the oral health behaviours. CONCLUSIONS Our data suggest that the socialisation associated with early dental visits may occur even though the experience may have been painful or frightening. Although this study design precluded direct inference about causation, these findings do support the utility of further investigations into possible causative linkages between childhood dental experiences and adult attitudinal and dental health outcomes.
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Slaughter A, Smith VJ, Taylor L. Progressing toward a more culturally competent approach to dental care for African American elders. SPECIAL CARE IN DENTISTRY 2005; 24:301-7. [PMID: 15686280 DOI: 10.1111/j.1754-4505.2004.tb01709.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This study was conducted to understand perceptions that may influence oral self-care behaviors among elderly African American adults living in an urban community. Four focus groups at two senior centers were recruited, involving a total of 25 participants. Content analysis and ethnographic summaries were used to identify themes, common concepts and language. The results indicated that although the participants recognized the advantages of routine brushing, the importance of keeping teeth clean to prevent gum disease was not widely acknowledged. On the basis of these focus groups, the authors suggest that health promotion approaches for adults who are elderly should be linked to the audience's cultural norms and perceptions regarding the benefits of oral hygiene practices.
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Affiliation(s)
- Ann Slaughter
- Dept. of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104-6030 USA.
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Stoller EP, Gilbert GH, Pyle MA, Duncan RP. Coping with tooth pain: a qualitative study of lay management strategies and professional consultation. SPECIAL CARE IN DENTISTRY 2001; 21:208-15. [PMID: 11885669 DOI: 10.1111/j.1754-4505.2001.tb00256.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
This research analyzes transcripts of semi-structured interviews with patients presenting with tooth pain at a rural dental clinic in North Florida. The primary objectives are to identify the strategies patients use to manage their pain and to elucidate the decision-making process leading to the clinic visit. Although respondents understood that their condition was not self-limiting, only about one-half contacted the clinic within several days of the onset of their pain. Most tried one or more lay management strategies.
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Affiliation(s)
- E P Stoller
- Department of Sociology, Case Western Reserve University, Cleveland, OH 44106-7124, USA.
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Abstract
OBJECTIVES Blacks and poor persons share a greater burden of oral disease and are less likely to seek dental care on a regular basis. The role of dental attitudes and knowledge of services on this circumstance is unclear. The authors quantified group differences in dental attitudes and knowledge of services and related them to regularity of dental care use. METHODS As part of the baseline phase of The Florida Dental Care Study, a longitudinal study of oral health, 873 respondents who had at least one tooth and who were 45 years or older participated for an interview and a clinical dental examination. Dental care use, seven dental attitudinal constructs, and knowledge of dental services were queried. RESULTS Forty-five percent of respondents reported going to a dentist only when they have a problem, and 17% of respondents had not seen a dentist in more than 5 years. Ten percent of respondents reported that they had at least one permanent tooth removed by someone other than a dentist (typically, the respondent himself). Blacks and poor persons had more negative attitudes toward dental care and dental health and were less knowledgeable of dental services. Multivariate analyses suggested that dental attitudes were important to understanding the use of dental care services for this diverse group of adults, and that race and poverty contributed independently to dental care use even with dental attitudes taken into account. CONCLUSIONS Dental attitudes contribute to race and poverty differences in dental care use among adults. The persistence of race and poverty effects with attitudes taken into account suggests that additional explanatory factors contribute as well. These differences may contribute to more prevalent and severe oral health decrements among the same adults who also are more likely to suffer from other health decrements.
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Affiliation(s)
- G H Gilbert
- Claude D. Pepper Center for Research on Oral Health in Aging, University of Florida, Gainesville, USA
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