The Influence of Changes in Dental Care Coverage on Dental Care Utilization Among Retirees and Near-Retirees in the United States, 2004-2006
The Influence of Changes in Dental Care Coverage on Dental Care Utilization Among Retirees and Near-Retirees in the United States, 2004-2006
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DOI：
10.2105/ajph.2011.300227
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发表时间：
2011-10-01
影响因子：
12.7
通讯作者：
Pepper, John V.
中科院分区：
文献类型：
--
作者：
Manski, Richard J.;Moeller, John F.;Pepper, John V.
目标.我们研究了2004年和2006年之间的牙科保健利用的变化动态的背景下，不断变化的牙科覆盖率states. Methods。我们使用来自51岁及以上人群的健康与退休研究的数据来估计牙齿护理使用过渡的多变量模型，并控制牙齿覆盖率和退休过渡以及其他潜在的混杂协变量。我们发现，在2004年至2006年调查期间失去牙科保险的51岁及以上的美国人更有可能在两个时期之间停止使用牙科保健，而那些获得保险的人更有可能在两个时期之间开始使用牙科保健，而不是那些在两个时期都没有保险的人。牙科覆盖过渡和状态对牙科护理使用的过渡有很大的影响。鉴于退休是许多人失去牙科保险的时候，老年人可能会面临零星的牙科护理甚至停止使用的风险，导致牙齿和潜在的整体健康状况恶化。(Am J公共卫生。2011;101：1882-1891. doi：10.2105/AJPH.2011.300227）
Objectives. We examined dental care utilization transition dynamics between 2004 and 2006 in the context of changing dental coverage status.Methods. We used data from the Health and Retirement Study for persons aged 51 years and older to estimate a multivariable model of dental care use transitions with controls for dental coverage and retirement transitions and other potentially confounding covariates.Results. We found that Americans aged 51 years and older who lost dental coverage between the 2004 and 2006 survey periods were more likely to stop dental care use between periods, and those who gained coverage were more likely to start dental care use between periods, than those without coverage in both periods.Conclusions. Dental coverage transitions and status have a strong effect on transitions in dental care use. Given that retirement is a time when many experience a loss of dental coverage, older adults may be at risk for sporadic dental care and even stopping use, leading to worse dental and potentially overall health. (Am J Public Health. 2011;101:1882-1891. doi:10.2105/AJPH.2011.300227)