Evidence map›Paper›PMID 42219790›Full record

ArticleCommunity dentistry and oral epidemiology2026

Public Dental Expenditure and Dental Visits in Europe and Japan.

Yuko Inoue, Jun Aida, Richard G Watt, Anja Heilmann

Abstract read
In one paragraph

Article in Community dentistry and oral epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yuko InoueDepartment of Clinical Epidemiology and Health Economics, The University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0003-2806-9969
Jun AidaDepartment of Dental Public Health, Institute of Science, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8405-9872
Richard G WattDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0001-6229-8584
Anja HeilmannDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0002-8188-5087

Funding

Futokukai FoundationHealth Labour Sciences Research 19FA1012Health Labour Sciences Research 19FA2001Health Labour Sciences Research 21FA1012Health Labour Sciences Research 22FA1010Health Labour Sciences Research 22FA2001Health Labour Sciences Research 22FG2001Japan Health Promotion and Fitness FoundationJSPS KAKENHI 20H00557JSPS KAKENHI 20K10540JSPS KAKENHI 21H03196JSPS KAKENHI 21K17302JSPS KAKENHI 22H00934JSPS KAKENHI 22H03299JSPS KAKENHI 22K04450JSPS KAKENHI 22K13558JSPS KAKENHI 22K17409JSPS KAKENHI 23H00449Research Institute of Science and Technology for Society JPMJOP1831Research Institute of Science and Technology for Society JPMJRX21K6Research Institute of Science and Technology for Society RISTEXTMDU priority research area
6 · The paper itself

Abstract

backgroundDental care is important for oral health, but access to dental services is subject to social inequalities and varies between countries. Despite this, few cross-national studies have examined how public dental expenditure relates to dental service use among older adults. This study aimed to investigate the associations between public dental expenditure and dental visits among older adults using an international comparative design.

methodsData were obtained from the Survey of Health, Ageing and Retirement in Europe (SHARE, Wave 8, 2019), covering 25 European countries and Israel, and the Japanese Gerontological Evaluation Study (JAGES, 2019). The final sample included 48 497 adults aged 65 years or older. The outcome was any dental visit in the past year, while the explanatory variable was country-level annual per capita public dental expenditure on outpatient dental care in 2019 (USD), obtained from the OECD database and adjusted for purchasing power parity. A multilevel modified Poisson regression model was used to estimate prevalence ratios (PRs), accounting for between-country variability. Interaction terms between household income and public dental expenditure were included to examine effect modification.

resultsThe overall dental visit rate was 59.5%, with higher rates among women, those with higher education, and those in higher income groups. Each $10 increase in per capita public dental expenditure at the country level was associated with higher dental visit rates (PR: 1.05, 95% CI: 1.03-1.07). The association was stronger among lower-income groups, suggesting that income-related inequalities in dental visits were smaller in countries with higher public dental expenditure.

conclusionsPublic expenditure on dental care was associated with higher dental visit rates, particularly among low-income groups. These findings suggest that public financing of dental care may help reduce income-related inequalities in dental visits among older adults.

Indexed as

Dental CareHealth ExpendituresAgedEuropeFemaleHumansJapanMaleSocioeconomic Disparities in Healthdental public healthepidemiologyhealth services researchinequalitiespublic health

Identifiers

PMID42219790
PMCPMC13669807

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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.