Discontinued dental care attendance among people with dementia: A register-based longitudinal study.
dementia
dental utilisation
living arrangement
longitudinal studies
Journal
Gerodontology
ISSN: 1741-2358
Titre abrégé: Gerodontology
Pays: England
ID NLM: 8215850
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
09
08
2019
revised:
24
08
2020
accepted:
25
08
2020
pubmed:
22
9
2020
medline:
17
2
2021
entrez:
21
9
2020
Statut:
ppublish
Résumé
To investigate the factors that increase the risk of discontinuing dental care utilisation after dementia is diagnosed in a population in Stockholm County, Sweden. As the progression of dementia results in a deteriorating ability to maintain good oral health, it is important to identify people at risk of discontinued dental care after being diagnosed with dementia. This study is a register-based longitudinal study. Data were extracted from the Swedish Dementia Registry (SveDem), the Swedish National Patient Register, the Dental Health Register and the Municipal Dental Care Register (Stockholm County Council). The data included people using both general public dental services and care-dependent individuals. Dental visits three years before and after dementia had been diagnosed were analysed. In total, 10 444 people were included in the analysis, of which 19% did not have dental visits recorded after they were diagnosed with dementia. A logistic regression model, adjusted for relevant factors, showed that the factors associated with a greater risk for discontinued dental attendance were fewer remaining teeth (OR = 0.96, 95% CI = 0.95, 0.97) and living alone compared to living with another adult (OR = 1.23, 95% CI = 1.05, 1.43). People with Parkinson's disease dementia had a lower risk (OR = 0.40, 95% CI = 0.19, 0.84) than people with Alzheimer's disease. Patients, dental and healthcare personnel, and family members should all be aware of these risk factors so that appropriate support and oral care for people with dementia can be delivered.
Sections du résumé
OBJECTIVE
OBJECTIVE
To investigate the factors that increase the risk of discontinuing dental care utilisation after dementia is diagnosed in a population in Stockholm County, Sweden.
BACKGROUND
BACKGROUND
As the progression of dementia results in a deteriorating ability to maintain good oral health, it is important to identify people at risk of discontinued dental care after being diagnosed with dementia.
MATERIALS AND METHODS
METHODS
This study is a register-based longitudinal study. Data were extracted from the Swedish Dementia Registry (SveDem), the Swedish National Patient Register, the Dental Health Register and the Municipal Dental Care Register (Stockholm County Council). The data included people using both general public dental services and care-dependent individuals. Dental visits three years before and after dementia had been diagnosed were analysed.
RESULTS
RESULTS
In total, 10 444 people were included in the analysis, of which 19% did not have dental visits recorded after they were diagnosed with dementia. A logistic regression model, adjusted for relevant factors, showed that the factors associated with a greater risk for discontinued dental attendance were fewer remaining teeth (OR = 0.96, 95% CI = 0.95, 0.97) and living alone compared to living with another adult (OR = 1.23, 95% CI = 1.05, 1.43). People with Parkinson's disease dementia had a lower risk (OR = 0.40, 95% CI = 0.19, 0.84) than people with Alzheimer's disease.
CONCLUSION
CONCLUSIONS
Patients, dental and healthcare personnel, and family members should all be aware of these risk factors so that appropriate support and oral care for people with dementia can be delivered.
Types de publication
Journal Article
Langues
eng
Pagination
57-65Subventions
Organisme : Swedish Research Council for Health, Working Life and Welfare (FORTE)
ID : 2017-01646
Organisme : Centre for Innovative Medicine (CIMED)
Organisme : Swedish Order of St John
Organisme : Stockholm County Council
ID : OF11204423
Organisme : Swedish Associations of Local Authorities and Regions
Organisme : Swedish Research Council
ID : 523-2012-2291
Organisme : Swedish Research Council
ID : 2016-02317
Informations de copyright
© 2020 Gerodontology Association and John Wiley & Sons Ltd.
Références
Prince M, Wimo A, Guerchet M, Ali G, Wu Y-T, Prina M. World Alzheimer Report 2015 - The Global Impact of Dementia: An Analysis of Prevalence, Incidence, Cost and Trends. London: Alzheimer's Disease International (ADI); 2015.
The National Board of Health and Welfare. Nationella riktlinjer - Utvärdering 2018. Vård ochomsorg vid demenssjukdom. https://www.socialstyrelsen.se/Lists/Artikelkatalog/Attachments/20812/2018-3-1.pdf. Accessed December 22, 2018
Zenthofer A, Rammelsberg P, Cabrera T, Hassel AJ. Increasing dependency of older people in nursing homes is associated with need for dental treatments. Neuropsychiatr Dis Treat. 2014;10:2285-2290.
Furuta M, Komiya-Nonaka M, Akifusa S, et al. Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities. Community Dent Oral Epidemiol. 2013;41(2):173-181.
Zenthofer A, Schroder J, Cabrera T, Rammelsberg P, Hassel AJ. Comparison of oral health among older people with and without dementia. Community Dent Health. 2014;31(1):27-31.
Wu B, Fillenbaum GG, Plassman BL, Guo L. Association between oral health and cognitive status: a systematic review. J Am Geriatr Soc. 2016;64(4):739-751.
Delwel S, Binnekade TT, Perez R, Hertogh C, Scherder EJA, Lobbezoo F. Oral hygiene and oral health in older people with dementia: a comprehensive review with focus on oral soft tissues. Clin Oral Investig. 2018;22(1):93-108.
Ástvaldsdóttir Á, Boström A-M, Davidson T, et al. Oral health and dental care of older persons-a systematic map of systematic reviews. Gerodontology. 2018;35(4):290-304.
Niesten D, Witter DJ, Bronkhorst EM, Creugers NHJ. Oral health care behavior and frailty-related factors in a care-dependent older population. J Dent. 2017;61:39-47.
Jang Y, Yoon H, Rhee MK, Park NS, Chiriboga DA, Kim MT. Factors associated with dental service use of older Korean Americans. Community Dent Oral Epidemiol. 2019;47(4):340-345.
Dolan TA, Atchison K, Huynh TN. Access to dental care among older adults in the United States. J Dent Educ. 2005;69(9):961-974.
Brothwell DJ, Jay M, Schonwetter DJ. Dental service utilization by independently dwelling older adults in Manitoba, Canada. J Can Dent Assoc. 2008;74(2):161-161f.
Kiyak HA, Reichmuth M. Barriers to and enablers of older adults' use of dental services. J Dent Educ. 2005;69(9):975-986.
Mittal R, Wong ML, Koh G-H, et al. Factors affecting dental service utilisation among older Singaporeans eligible for subsidized dental care - a qualitative study. BMC Public Health. 2019;19(1):1075.
Sandberg L, Nilsson I, Rosenberg L, Borell L, Boström AM. Home care services for older clients with and without cognitive impairment in Sweden. Health Soc Care Community. 2019;27:139-150.
Odzakovic E, Hyden LC, Festin K, Kullberg A. People diagnosed with dementia in Sweden: what type of home care services and housing are they granted? A cross-sectional study. Scand J Public Health. 2018;47(2):229-239.
Palvarinne R, Widstrom E, Forsberg BC, Eaton KA, Birkhed D. The healthcare system and the provision of oral healthcare in European Union member states. Part 9: Sweden. Br Dent J. 2018;224(8):647-651.
The National Board of Health and Welfare. Statligttandvårdsstöd. https://www.socialstyrelsen.se/tandvard/tandvardsstod/statligttandvardsstod. Accessed December 21, 2018.
Derblom C, Hagman-Gustafsson ML, Gabre P. Dental attendance patterns among older people: a retrospective review of records in public and private dental care in Sweden. Int J Dent Hyg. 2017;15(4):321-327.
Fereshtehnejad SM, Garcia-Ptacek S, Religa D, et al. Dental care utilization in patients with different types of dementia: a longitudinal nationwide study of 58,037 individuals. Alzheimers Dement. 2018;14(1):10-19.
Bagewitz IC, Soderfeldt B, Palmqvist S, Nilner K. Dental care utilization: a study of 50- to 75-year-olds in southern Sweden. Acta Odontol Scand. 2002;60(1):20-24.
Osterberg T, Lundgren M, Emilson CG, Sundh V, Birkhed D, Steen B. Utilization of dental services in relation to socioeconomic and health factors in the middle-aged and elderly Swedish population. Acta Odontol Scand. 1998;56(1):41-47.
Lundgren M, Osterberg T, Emilson G, Steen B. Oral complaints and utilization of dental services in relation to general health factors in a 88-year-old Swedish population. Gerodontology. 1995;12(12):81-88.
Religa D, Fereshtehnejad S-M, Cermakova P, et al. SveDem, the Swedish Dementia Registry - a tool for improving the quality of diagnostics, treatment and care of dementia patients in clinical practice. PLoS One. 2015;10(2):e0116538.
International Advisory Group for the Revision ofICD-10 Mental and Behavioural Disorders. A conceptual framework for the revision of the ICD-10 classification of mental and behavioural disorders. World Psychiatry. 2011;10(2):86-92.
The National Board of Health and Welfare. The Swedish National Patient Register. The Swedish National Patient Register. http://www.socialstyrelsen.se/register/halsodataregister/patientregistret/inenglish. Accessed September 5, 2016.
The National Board of Health and Welfare. Dental health registry. http://www.socialstyrelsen.se/register/halsodataregister/tandhalsoregistret. Accessed September 5, 2016.
Folstein MF, Folstein SE, McHugh PR. "Mini-Mental State" A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-198.
Chen H, Moeller J, Manski RJ. The influence of comorbidity and other health measures on dental and medical care use among Medicare beneficiaries 2002. J Public Health Dent. 2011;71(3):202-211.
Reda SF, Reda SM, Thomson WM, Schwendicke F. Inequality in utilization of dental services: a systematic review and meta-analysis. Am J Public Health. 2018;108(2):e1-e7.
Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-383.
Quan H, Sundararajan V, Halfon P, et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43(11):1130-1139.
Lau DT, Kirby JB. The relationship between living arrangement and preventive care use among community-dwelling elderly persons. Am J Public Health. 2009;99(7):1315-1321.
Marino RJ, Khan AR, Tham R, Khew CW, Stevenson C. Pattern and factors associated with utilization of dental services among older adults in rural Victoria. Aust Dent J. 2014;59(4):504-510.
Kim EJ, Jin BH. Comparison of oral health status and daily nutrient intake between elders who live alone and elders who live with family: Based on the Korean National Health and Nutrition Examination Survey (KNHANES VI) (2013-2015). Gerodontology. 2018;35(2):129-138.
Xiu-Ying H, Qian C, Xiao-Dong P, Xue-Mei Z, Chang-Quan H. Living arrangements and risk for late life depression: a meta-analysis of published literature. Int J Psychiatry Med. 2012;43(1):19-34.
Stahl ST, Beach SR, Musa D, Schulz R. Living alone and depression: the modifying role of the perceived neighborhood environment. Aging Ment Health. 2017;21(10):1065-1071.
Cermakova P, Nelson M, Secnik J, et al. Living alone with Alzheimer's disease: data from SveDem, the Swedish dementia registry. J Alzheimers Dis. 2017;58(4):1265-1272.
World Health Organization, US National Institution of Aging. Global health and aging. 2011. https://www.who.int/ageing/publications/global_health.pdf?ua=1. Accessed December 1, 2018.
Lee KH, Wu B, Plassman BL. Dental care utilization among older adults with cognitive impairment in the USA. Geriatr Gerontol Int. 2015;15(3):255-260.
Scheutz F, Heidmann J. Determinants of utilization of dental services among 20- to 34-year-old Danes. Acta Odontol Scand. 2001;59(4):201-211.
Scannapieco FA, Amin S, Salme M, Tezal M. Factors associated with utilization of dental services in a long-term care facility: a descriptive cross-sectional study. Spec Care Dentist. 2017;37(2):78-84.
Wu B, Plassman BL, Liang J, Wei L. Cognitive function and dental care utilization among community-dwelling older adults. Am J Public Health. 2007;97(12):2216-2221.