Factors influencing the need for dental care amongst the elderly in the Republic of Ireland.

Hdl Handle:
http://hdl.handle.net/10147/99123
Title:
Factors influencing the need for dental care amongst the elderly in the Republic of Ireland.
Authors:
Woods, N; Whelton, H; Kelleher, V
Affiliation:
Centre for Policy Studies, National University of Ireland, Cork. n.woods@ucc.ie
Citation:
Factors influencing the need for dental care amongst the elderly in the Republic of Ireland. 2009, 26 (4):244-9 Community Dent Health
Journal:
Community dental health
Issue Date:
Dec-2009
URI:
http://hdl.handle.net/10147/99123
PubMed ID:
20088224
Abstract:
OBJECTIVE: To identify the socio-economic, demographic and behavioural determinants of dental treatment needs of those aged 65 and over in the Republic of Ireland. DESIGN: The treatment needs data is based on detailed clinical oral examinations in the NSAOH carried out between October 2000 and June 2002. To determine factors influencing treatment needs, three measures are used: a dichotomous variable expressing the need for any dental treatment, a dichotomous variable expressing the need for dentures, and a dichotomous variable expressing a Community Periodontal Index of Treatment Need (CPITN) score of three or greater representing a need for periodontal treatment. METHODS: Factors such as age, gender, dental services eligibility status, fluoridation, employment status, educational attainment, anxiety about dental visits, frequency of brushing, and attendance patterns were regressed on a dichotomous version of prevalence of Decayed Missing Filled Surfaces, DMFS including the visual component, and CPITN scores. Associations were estimated using multivariate logistic regression and expressed as odds ratios (OR) with 95% confidence intervals (CI). Goodness of fit was evaluated by estimating sensitivity, specificity, positive/negative predictive values and accuracy. RESULTS: Being female, smoking, frequent snacking and anxiety about dental visits increased the odds of having a periodontal treatment need. Having primary education only, and being a smoker increased the odds of having a need for any treatment including dentures, whereas being female, regular usage of dental services, and access to fully fluoridated water supplies reduced the odds. CONCLUSIONS: Socio-economic factors such as lower levels of educational attainment, demographic factors such as age and gender and not having access to fully fluoridated water supplies, and behavioural factors such as smoking, frequent snacking, anxiety about dental visits, influence above average treatment needs amongst the elderly in the Republic of Ireland.
Item Type:
Preprint
Language:
en
MeSH:
Age Factors; Aged; DMF Index; Demography; Dental Care for Aged; Dentures; Female; Fluoridation; Health Behavior; Health Services Needs and Demand; Humans; Ireland; Logistic Models; Male; Periodontal Index; Risk Factors; Sex Factors; Socioeconomic Factors
ISSN:
0265-539X

Full metadata record

DC FieldValue Language
dc.contributor.authorWoods, Nen
dc.contributor.authorWhelton, Hen
dc.contributor.authorKelleher, Ven
dc.date.accessioned2010-05-18T13:42:16Z-
dc.date.available2010-05-18T13:42:16Z-
dc.date.issued2009-12-
dc.identifier.citationFactors influencing the need for dental care amongst the elderly in the Republic of Ireland. 2009, 26 (4):244-9 Community Dent Healthen
dc.identifier.issn0265-539X-
dc.identifier.pmid20088224-
dc.identifier.urihttp://hdl.handle.net/10147/99123-
dc.description.abstractOBJECTIVE: To identify the socio-economic, demographic and behavioural determinants of dental treatment needs of those aged 65 and over in the Republic of Ireland. DESIGN: The treatment needs data is based on detailed clinical oral examinations in the NSAOH carried out between October 2000 and June 2002. To determine factors influencing treatment needs, three measures are used: a dichotomous variable expressing the need for any dental treatment, a dichotomous variable expressing the need for dentures, and a dichotomous variable expressing a Community Periodontal Index of Treatment Need (CPITN) score of three or greater representing a need for periodontal treatment. METHODS: Factors such as age, gender, dental services eligibility status, fluoridation, employment status, educational attainment, anxiety about dental visits, frequency of brushing, and attendance patterns were regressed on a dichotomous version of prevalence of Decayed Missing Filled Surfaces, DMFS including the visual component, and CPITN scores. Associations were estimated using multivariate logistic regression and expressed as odds ratios (OR) with 95% confidence intervals (CI). Goodness of fit was evaluated by estimating sensitivity, specificity, positive/negative predictive values and accuracy. RESULTS: Being female, smoking, frequent snacking and anxiety about dental visits increased the odds of having a periodontal treatment need. Having primary education only, and being a smoker increased the odds of having a need for any treatment including dentures, whereas being female, regular usage of dental services, and access to fully fluoridated water supplies reduced the odds. CONCLUSIONS: Socio-economic factors such as lower levels of educational attainment, demographic factors such as age and gender and not having access to fully fluoridated water supplies, and behavioural factors such as smoking, frequent snacking, anxiety about dental visits, influence above average treatment needs amongst the elderly in the Republic of Ireland.-
dc.language.isoenen
dc.subject.meshAge Factors-
dc.subject.meshAged-
dc.subject.meshDMF Index-
dc.subject.meshDemography-
dc.subject.meshDental Care for Aged-
dc.subject.meshDentures-
dc.subject.meshFemale-
dc.subject.meshFluoridation-
dc.subject.meshHealth Behavior-
dc.subject.meshHealth Services Needs and Demand-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshLogistic Models-
dc.subject.meshMale-
dc.subject.meshPeriodontal Index-
dc.subject.meshRisk Factors-
dc.subject.meshSex Factors-
dc.subject.meshSocioeconomic Factors-
dc.titleFactors influencing the need for dental care amongst the elderly in the Republic of Ireland.en
dc.typePreprinten
dc.contributor.departmentCentre for Policy Studies, National University of Ireland, Cork. n.woods@ucc.ieen
dc.identifier.journalCommunity dental healthen
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