{"title":"探索安大略省老年人牙科保险覆盖率与牙科保健利用和口腔健康之间的关系。","authors":"Rana Badewy BDS, PhD, FRCDC, Musfer Aldossri BDS, MPH, CPH, PhD","doi":"10.1111/jphd.12657","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>There has been an increasing interest in addressing the equity issue of accessing dental care for low-income elderly. This study aimed to estimate the marginal effects (ME) of dental insurance coverage for seniors on dental care utilization and oral health status outcomes. We also estimated the ME of dental insurance across income subgroups.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Data was sourced from the 2017/18 Canadian Community Health Survey (CCHS)-Annual component. The ME analysis included individuals aged ≥65 years residing in Ontario (<i>n</i> = 10,030). ME were derived from multivariate probit regression models for dental care utilization and oral health status outcomes.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Dental insurance increased the likelihood of reporting excellent/very good oral health and never avoiding foods due to oral problems by 6.9% (ME:6.9, 95% CI: 5.4–8.3) and 3.5% (ME: 3.5, 95% CI: 1.9–5.1), respectively. Dental insurance increased the likelihood of dental visits within the past year by 11.3% (ME: 11.3, 95% CI: 9.8–12.8) and decreased the likelihood of dental visits only for emergencies by 11.2% (ME: −11.2, 95% CI: −12.5 to −9.9). Compared to low- and high-income groups, dental insurance had the highest ME for the middle-income groups for dental visits within the past year (ME middle: 13.1, 95% CI: 10.5–15.7) and dental visits only for emergencies (ME middle: −14.4, 95% CI: −16.0 to −12.8).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Dental insurance can improve the utilization of dental care and can help mitigate the negative effects of poor oral health in elderly populations.</p>\n </section>\n </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"85 1","pages":"92-101"},"PeriodicalIF":1.8000,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927950/pdf/","citationCount":"0","resultStr":"{\"title\":\"Exploring the association between dental insurance coverage and dental care utilization and oral health among elderly Ontarians\",\"authors\":\"Rana Badewy BDS, PhD, FRCDC, Musfer Aldossri BDS, MPH, CPH, PhD\",\"doi\":\"10.1111/jphd.12657\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>There has been an increasing interest in addressing the equity issue of accessing dental care for low-income elderly. This study aimed to estimate the marginal effects (ME) of dental insurance coverage for seniors on dental care utilization and oral health status outcomes. We also estimated the ME of dental insurance across income subgroups.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Data was sourced from the 2017/18 Canadian Community Health Survey (CCHS)-Annual component. The ME analysis included individuals aged ≥65 years residing in Ontario (<i>n</i> = 10,030). ME were derived from multivariate probit regression models for dental care utilization and oral health status outcomes.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Dental insurance increased the likelihood of reporting excellent/very good oral health and never avoiding foods due to oral problems by 6.9% (ME:6.9, 95% CI: 5.4–8.3) and 3.5% (ME: 3.5, 95% CI: 1.9–5.1), respectively. Dental insurance increased the likelihood of dental visits within the past year by 11.3% (ME: 11.3, 95% CI: 9.8–12.8) and decreased the likelihood of dental visits only for emergencies by 11.2% (ME: −11.2, 95% CI: −12.5 to −9.9). Compared to low- and high-income groups, dental insurance had the highest ME for the middle-income groups for dental visits within the past year (ME middle: 13.1, 95% CI: 10.5–15.7) and dental visits only for emergencies (ME middle: −14.4, 95% CI: −16.0 to −12.8).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Dental insurance can improve the utilization of dental care and can help mitigate the negative effects of poor oral health in elderly populations.</p>\\n </section>\\n </div>\",\"PeriodicalId\":16913,\"journal\":{\"name\":\"Journal of public health dentistry\",\"volume\":\"85 1\",\"pages\":\"92-101\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-01-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927950/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of public health dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jphd.12657\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of public health dentistry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jphd.12657","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Exploring the association between dental insurance coverage and dental care utilization and oral health among elderly Ontarians
Objectives
There has been an increasing interest in addressing the equity issue of accessing dental care for low-income elderly. This study aimed to estimate the marginal effects (ME) of dental insurance coverage for seniors on dental care utilization and oral health status outcomes. We also estimated the ME of dental insurance across income subgroups.
Methods
Data was sourced from the 2017/18 Canadian Community Health Survey (CCHS)-Annual component. The ME analysis included individuals aged ≥65 years residing in Ontario (n = 10,030). ME were derived from multivariate probit regression models for dental care utilization and oral health status outcomes.
Results
Dental insurance increased the likelihood of reporting excellent/very good oral health and never avoiding foods due to oral problems by 6.9% (ME:6.9, 95% CI: 5.4–8.3) and 3.5% (ME: 3.5, 95% CI: 1.9–5.1), respectively. Dental insurance increased the likelihood of dental visits within the past year by 11.3% (ME: 11.3, 95% CI: 9.8–12.8) and decreased the likelihood of dental visits only for emergencies by 11.2% (ME: −11.2, 95% CI: −12.5 to −9.9). Compared to low- and high-income groups, dental insurance had the highest ME for the middle-income groups for dental visits within the past year (ME middle: 13.1, 95% CI: 10.5–15.7) and dental visits only for emergencies (ME middle: −14.4, 95% CI: −16.0 to −12.8).
Conclusion
Dental insurance can improve the utilization of dental care and can help mitigate the negative effects of poor oral health in elderly populations.
期刊介绍：
The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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