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Exploring the association of dental care utilization with oral impacts on daily performances (OIDP): a prospective study of ageing people in Norway and Sweden
Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Örebro University, School of Medical Sciences. Örebro County Council , Örebro , Sweden.ORCID iD: 0000-0001-8969-1650
Dental Commissioning Unit , Östergötland County Council, Linköping University , Linköping , Sweden.
Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
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2018 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 76, no 1, 21-29 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To explore the association of dental health care utilization with oral impacts on daily performances (OIDP) across time focusing ageing Norwegian and Swedish adults adjusting for predisposing, enabling, and need related-factors as defined by Andersen's model.

METHODS: Data were based on Norwegian and Swedish 1942 birth-cohorts conducted in 2007 (age 65) and 2012 (age 70). In Norway, the response rates ranged from 54% to 58%. Corresponding figures in Sweden were from 72% to 73%. Self-administered questionnaires assessed OIDP, dental care utilization and predisposing, enabling and need related factors. Logistic regression with robust variance estimation was used to adjust for clustering in repeated data.

RESULTS: Significant covariates of OIDP were satisfaction with dental services, dental care avoidance due to financial constraints, frightening experience with dental care during childhood and patient initiated dental visiting. Frequency and regularity of dental attendance were associated with OIDP in the Swedish cohort, only.

CONCLUSIONS: In spite of country differences in the public co-financing of dental care, dental care utilization indicators were associated with OIDP across time in both cohorts. Encouraging regular and dentist initiated visiting patterns and strengthening beliefs in keeping own teeth could be useful in attempts to reduce poor oral health related quality of life in ageing people.

Place, publisher, year, edition, pages
Taylor & Francis, 2018. Vol. 76, no 1, 21-29 p.
Keyword [en]
Andersen’s behavioural model, OIDP, Oral health, cohort, dental care utilization
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-62485DOI: 10.1080/00016357.2017.1375555PubMedID: 28891363Scopus ID: 2-s2.0-85029453177OAI: oai:DiVA.org:oru-62485DiVA: diva2:1160538
Note

Funding agencies:

Public Dental Health Services in Norway, University of Bergen

Norwegian Research Council (Grant no 213516) 

Department of Dentistry, Örebro County, Sweden

Dental Commissioning Unit, Östergötland County, Sweden

Available from: 2017-11-27 Created: 2017-11-27 Last updated: 2018-01-12Bibliographically approved

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Ekbäck, Gunnar

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