GGM
Journal of Gerontology
and Geriatric MedicineISSNISSN 2697-4509 (Online)
ปีที่ 22 ฉบับที่ 2-3 พฤษภาคม-ธันวาคม 2023 (2023082402)
Dental Care Expenditure and Related Factors Among Older Patients in a University Dental Hospital, Thailand
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Abstract
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This study aimed to identify the factors associated to dental health spending in the older people. This retrospective descriptive study, involving secondary data analysis, was conducted during the period of February to March 2023. Independent variable data were extracted from an initial telephone-based survey, while dependent data on dental health expenditures were obtained from the University Dental Hospital's record system. Descriptive statistics, including median and range, were employed to present age and dental health expenditure. Categorical variables i.e., age group, income level, educational level and self-rated oral health were presented using frequencies and percentages. Inferential statistics involved the application of Pearson’s Chi-squared test to assess associations among categorical variables. A total of 367 older people were incorporated into this study. Through the utilization of Pearson's chi-squared test, statistically significant relationships were discovered between dental health expenditure and some independent variables, including educational level (p=0.032), monthly income (p=0.003), and self-rated oral health (p=0.017). On the other hand, there was no significant association between age and dental health expenditure (p=0.105). There are the association between higher educational level, higher income and good or fair self-reported oral health with higher dental health expenditure. As a result, there is a pressing need to actively advocate for the promotion of self-assessed oral health awareness within the Thai older people who received dental treatment at university dental hospital in Bangkok.
Keyword
Geriatric dentistry, Older people, Dental expenditure, Oral health, University dental hospital.
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References
- Hung M, Lipsky MS, Moffat R, et al. Health and dental care expenditures in the United States from 1996 to 2016. PLoS One. 2020 ;15(6):e0234459. doi: 10.1371/journal.pone. 0234459.
- 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 ;74(3):210-218. doi: 10.1111/jphd.12048.
- Hamasha AA, Aldosari MN, Alturki AM, Aljohani SA, Aljabali IF, Alotibi RF. Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia. J Int Soc Prev Community Dent. 2019;9(4):349-355. doi: 10.4103/jispcd.JISPCD_21_19.
- Valdez R, Aarabi G, Spinler K, et al. Correction to: Do postponed dental visits for financial reasons reduce quality of life? Evidence from the Survey of Health, Ageing and Retirement in Europe. Aging Clin Exp Res. 2022 ;34(11):2925. doi: 10.1007/s40520-021-01938-4.
- Tomioka K, Kurumatani N, Saeki K. Regular dental visits may prevent severe functional disability: A community-based prospective study. Arch Gerontol Geriatr. 2020;88:104019. doi: 10.1016/j.archger.2020.104019.
- Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017 ;3:17038. doi: 10.1038/nrdp.2017.38.
- Bas AC, Dourgnon P, Azogui-Levy S, Wittwer J. Impact of fees on access to dental care: evidence from France. Eur J Public Health. 2020;30(6):1066-1071. doi: 10.1093/eurpub/ckaa143.
- Saengtipbovorn S, Taneepanichskul S, Pongpanich S, Boonyamanond L. Factors associated with the utilization of dental health services by the elderly patients in Health Center No. 54, Bangkok, Thailand. J Health Res. 2012;26(4):199-204.
- Sermsuti-Anuwat N, Nampikul N, Suwannimit R, Panthueng W. Self-rated oral health among elderly patients attending a university dental hospital in Thailand: a telephone-based cross-sectional survey study. PeerJ. 2022 ;10:e14191. doi: 10.7717/peerj.14191.
- Ministry of Public Health (MPH) Bureau of Dental Health, Department of Health. Report of the results of the 8th National Oral Health Survey, Thailand, 2017. Bangkok: Sam Charoen Panich; 2018. (in Thai)
- Sapra RL. How to calculate an adequate sample size? In: Nundy S, Kakar A, Bhutta ZA. How to practice academic medicine and publish from developing countries?: practical guide. Singapore: Springer; 2022. p. 81-93. https://link.springer.com/content/pdf/10.1007/978-981-16-5248-6.pdf.
- Manski RJ, Moeller J, Chen H, et al. Dental care expenditures and retirement. J Public Health Dent. 2010;70(2):148-55.
- Limpuangthip N, Purnaveja S, Somkotra T. Predisposing and enabling factors associated with public denture service utilization among older Thai people: a cross-sectional population-based study. BMC Oral Health. 2019 ;19(1):220. doi: 10.1186/s12903-019-0923-1.
- Harirugsakul P, Kaewkamnerdpong I, Krisdapong S, Prasertsom P, Niyomsilp K, Vejvithee W . Social backgrounds, oral behaviors and dental service utilization among Thai older adults: data from the national oral health survey. J Health Res. 2021;35 (6):506-514.
- Lee J-Ha, Eunsuk. Factors affecting dental utilization and dental expenses in the economically active population: Based on the 2010-2014 Korea Health Panel Data. J Dentl Hygiene Sci. 2019;19:23-30. doi:10.17135/jdhs.2019.19.1.23.
- Bas AC, Azogui-Lévy S. Socio-Economic Determinants of Dental Service Expenditure: Findings from a French National Survey. Int J Environ Res Public Health. 2022 ;19(3):1310. doi: 10.3390/ijerph19031310.
- Cheng ML, Wang CX, Wang X, et al. Dental expenditure, progressivity and horizontal inequality in Chinese adults: based on the 4th National Oral Health Epidemiology Survey. BMC Oral Health. 2020;20(1):137. doi: 10.1186/s12903-020-01128-0.
- Thompson B, Cooney P, Lawrence H, Ravaghi V, Quiñonez C. The potential oral health impact of cost barriers to dental care: findings from a Canadian population-based study. BMC Oral Health. 2014 ;14:78. doi: 10.1186/1472-6831-14-78.