Factors related to oral healthcare utilisation by individuals 45 and older who live in the community: longitudinal National data from the health, aging, and retirement in Thailand project, 2015-2022.

IF 2.6 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

BMC Oral Health Pub Date : 2025-07-16 DOI:10.1186/s12903-025-06467-4

Supa Pengpid, Karl Peltzer, André Hajek, Razak M Gyasi

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引用次数: 0

Abstract

Background: Few studies have longitudinally assessed the prevalence and factors associated with oral healthcare utilisation (OCU) in older adults. This study aimed to estimate the prevalence and factors associated with OCU based on 4-wave national longitudinal data from Thailand.

Methods: Analysis was done on four waves of Health, Ageing, and Retirement in Thailand (HART) investigations carried out in 2015, 2017, 2020, and 2022 (analytical baseline sample N = 2775). The number of past 12 months of oral healthcare visits was assessed by self-report. Using the panel data structure of four study waves, the impact of time-dependent regressors on healthcare utilization was estimated using conditional fixed effects (FE) logistic regressions. We used the Andersen model as the theoretical foundation.

Results: The prevalence of OCU in the past 12 months at baseline assessment was 7.4%. Regressions showed the importance of need factors (poor self-rated physical health, loneliness, number of chronic conditions, weight loss, meal skipping and wearing dentures), predisposing characteristics (decreasing age), and enabling and disabling resources (private health insurance, Civil Servants Medical Benefit Scheme, Social Security Scheme, or Other Scheme, transitioning to live alone, higher qualify of life or happiness and higher depressive symptoms) in relation to OCU.

Conclusions: This longitudinal study improves our knowledge of the factors influencing middle-aged and older individuals' OCU in Thailand.

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居住在社区的45岁及以上个体使用口腔保健的相关因素：2015-2022年泰国健康、老龄化和退休项目的纵向国家数据

背景：很少有研究对老年人口腔保健利用（OCU）的患病率和相关因素进行了纵向评估。本研究旨在根据泰国的四波全国纵向数据估计OCU的患病率和相关因素。方法：对2015年、2017年、2020年和2022年进行的四波泰国健康、老龄化和退休（HART）调查（分析基线样本N = 2775）进行分析。以自我报告的方式评估过去12个月的口腔保健访视次数。使用四个研究波的面板数据结构，使用条件固定效应（FE）逻辑回归估计时间相关回归量对医疗保健利用的影响。我们使用安徒生模型作为理论基础。结果：基线评估时，过去12个月的OCU患病率为7.4%。回归显示了与OCU相关的需求因素（自评身体健康状况不佳、孤独、慢性病数量、体重减轻、不吃饭和戴假牙）、诱发特征（年龄下降）以及使能和使能资源（私人医疗保险、公务员医疗福利计划、社会保障计划或其他计划、向独居过渡、更高的生活质量或幸福感以及更高的抑郁症状）的重要性。结论：本纵向研究提高了我们对泰国中老年个体OCU影响因素的认识。

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

BMC Oral Health DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

6.90%

发文量

481

审稿时长

6-12 weeks

期刊介绍： BMC Oral Health is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the mouth, teeth and gums, as well as related molecular genetics, pathophysiology, and epidemiology.