Skip to main content
Top
Published in: BMC Oral Health 1/2017

Open Access 01-12-2017 | Research article

Patterns of use of oral health care services and barriers to dental care among ambulatory older Chilean

Authors: Rodrigo Mariño, Rodrigo A. Giacaman

Published in: BMC Oral Health | Issue 1/2017

Login to get access

Abstract

Background

This paper describes the patterns of use of oral health care services among ambulant 65-74 years or older adults, living in the Maule Region of Chile, factors associated with their use of oral health care services, and self-reported barriers to using oral health care services.

Methods

Four hundred and thirty eight older adults, aged 65–74 years, living independently in the community were orally examined and underwent an oral health interview. Recency of visits was related to the use of oral health care services within the 12 months prior to the study.

Results

31.5% of respondents had used oral health services in the previous 12 months. In multivariate analyses, those living in rural areas (OR = 2.15; 95% CI:1.27–3.63), and those with secondary or higher education (OR = 1.65; 95% CI:1.03–2.64) visited the dentist in the last 12 months in a higher proportion. Those with more filled tooth-surfaces were more likely to have visited the dentist (OR = 4.02; 95% CI;3.58–4.51). Participants who self-reported dental fear, were less likely to have visited the dentist than those who did not (OR = 0.43; 95% CI;0.24–0.76).

Conclusion

Comparing with existing data in Chile, participants in this study appear to have a slightly lower attendance. Findings question assumptions regarding oral health services utilization by rural residents and highlight the need to identify factors that influence the use of oral health services by older Chileans.
Appendix
Available only for authorised users
Literature
1.
go back to reference Mariño R, Cueto A, Badenier O, Acevedo R, Moya R. Oral health status and inequalities among ambulant older adults living in the central of Chile. Community Dent Health. 2011;28:143–8.PubMed Mariño R, Cueto A, Badenier O, Acevedo R, Moya R. Oral health status and inequalities among ambulant older adults living in the central of Chile. Community Dent Health. 2011;28:143–8.PubMed
2.
go back to reference Mariño R, Giacaman R. Factors related to unmet oral health needs in older adults living in Chile. Arch Gerontol Geriatr. 2014;58:454–9.CrossRefPubMed Mariño R, Giacaman R. Factors related to unmet oral health needs in older adults living in Chile. Arch Gerontol Geriatr. 2014;58:454–9.CrossRefPubMed
3.
go back to reference Wallace SP, Gutiérrez VF. Equity of access to health care for older adults in four major Latin American cities. Rev Panam Salud Publica. 2005;17:394–409.CrossRefPubMed Wallace SP, Gutiérrez VF. Equity of access to health care for older adults in four major Latin American cities. Rev Panam Salud Publica. 2005;17:394–409.CrossRefPubMed
4.
go back to reference Kruger E, Tennant M. Oral health workforce in rural and remote Western Australia: practice perceptions. Aust J Rural Health. 2005;13:321–6.CrossRefPubMed Kruger E, Tennant M. Oral health workforce in rural and remote Western Australia: practice perceptions. Aust J Rural Health. 2005;13:321–6.CrossRefPubMed
5.
go back to reference Mariño R, Calache H, Whelan M. Dental status and socio-demographic profile of adults users of public oral health care services in Victoria. J Theory Pract Dent Public Health. 2013;1:6–23. Mariño R, Calache H, Whelan M. Dental status and socio-demographic profile of adults users of public oral health care services in Victoria. J Theory Pract Dent Public Health. 2013;1:6–23.
6.
go back to reference Australian Institute of Health and Welfare, DSRU. Geographic variation in oral health and use of dental services in the Australian population 2004–06. AIHW Department of Statistics and Research Unit Series No. 41. 2009. Australian Institute of Health and Welfare, DSRU. Geographic variation in oral health and use of dental services in the Australian population 2004–06. AIHW Department of Statistics and Research Unit Series No. 41. 2009.
7.
go back to reference Dolan TA, Atchison K, Huynh T. Access to dental care among older adults in the United States. J Dent Educ. 2005;69:961–74.PubMed Dolan TA, Atchison K, Huynh T. Access to dental care among older adults in the United States. J Dent Educ. 2005;69:961–74.PubMed
9.
go back to reference Luzzi L, Spencer J. Factors influencing the use of public dental services: An application of the theory of planned behaviour. BMC Health Serv Res. 2008;8:93.CrossRefPubMedPubMedCentral Luzzi L, Spencer J. Factors influencing the use of public dental services: An application of the theory of planned behaviour. BMC Health Serv Res. 2008;8:93.CrossRefPubMedPubMedCentral
10.
go back to reference Nitschke I, Stillhart A, Kunze J. Utilization of dental services in old age. Swiss Dent J. 2015;125:433–47.PubMed Nitschke I, Stillhart A, Kunze J. Utilization of dental services in old age. Swiss Dent J. 2015;125:433–47.PubMed
11.
go back to reference Petersen PE, Holst D. Utilization of dental health services. In: Cohen L, Gift H, editors. Disease Prevention and Oral Health Promotion, Munskgaard, Copenhagen. 1995. p. 230–8. Petersen PE, Holst D. Utilization of dental health services. In: Cohen L, Gift H, editors. Disease Prevention and Oral Health Promotion, Munskgaard, Copenhagen. 1995. p. 230–8.
12.
go back to reference Tennstedt SL, Branbilla DL, Jetter AM, McGuire HM. Understanding dental service use by older adults: sociobehavioral factors vs need. J Public Health Dent. 1994;54:211–9.CrossRefPubMed Tennstedt SL, Branbilla DL, Jetter AM, McGuire HM. Understanding dental service use by older adults: sociobehavioral factors vs need. J Public Health Dent. 1994;54:211–9.CrossRefPubMed
13.
go back to reference Kiyak HA, Reichmuth M. Barriers to and enablers of older adults’ use of dental services. J Dent Educ. 2005;69:975–86.PubMed Kiyak HA, Reichmuth M. Barriers to and enablers of older adults’ use of dental services. J Dent Educ. 2005;69:975–86.PubMed
14.
go back to reference Williams SA, Godson JH, Ahmed IA. Dentists’ perceptions of difficulties encountered in providing dental care for British Asians. Community Dent Health. 1995;12:30–4.PubMed Williams SA, Godson JH, Ahmed IA. Dentists’ perceptions of difficulties encountered in providing dental care for British Asians. Community Dent Health. 1995;12:30–4.PubMed
15.
go back to reference Mariño R, Wright FAC, Minichiello V, Schofield MJ. Oral health beliefs and practices among Greek and Italian older Australians: a focus group approach. Australas J Ageing. 2002;21:93–198.CrossRef Mariño R, Wright FAC, Minichiello V, Schofield MJ. Oral health beliefs and practices among Greek and Italian older Australians: a focus group approach. Australas J Ageing. 2002;21:93–198.CrossRef
16.
go back to reference Badenier O, Moya R, Cueto A. Estudio de prevalencia de Enfermedades Bucodentales y necesidades de tratamiento en la V región. Informe Final. Universidad de Valparaíso, Chile. Proyecto FONIS Número: SA05I20044. Santiago, FONIS, 2007. Badenier O, Moya R, Cueto A. Estudio de prevalencia de Enfermedades Bucodentales y necesidades de tratamiento en la V región. Informe Final. Universidad de Valparaíso, Chile. Proyecto FONIS Número: SA05I20044. Santiago, FONIS, 2007.
18.
go back to reference Bourgeois D, Nihtila A, Mersel A. Prevalence of caries and edentulousness among 65–74 year olds in Europe. Bull WHO. 1998;76:413–7.PubMedPubMedCentral Bourgeois D, Nihtila A, Mersel A. Prevalence of caries and edentulousness among 65–74 year olds in Europe. Bull WHO. 1998;76:413–7.PubMedPubMedCentral
19.
go back to reference Andersen RM, Davidson PL. Ethnicity, aging and oral health outcomes: a conceptual framework. Adv Dent Res. 1997;11:203–9.CrossRefPubMed Andersen RM, Davidson PL. Ethnicity, aging and oral health outcomes: a conceptual framework. Adv Dent Res. 1997;11:203–9.CrossRefPubMed
20.
go back to reference Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Assoc publishers; 1988. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Assoc publishers; 1988.
21.
go back to reference Mariño R, Wright FAC, Schofield MJ, Minichiello V, Calache H. Factors associated with self-reported use of dental health services among older Greek and Italian migrants. Spec Care Dentist. 2005;25:12–9.CrossRef Mariño R, Wright FAC, Schofield MJ, Minichiello V, Calache H. Factors associated with self-reported use of dental health services among older Greek and Italian migrants. Spec Care Dentist. 2005;25:12–9.CrossRef
22.
go back to reference Wright FAC, Gebart-Ealemont JE, Olsen CB, et al. A Longitudinal Socio-Dental Study of Adult Oral Health in Melbourne, 1985–1990. Community Dental Health Monograph Series; Number Eight. Melbourne: The University of Melbourne; 1991. Wright FAC, Gebart-Ealemont JE, Olsen CB, et al. A Longitudinal Socio-Dental Study of Adult Oral Health in Melbourne, 1985–1990. Community Dental Health Monograph Series; Number Eight. Melbourne: The University of Melbourne; 1991.
23.
go back to reference Mariño R, Khan A, Khew C, Stevenson C, Tham R. Pattern and factors associated with utilization of dental services among older adults in rural Victoria. Aust Dent J. 2014;59:504–10.CrossRefPubMed Mariño R, Khan A, Khew C, Stevenson C, Tham R. Pattern and factors associated with utilization of dental services among older adults in rural Victoria. Aust Dent J. 2014;59:504–10.CrossRefPubMed
24.
go back to reference World Health Organization. Oral Health Surveys: Basic Methods. Fourthth ed. Geneva: WHO; 1997. World Health Organization. Oral Health Surveys: Basic Methods. Fourthth ed. Geneva: WHO; 1997.
25.
go back to reference Andersen RM. Behavioral Model of Families’ Use of Health Services. Research Series No. 25. Chicago: Center for Health administration Studies, University of Chicago; 1968. Andersen RM. Behavioral Model of Families’ Use of Health Services. Research Series No. 25. Chicago: Center for Health administration Studies, University of Chicago; 1968.
26.
go back to reference Andersen R, Harada N, Chiu V, Makinodan T. Application of the behavioral model to health studies of Asian and Pacific Islander Americans. Asian Am Pac Isl J Health. 1995;3:128–41.PubMed Andersen R, Harada N, Chiu V, Makinodan T. Application of the behavioral model to health studies of Asian and Pacific Islander Americans. Asian Am Pac Isl J Health. 1995;3:128–41.PubMed
27.
go back to reference Andersen R, Newman J. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 1973;51:95–125.CrossRefPubMed Andersen R, Newman J. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 1973;51:95–125.CrossRefPubMed
28.
go back to reference Aday L, Awe W. Health sources utilization models. In: Gochman B, editor. Handbook of health research. Vol. Determinants of health behavior (personal and social). New York: Plenum; 1997. p. 153–72. Aday L, Awe W. Health sources utilization models. In: Gochman B, editor. Handbook of health research. Vol. Determinants of health behavior (personal and social). New York: Plenum; 1997. p. 153–72.
29.
go back to reference Cornejo M, Paraje G, Vásquez F, Pérez G, Carme PL, Borrell C. Changes in Socioeconomic Inequalities in the Use of Dental Care Following Major Healthcare Reform in Chile, 2004–2009. Int J Environ Res Public Health. 2015;12:2823–36.CrossRef Cornejo M, Paraje G, Vásquez F, Pérez G, Carme PL, Borrell C. Changes in Socioeconomic Inequalities in the Use of Dental Care Following Major Healthcare Reform in Chile, 2004–2009. Int J Environ Res Public Health. 2015;12:2823–36.CrossRef
31.
go back to reference Short L, Patterson A. Strategies to improve equity in oral health care for the rural aged. 2nd Biennial Australian Rural and Remote Health Scientific Conference. 1994. Short L, Patterson A. Strategies to improve equity in oral health care for the rural aged. 2nd Biennial Australian Rural and Remote Health Scientific Conference. 1994.
32.
go back to reference Brennan D, Spencer AJ. Influence of patient, visit, and oral health factors on dental service provision. J Public Health Dent. 2002;62:48–157.CrossRef Brennan D, Spencer AJ. Influence of patient, visit, and oral health factors on dental service provision. J Public Health Dent. 2002;62:48–157.CrossRef
Metadata
Title
Patterns of use of oral health care services and barriers to dental care among ambulatory older Chilean
Authors
Rodrigo Mariño
Rodrigo A. Giacaman
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2017
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-016-0329-2

Other articles of this Issue 1/2017

BMC Oral Health 1/2017 Go to the issue