Oral health disparity in older adults: dental decay and tooth loss.
Oral health disparity in older adults: dental decay and tooth loss.
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DOI：
10.1016/j.cden.2014.06.004
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发表时间：
2014-10-01
影响因子：
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通讯作者：
Karpas, Steven L
中科院分区：
文献类型：
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作者：
Friedman, Paula K;Kaufman, Laura B;Karpas, Steven L
在减少老年人龋齿和缺牙方面取得了进展，但在种族、民族、社会经济水平和性别方面仍然存在差异。缺乏治疗复杂病人的培训，经济因素，包括医疗保险中口腔健康服务的覆盖范围不广，医疗补助中作为成年人的必要服务，以及患者、护理人员和提供者的态度问题，都是老年人护理的障碍。除了口腔健康对整体健康的影响外，口腔健康还影响生活质量以及社会和就业机会。
Progress has been made in reducing dental caries and edentulism in older adults, but disparities continue to exist related to race, ethnicity, socioeconomic level, and sex. Lack of training in treating medically complex patients, economic factors including absence of coverage for oral health services in Medicare and as a required service for adults in Medicaid, and attitudinal issues on the part of patients, caregivers, and providers contribute to barriers to care for older adults. In addition to the impact of oral health on overall health, oral health impacts quality of life and social and employment opportunities.