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Gerodontology. 2016 Jun;33(2):253-9. doi: 10.1111/ger.12151. Epub 2014 Sep 10.

Cost-related dental non-attendance in older adulthood: evidence from eleven European countries and Israel.

Author information

1
Department of Conservative Dentistry, Heidelberg University, Heidelberg, Germany.
2
Max Planck Institute for Social Law and Social Policy, Munich Center for the Economics of Aging, Munich, Germany.

Abstract

BACKGROUND:

Although relevant for health policy, so far only little is known about the extent to which persons avoid dental attendance because of associated costs.

OBJECTIVES:

To examine the cost-relatedness of dental non-attendance in various older adulthood populations.

MATERIAL AND METHODS:

Secondary analyses were conducted of data from wave 1 of the Survey of Health, Ageing, and Retirement in Europe (SHARE), which includes unique information on recent dental non-attendance and care foregone due to costs by persons aged 50+ from eleven European countries and Israel. Multivariate logistic regression analysis was used to detect differences in the extent to which dental non-attendance is attributable to associated costs.

RESULTS:

The study sample comprised 13 935 persons who did not access dental care within the past year. Levels of cost-related non-attendance differed between the twelve examined countries, ranging from 6.8% in Israel to 0.5% in Austria. Cost-related non-attendance was 47% less likely among persons with good as compared to compromised chewing ability (Odds Ratio: 0.53; 95% CI: 0.43-0.66). Cost-related non-attendance was 33% less likely among persons with tertiary as compared to (pre-) primary educational attainment (Odds Ratio: 0.67; 95% CI: 0.47-0.96). Cost-related dental non-attendance was significantly more likely among persons with low levels of general health (Odds Ratio for lowest vs. highest level of general health: 3.05; 95% CI: 1.88-4.95).

CONCLUSIONS:

The findings of the present study suggest that a relatively small proportion of dental non-attendance in older adulthood is cost-related. For specific population subgroups in various countries, however, dental care costs may still pose a relevant barrier to dental care.

KEYWORDS:

costs; dental care; dental non-attendance; elders

PMID:
25209324
DOI:
10.1111/ger.12151
[Indexed for MEDLINE]

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