Prevalence of dental visits in older Japanese adults receiving public assistance

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2023-08-09 DOI:10.1111/cdoe.12902

Shiho Kino, Keiko Ueno, Daisuke Nishioka, Naoki Kondo, Jun Aida

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引用次数: 0

Abstract

Objectives

Exemption from paying dental care costs among recipients of public assistance contributes to universal health care coverage. Although this system might reduce the financial barriers to dental care among patients, there are still several other barriers for public assistance recipients. Therefore, this study examined whether receiving public assistance was associated with a higher prevalence of dental visits for any reason, treatment and prevention.

Methods

Data were obtained from 16 366 respondents from the 2019 wave of a nationwide cohort study on older adults in Japan. Poisson regression analyses with robust error variance were used to examine the associations between receiving public assistance and dental visits, adjusting for number of teeth, dental pain, periodontal conditions, age, sex, number of family members, education, equivalent household income, working status, instrumental activities of daily living, medical conditions, depressive symptoms, instrumental support and geographical variations.

Results

More than half of the non-recipients of public assistance visited a dentist for some reason in the past 6 months. Meanwhile, only 37% of the recipients visited a dentist. In addition, almost half of the non-recipients had treatment visits, while only 34% of the recipients visited. Furthermore, 46% of the non-recipients had dental visits for prevention, while 32% of the recipients had preventive visits. In the fully adjusted models, compared to non-recipients, public assistance recipients were 24% (Prevalence Ratio [PR]: 0.76, 95% Confidence Intervals [CI]: 0.64, 0.90), 23% (PR: 0.77, 95% CI: 0.65, 0.92) and 21% (PR: 0.79, 95% CI: 0.65, 0.95) less likely to have dental visits for any reason, treatment, and prevention, respectively.

Conclusions

Although recipients were exempted from dental treatment fees, receiving public assistance was associated with a lower prevalence of dental visits for any reason, treatment and prevention. Future studies should identify the barriers to accessing dental care among public assistance recipients to improve dental visits.

Abstract Image

查看原文本刊更多论文

接受公共援助的日本老年人牙科就诊率。

目标：免除公共援助受益人的牙科保健费用有助于实现全民医保。尽管这一制度可能会减少患者在牙科保健方面的经济障碍，但对于公共援助对象来说，仍存在其他一些障碍。因此，本研究探讨了接受公共援助是否与因任何原因就诊、治疗和预防牙科疾病的发生率较高有关：数据来自日本全国老年人队列研究 2019 年的 16 366 名受访者。在对牙齿数量、牙痛、牙周状况、年龄、性别、家庭成员数量、教育程度、等值家庭收入、工作状况、日常生活工具性活动、医疗状况、抑郁症状、工具性支持和地域差异进行调整后，使用具有稳健误差方差的泊松回归分析来研究接受公共援助与看牙之间的关联：结果：超过一半的非公共援助受益人在过去 6 个月中因某种原因看过牙医。与此同时，只有 37% 的受助者看过牙医。此外，将近一半的非受助者去看牙医，而只有 34% 的受助者去看牙医。此外，46% 的非受惠者看牙医是为了预防，而 32% 的受惠者看牙医是为了预防。在完全调整模型中，与非受助者相比，公共援助受助者因任何原因、治疗和预防而看牙的可能性分别低 24%（患病率比 [PR]：0.76，95% 置信区间 [CI]：0.64，0.90）、23%（患病率比 [PR]：0.77，95% 置信区间 [CI]：0.65，0.92）和 21%（患病率比 [PR]：0.79，95% 置信区间 [CI]：0.65，0.95）：结论：尽管受助者可免除牙科治疗费用，但接受公共援助与因任何原因、治疗和预防而看牙医的比例较低有关。未来的研究应找出公共援助受助者获得牙科保健的障碍，以改善牙科就诊情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.

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