Predictors of older adults' longitudinal dental care use. Ten-year results.

作者: Gregg H. Gilbert , Laurence G. Branch , E John Orav

DOI: 10.1097/00005650-199012000-00005

关键词:

摘要: Our purpose was to identify factors predictive of reported dental care use by elders (65+) over a ten-year period in Massachusetts. The Massachusetts Health Care Panel Study began 1974-75 (wave 1) as statewide survey 1625 noninstitutionalized elders. Wave 2 occurred 1976, wave 3 1980, and 4 1985. 540 persons who participated all four waves are the subject this report. remainder either died, entered nursing home, or were lost follow-up. This longitudinal design permits analysis cohort, aging, effects. outcome variables self-reported within two years, more than at 1, 3, 4. excluded because less years had elapsed since previous wave. To use, we used generalization logistic regression model that included random effect term, which accounts for repeated measures being made on same subjects. Covariates dentate status, education, income, sex, martial time. variable "time" served measure aging/period Persons grouped into birth cohorts. Before adjusting other covariates, cohort significantly associated with but not so full multivariate model. Dentate income significant predictors use. explained income. Time significant, indicating no effects period, their net zero.

参考文章(32)
A Sheiham, J Maizels, A M Cushing, Developing socio-dental indicators--the social impact of dental disease. Community Dental Health. ,vol. 3, pp. 3- 17 ,(1986)
H. Löe, Poul Holm-Pedersen, Geriatric Dentistry: A Textbook of Oral Gerontology ,(1987)
L Aday, R Anderson, A framework for the study of access to medical care. Health Services Research. ,vol. 9, pp. 208- 220 ,(1974)
RONALD ANDERSEN, JOHN F. NEWMAN, Societal and Individual Determinants of Medical Care Utilization in the United States Milbank Quarterly. ,vol. 83, pp. 95- 124 ,(1973) , 10.1111/J.1468-0009.2005.00428.X
JA Weintraub, BA Burt, Oral health status in the United States: tooth loss and edentulism. Journal of Dental Education. ,vol. 49, pp. 368- 378 ,(1985) , 10.1002/J.0022-0337.1985.49.6.TB01896.X
Linda C. Niessen, Judith A. Jones, Mario Zocchi, Bennett Gurian, Dental care for the patient with Alzheimer's disease. Journal of the American Dental Association. ,vol. 110, pp. 207- 209 ,(1985) , 10.14219/JADA.ARCHIVE.1985.0252
Amid I. Ismail, Brian A. Burt, Gerry E. Hendershot, Susan Jack, Stephen B. Corbin, Findings from the Dental Care Supplement of the National Health Interview Survey, 1983 Journal of the American Dental Association. ,vol. 114, pp. 617- 621 ,(1987) , 10.14219/JADA.ARCHIVE.1987.0150
Judith A. Jones, Richard Adelson, Linda C. Nlessen, Gregg H. Gilbert, Issues in financing dental care for the elderly. Journal of Public Health Dentistry. ,vol. 50, pp. 268- 275 ,(1990) , 10.1111/J.1752-7325.1990.TB02134.X
C Evashwick, D Conrad, F Lee, Factors related to utilization of dental services by the elderly. American Journal of Public Health. ,vol. 72, pp. 1129- 1135 ,(1982) , 10.2105/AJPH.72.10.1129