Skip to main content
Top
Published in: BMC Oral Health 1/2014

Open Access 01-12-2014 | Research article

The potential oral health impact of cost barriers to dental care: findings from a Canadian population-based study

Authors: Brandy Thompson, Peter Cooney, Herenia Lawrence, Vahid Ravaghi, Carlos Quiñonez

Published in: BMC Oral Health | Issue 1/2014

Login to get access

Abstract

Background

Prior to the 2007/09 Canadian Health Measures Survey, there was no nationally representative clinical data on the oral health of Canadians experiencing cost barriers to dental care. The aim of this study was to determine the oral health status and dental treatment needs of Canadians reporting cost barriers to dental care.

Methods

A secondary data analysis of the 2007/09 Canadian Health Measures Survey was undertaken using a sample of 5,586 Canadians aged 6 to 79. Chi square tests were conducted to test the association between reporting cost barriers to care and oral health outcomes. Logistic regressions were conducted to identify predictors of reporting cost barriers.

Results

Individuals who reported cost barriers to dental care had poorer oral health and more treatment needs compared to their counterparts.

Conclusions

Avoiding dental care and/or foregoing recommended treatment because of cost may contribute to poor oral health. This study substantiates the potential likelihood of progressive dental problems caused by an inability to treat existing conditions due to financial barriers.
Appendix
Available only for authorised users
Literature
1.
go back to reference Quiñonez C, Grootendorst P, Sherret L, Azarpazhooh A, Locker D: An environmental scan of Provincial and Territorial Public Dental Programs in Canada. 2006, Community Dental Health Services Research Unit, University of Toronto Quiñonez C, Grootendorst P, Sherret L, Azarpazhooh A, Locker D: An environmental scan of Provincial and Territorial Public Dental Programs in Canada. 2006, Community Dental Health Services Research Unit, University of Toronto
2.
go back to reference Quiñonez CR, Locker D: Canadian opinions on publicly financed dental care. C J Public Health. 2007, 98 (6): 495-499. Quiñonez CR, Locker D: Canadian opinions on publicly financed dental care. C J Public Health. 2007, 98 (6): 495-499.
3.
go back to reference Muirhead VE, Quiñonez C, Figueiredo R, Locker D: Predictors of dental care utilization among working poor Canadians. Community Dent Oral Epidemiol. 2009, 37: 199-208.CrossRefPubMed Muirhead VE, Quiñonez C, Figueiredo R, Locker D: Predictors of dental care utilization among working poor Canadians. Community Dent Oral Epidemiol. 2009, 37: 199-208.CrossRefPubMed
4.
go back to reference Locker D, Maggirias J, Quiñonez C: Income, dental insurance coverage, and financial barriers to dental care among Canadian adults. J Public Health Dent. 2011, 71 (4): 327-334.CrossRefPubMed Locker D, Maggirias J, Quiñonez C: Income, dental insurance coverage, and financial barriers to dental care among Canadian adults. J Public Health Dent. 2011, 71 (4): 327-334.CrossRefPubMed
6.
go back to reference Sanders AE, Spencer AJ, Slade GD: Evaluating the role of dental behaviour in oral health inequalities. Community Dent Oral Epidemiol. 2006, 34: 71-79.CrossRefPubMed Sanders AE, Spencer AJ, Slade GD: Evaluating the role of dental behaviour in oral health inequalities. Community Dent Oral Epidemiol. 2006, 34: 71-79.CrossRefPubMed
7.
go back to reference Ramraj C, Quiñonez C: Self-reported cost-prohibitive dental care needs among Canadians. Int J Dent Hyg. 2013, 11 (2): 115-120.CrossRefPubMed Ramraj C, Quiñonez C: Self-reported cost-prohibitive dental care needs among Canadians. Int J Dent Hyg. 2013, 11 (2): 115-120.CrossRefPubMed
8.
go back to reference Health Canada: Report on the Findings of the Oral Health Component of the Canadian Health Measures Survey 2007–2009. 2010, Ottawa: Ministry of Health, Government of Canada Health Canada: Report on the Findings of the Oral Health Component of the Canadian Health Measures Survey 2007–2009. 2010, Ottawa: Ministry of Health, Government of Canada
9.
go back to reference Tremblay MS, Wolfson M, Connor Gorber S: Canadian Health Measures Survey: rationale, background and overview. Health Reports. 2007, 18 (Suppl): 7-20. Catalogue 82–003PubMed Tremblay MS, Wolfson M, Connor Gorber S: Canadian Health Measures Survey: rationale, background and overview. Health Reports. 2007, 18 (Suppl): 7-20. Catalogue 82–003PubMed
10.
go back to reference Thompson B, Cooney P, Lawrence H, Ravaghi V, Quiñonez C: Cost as a barrier to accessing dental care: findings from a Canadian population-based study. J Public Health Dent. 2014, doi:10.1111/jphd.12048 [Epub ahead of print] Thompson B, Cooney P, Lawrence H, Ravaghi V, Quiñonez C: Cost as a barrier to accessing dental care: findings from a Canadian population-based study. J Public Health Dent. 2014, doi:10.1111/jphd.12048 [Epub ahead of print]
11.
go back to reference Bhatti T, Rana Z, Grootendorst P: Dental insurance, income and the use of dental care in Canada. JCDA. 2007, 73 (1): 57a-h- Bhatti T, Rana Z, Grootendorst P: Dental insurance, income and the use of dental care in Canada. JCDA. 2007, 73 (1): 57a-h-
12.
go back to reference Crocombe LA, Broadbent JM, Thomson WM, Brennan DS, Poulton R: Impact of dental visiting trajectory patterns on clinical oral health and oral health-related quality of life. J Public Health Dent. 2012, 72 (1): 36-44. WinterCrossRefPubMed Crocombe LA, Broadbent JM, Thomson WM, Brennan DS, Poulton R: Impact of dental visiting trajectory patterns on clinical oral health and oral health-related quality of life. J Public Health Dent. 2012, 72 (1): 36-44. WinterCrossRefPubMed
13.
go back to reference Thomson WM, Williams SM, Broadbent JM, Poulton R, Locker D: Long-term dental visiting patterns and adult oral health. J Dent Res. 2010, 89 (3): 307-311.CrossRefPubMedPubMedCentral Thomson WM, Williams SM, Broadbent JM, Poulton R, Locker D: Long-term dental visiting patterns and adult oral health. J Dent Res. 2010, 89 (3): 307-311.CrossRefPubMedPubMedCentral
14.
go back to reference Fiske J, Gelbier S, Watson RM: The benefit of dental care to an elderly population assessed using a sociodental measure or oral handicap. Br Dent J. 1990, 168 (4): 153-156.CrossRefPubMed Fiske J, Gelbier S, Watson RM: The benefit of dental care to an elderly population assessed using a sociodental measure or oral handicap. Br Dent J. 1990, 168 (4): 153-156.CrossRefPubMed
15.
go back to reference Petersen PE, Nortov B: The effect of a three- year trial of a community dental care program for aged pensioners in Denmark. Ugeskr Laeger. 1995, 157: 2712-2716. [in Danish]PubMed Petersen PE, Nortov B: The effect of a three- year trial of a community dental care program for aged pensioners in Denmark. Ugeskr Laeger. 1995, 157: 2712-2716. [in Danish]PubMed
16.
go back to reference Locker D: Does dental care improve the oral health of older adults?. Community Dent Health. 2001, 18 (1): 7-15.PubMed Locker D: Does dental care improve the oral health of older adults?. Community Dent Health. 2001, 18 (1): 7-15.PubMed
17.
go back to reference Gagliardi D, Slade GD, Sanders AE: Impact of dental care on patients’ treatment goals and quality of life. Aust Dent J. 2008, 53 (1): 26-33.CrossRefPubMed Gagliardi D, Slade GD, Sanders AE: Impact of dental care on patients’ treatment goals and quality of life. Aust Dent J. 2008, 53 (1): 26-33.CrossRefPubMed
18.
go back to reference Chapple ILC: The impact of oral disease upon systemic health—Symposium overview. J Dent. 2009, 37: s567-s584.CrossRef Chapple ILC: The impact of oral disease upon systemic health—Symposium overview. J Dent. 2009, 37: s567-s584.CrossRef
19.
go back to reference Sandberg GE, Sundberg HE, Fjellstrom CA, Wikblad KF: Type 2 diabetes and oral health: a comparison between diabetic and non-diabetic subjects. Diabetes Res Clin Pract. 2000, 50: 27-34.CrossRefPubMed Sandberg GE, Sundberg HE, Fjellstrom CA, Wikblad KF: Type 2 diabetes and oral health: a comparison between diabetic and non-diabetic subjects. Diabetes Res Clin Pract. 2000, 50: 27-34.CrossRefPubMed
20.
go back to reference Taylor GW: Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol. 2001, 6 (1): 99-112.CrossRefPubMed Taylor GW: Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol. 2001, 6 (1): 99-112.CrossRefPubMed
21.
go back to reference Grossi SG: Treatment of periodontal disease and control of diabetes: an assessment of the evidence and need for future research. Ann Periodontal Dec. 2001, 6 (1): 138-145.CrossRef Grossi SG: Treatment of periodontal disease and control of diabetes: an assessment of the evidence and need for future research. Ann Periodontal Dec. 2001, 6 (1): 138-145.CrossRef
22.
go back to reference Scannapieco F, Bush R, Paju S: Associations between periodontal disease and risk for atherosclerosis, cardiovascular disease, and stroke. A systematic review. Ann Periodontol. 2003, 8: 38-53.CrossRefPubMed Scannapieco F, Bush R, Paju S: Associations between periodontal disease and risk for atherosclerosis, cardiovascular disease, and stroke. A systematic review. Ann Periodontol. 2003, 8: 38-53.CrossRefPubMed
23.
go back to reference Khader Y, Albashaireh Z, Alomari MA: Periodontal diseases and the risk of coronary heart and cerebrovascular diseases: a meta-analysis. J Periodontol. 2003, 75: 1046-1053.CrossRef Khader Y, Albashaireh Z, Alomari MA: Periodontal diseases and the risk of coronary heart and cerebrovascular diseases: a meta-analysis. J Periodontol. 2003, 75: 1046-1053.CrossRef
24.
go back to reference Leao A, Sheiham A: Relation between clinical dental status and subjective impacts on daily living. J Dent Res. 1995, 74 (7): 1408-1413.CrossRefPubMed Leao A, Sheiham A: Relation between clinical dental status and subjective impacts on daily living. J Dent Res. 1995, 74 (7): 1408-1413.CrossRefPubMed
25.
go back to reference Ng SK, Leung WK: Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol. 2006, 34: 114-122.CrossRefPubMed Ng SK, Leung WK: Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol. 2006, 34: 114-122.CrossRefPubMed
26.
go back to reference Lawrence HP, Thomson WM, Broadbent JM, Poulton R: Oral health-related quality of life in a birth cohort of 32-year olds. Community Dent Oral Epidemiol. 2008, 36: 305-316.CrossRefPubMedPubMedCentral Lawrence HP, Thomson WM, Broadbent JM, Poulton R: Oral health-related quality of life in a birth cohort of 32-year olds. Community Dent Oral Epidemiol. 2008, 36: 305-316.CrossRefPubMedPubMedCentral
28.
go back to reference Browarski S, Stonebridge C, Theriault L: The Canadian Heart Health Strategy: Risk Factors and Future Cost Implications. 2010, Ottawa: The Conference Board of Canada Browarski S, Stonebridge C, Theriault L: The Canadian Heart Health Strategy: Risk Factors and Future Cost Implications. 2010, Ottawa: The Conference Board of Canada
29.
go back to reference Hayes A, Azarpazhooh A, Dempster L, Ravaghi V, Quiñonez C: Time loss due to dental problems and treatment in the Canadian population: analysis of a nationwide cross-sectional survey. BMC Oral Health. 2013, 15: 13-17. Hayes A, Azarpazhooh A, Dempster L, Ravaghi V, Quiñonez C: Time loss due to dental problems and treatment in the Canadian population: analysis of a nationwide cross-sectional survey. BMC Oral Health. 2013, 15: 13-17.
30.
go back to reference Bailit H, Newhouse JP, Brook RH, Duan N, Goldberg GA, Hanley JM, Kamberg C, Spolsky VW, Black A, Lohr KN: Does more generous dental insurance coverage improve oral health?. J Am Dent Assoc. 1985, 110 (5): 701-707.CrossRefPubMed Bailit H, Newhouse JP, Brook RH, Duan N, Goldberg GA, Hanley JM, Kamberg C, Spolsky VW, Black A, Lohr KN: Does more generous dental insurance coverage improve oral health?. J Am Dent Assoc. 1985, 110 (5): 701-707.CrossRefPubMed
31.
go back to reference Ramraj C, Sadeghi L, Quiñonez C: Is accessing dental care becoming more difficult? Evidence from Canada’s middle-income population. PLOS ONE. 2012, 8 (2): e57377-CrossRef Ramraj C, Sadeghi L, Quiñonez C: Is accessing dental care becoming more difficult? Evidence from Canada’s middle-income population. PLOS ONE. 2012, 8 (2): e57377-CrossRef
32.
go back to reference Leake J: Why do we need an oral health care policy in Canada?. J Can Dent Assoc. 2006, 72 (4): 317-PubMed Leake J: Why do we need an oral health care policy in Canada?. J Can Dent Assoc. 2006, 72 (4): 317-PubMed
34.
go back to reference Leake J: Expenditures on dental services in Canada, Canadian Provinces and Territories 1960–1980. J Can Dent Assoc. 1984, 5: 362-368. Leake J: Expenditures on dental services in Canada, Canadian Provinces and Territories 1960–1980. J Can Dent Assoc. 1984, 5: 362-368.
35.
go back to reference Quiñonez C, Gibson D, Jokovic A, Locker D: Emergency department visits for dental care of nontraumatic origin. Community Dent Oral Epidemiol. 2009, 37 (4): 366-371.CrossRefPubMed Quiñonez C, Gibson D, Jokovic A, Locker D: Emergency department visits for dental care of nontraumatic origin. Community Dent Oral Epidemiol. 2009, 37 (4): 366-371.CrossRefPubMed
36.
go back to reference Liu H, Maida CA, Spolsky VW, Shen J, Li H, Zhou X, Marcus M: Calibration of self-reported oral health to clinically determined standards. Community Dent Oral Epidemiol. 2010, 38 (6): 527-539.CrossRefPubMedPubMedCentral Liu H, Maida CA, Spolsky VW, Shen J, Li H, Zhou X, Marcus M: Calibration of self-reported oral health to clinically determined standards. Community Dent Oral Epidemiol. 2010, 38 (6): 527-539.CrossRefPubMedPubMedCentral
Metadata
Title
The potential oral health impact of cost barriers to dental care: findings from a Canadian population-based study
Authors
Brandy Thompson
Peter Cooney
Herenia Lawrence
Vahid Ravaghi
Carlos Quiñonez
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2014
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-14-78

Other articles of this Issue 1/2014

BMC Oral Health 1/2014 Go to the issue