Evidence map›Paper›PMID 24487606›Full record

ArticleJournal of the American Dental Association (1939)2014

Community factors predicting dental care utilization among older adults.

Wonik Lee, Seok-Joo Kim, Jeffrey M Albert, Suchitra Nelson

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.6field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 55 citations in OpenAlex.

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  14. Oral health of the 65+ age group in Israel-2020.Israel journal of health policy research · 2021
    Article
  15. Article
  16. Rural-Urban Differences in Dental Service Utilization and Dental Service Procedures Received Among US Adults: Results From the 2016 Medical Expenditure Panel Survey.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021
    Article
  17. An Investigation of the Association between Health Screening and Dental Scaling in Korea.International journal of environmental research and public health · 2021
    Article
  18. Evaluation of Dental Program for Older Adults Living in Long-Term Care Facilities.Clinical, cosmetic and investigational dentistry · 2021
    Article
  19. Article
  20. Estimating Lifetime Dental Care Expenditure in South Korea: An Abridged Life Table Approach.International journal of environmental research and public health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Wonik LeeDr. Lee is a research associate, Department of Community Dentistry, School of Dental Medicine, Case Western Reserve University, 2124 Cornell Road, Cleveland, Ohio 44106, wxl219@case.edu.
Seok-Joo Kim
Jeffrey M Albert
Suchitra Nelson
Case Western Reserve University · USCancer Research And Biostatistics · USCase Comprehensive Cancer Center

Funding

Generalized Causal Mediation Analysis for Social Environment and Health ResearchR01DE022674 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI ALBERT, JEFFREY M · 2011 to 2015
$1.1M
NIDCR NIH HHS 1R01DE022674NIDCR NIH HHS R01 DE022674
6 · The paper itself

Abstract

backgroundFew investigators have studied the influence of community factors on dental care utilization among older adults. The authors' objective in this study was to investigate the effect of community factors on dental care utilization after adjustment for individual factors.

methodsUsing data from a cross-sectional survey of Ohio residents, the authors assessed dental care utilization in a sample of 2,166 adults 65 years or older. They linked individual-level dental care utilization, predisposing factors (age, sex, race or ethnicity, marital status, education), enabling factors (poverty, dental insurance) and need-related factors (physical and mental health problems) with county-level data (socioeconomic environment and health resource environment) from the 2010 Area Health Resource Files (from the U.S. Department of Health and Human Services) and the American Community Survey (from the 2006-2010 U.S. census). By using multilevel logistic regression models, the authors evaluated the association between dental care utilization and community factors after adjustment for individual factors.

resultsThe results indicated that individual factors such as being female, married and nonpoor and having a higher educational level and private dental insurance were associated with higher odds of having utilized dental care. Furthermore, older adults living in a county with a higher dentist-to-population ratio were more likely to use dental services even after the authors adjusted the results for the individual-level factors (odds ratio = 1.10; P = .03).

conclusionsCounty-level dentist-to-population ratio has independent effects on older adults' dental care utilization even after adjustment for individual-level characteristics. Practical Implications. A comprehensive policy plan is required to intervene at both the individual and community levels to improve dental care utilization among older adults. By understanding the factors influencing dental care utilization among older adults, U.S. dentists will be better positioned to meet the dental needs of this population.

Indexed as

AgedCross-Sectional StudiesDemographyDental Care for AgedEducational StatusFemaleHumansInsurance, DentalMaleOhioRisk FactorsSex Factorscommunity dentistryDental care for elderly patientspublic policysocioeconomic status

Identifiers

PMID24487606
PMCPMC4136647
OpenAlexW1969077542

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.