Prevalence of dental visits in older Japanese adults receiving public assistance.
Japan
dental health services
health expenditures
public assistance
Journal
Community dentistry and oral epidemiology
ISSN: 1600-0528
Titre abrégé: Community Dent Oral Epidemiol
Pays: Denmark
ID NLM: 0410263
Informations de publication
Date de publication:
09 Aug 2023
09 Aug 2023
Historique:
revised:
25
05
2023
received:
26
01
2023
accepted:
28
07
2023
medline:
9
8
2023
pubmed:
9
8
2023
entrez:
9
8
2023
Statut:
aheadofprint
Résumé
Exemption from paying dental care costs among recipients of public assistance contributes to universal health care coverage. Although this system might reduce the financial barriers to dental care among patients, there are still several other barriers for public assistance recipients. Therefore, this study examined whether receiving public assistance was associated with a higher prevalence of dental visits for any reason, treatment and prevention. Data were obtained from 16 366 respondents from the 2019 wave of a nationwide cohort study on older adults in Japan. Poisson regression analyses with robust error variance were used to examine the associations between receiving public assistance and dental visits, adjusting for number of teeth, dental pain, periodontal conditions, age, sex, number of family members, education, equivalent household income, working status, instrumental activities of daily living, medical conditions, depressive symptoms, instrumental support and geographical variations. More than half of the non-recipients of public assistance visited a dentist for some reason in the past 6 months. Meanwhile, only 37% of the recipients visited a dentist. In addition, almost half of the non-recipients had treatment visits, while only 34% of the recipients visited. Furthermore, 46% of the non-recipients had dental visits for prevention, while 32% of the recipients had preventive visits. In the fully adjusted models, compared to non-recipients, public assistance recipients were 24% (Prevalence Ratio [PR]: 0.76, 95% Confidence Intervals [CI]: 0.64, 0.90), 23% (PR: 0.77, 95% CI: 0.65, 0.92) and 21% (PR: 0.79, 95% CI: 0.65, 0.95) less likely to have dental visits for any reason, treatment, and prevention, respectively. Although recipients were exempted from dental treatment fees, receiving public assistance was associated with a lower prevalence of dental visits for any reason, treatment and prevention. Future studies should identify the barriers to accessing dental care among public assistance recipients to improve dental visits.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Innovative Research Program on Suicide Countermeasures
Organisme : Chiba Foundation for Health Promotion & Disease Prevention
Organisme : Japan Health Promotion and Fitness Foundation
Organisme : Japan Science and Technology Corporation
Organisme : Japan Society for the Promotion of Science
Organisme : Meiji Yasuda Life Foundation of Health and Welfare
Organisme : National Center for Geriatrics and Gerontology
Organisme : Niimi University
Organisme : Sasakawa Sports Foundation
Organisme : the 8020 Promotion Foundation
Organisme : the Ministry of Health, Labour and Welfare in Japan
Informations de copyright
© 2023 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.
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