Dental hygienist attendance and its covariates in an ageing Swedish cohortShow others and affiliations
2017 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 125, no 6, p. 487-494Article in journal (Refereed) Published
Abstract [en]
Delegation of tasks between professional groups is important to make health-care services accessible and effective for ageing people. Focussing on a Swedish 1942 birth cohort and guided by Andersen's Behavioral Model, this study assessed dental hygienist attendance from age 50 to age 70 and identified covariates at the population-averaged and person-specific levels. In 1992, a census of 50-yr-old subjects was invited to participate in a questionnaire survey. Of the 6,346 respondents, 3,585 completed follow-ups in 1997, 2002, 2007, and 2012. Multiple logistic regression analysis was conducted using a marginal model and a random intercept model. Cochran's Q test revealed that significantly more respondents confirmed dental hygienist attendance in 2012 than in 1992 (57.2% in 2012 vs. 26.0% in 1992). Population-averaged ORs for dental hygienist attendance across time were 3.5 at age 70 yr compared with age 50 yr (baseline); 2.0 if being a regular rather than an irregular dental attendee; and 0.7 if being of non-native origin compared with native origin. The corresponding person-specific ORs were 8.9, 3.2, and 0.5. Consistent with Andersen's Behavioral Model, predisposing, enabling, and need-related factors were associated with dental hygienist attendance at population-averaged and person-specific levels. This has implications for promoting dental hygienist attendance among ageing people.
Place, publisher, year, edition, pages
John Wiley & Sons, 2017. Vol. 125, no 6, p. 487-494
Keywords [en]
Behavioral model, dental hygienist attendance, multilevel analyses, older people
National Category
Dentistry
Identifiers
URN: urn:nbn:se:oru:diva-62831DOI: 10.1111/eos.12385ISI: 000415054200010PubMedID: 29083073Scopus ID: 2-s2.0-85033215386OAI: oai:DiVA.org:oru-62831DiVA, id: diva2:1160581
2017-11-272017-11-272020-12-01Bibliographically approved