Medicaid adult dental benefits and oral health of low-income older adults.
Medicaid adult dental benefits and oral health of low-income older adults.
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DOI：
10.1016/j.adaj.2021.03.010
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Sabik LM
中科院分区：
文献类型：
--
作者：
Singhal A;Alofi A;Garcia RI;Sabik LM
老年人的天然牙齿保持得更长，这引发了人们对医疗保险牙科保险的呼声。虽然医疗保险牙科保险将使所有老年人受益，但其中最贫困的人已经有资格通过医疗补助获得牙科福利。我们研究了各州医疗补助成人牙科福利与低收入老年人的牙科利用和牙齿脱落之间的关系。我们使用 2014 年、2016 年和 2018 年的 BRFSS 数据对 65 岁或以上的成年人进行了调查。检查的结果包括每年牙科检查、部分和完全牙齿脱落。调整协变量后，使用泊松回归获得风险比。各州的医疗补助成人牙科福利与牙科利用率显着相关，没有保险的州的低收入老年人看牙医的概率最低（RR=0.83，95%CI=0.74-0.94），其次是仅紧急保险（RR=0.91，95%CI=0.84-0.98），福利有限（RR=0.91，95%CI=0.85-0.98）相对于拥有广泛利益的国家而言。部分或完全牙齿缺失没有显着差异。各州的医疗补助成人牙科福利与低收入老年人的牙科就诊密切相关。根据医疗补助计划提供全面的牙科福利可以改善低收入老年人获得牙科护理的机会。随着老年患者人数的增长，最贫困的老年人在没有牙科保险的情况下可能会面临牙科护理障碍。牙科专业人员必须致力于倡导全面的牙科保险，特别是针对弱势群体。
Older adults are keeping their natural teeth longer, spurring calls for dental coverage under Medicare. While Medicare dental coverage would benefit all older adults, the poorest among them are already eligible for dental benefits through Medicaid. We examine the association between states’ Medicaid adult dental benefits and dental utilization and tooth loss among low-income older adults. Using the BRFSS data from 2014, 2016 and 2018, we examined adults aged 65 years or more. The outcomes examined included annual dental visit, partial and complete tooth loss. Poisson regressions were used to obtain risk ratios after adjusting for covariates. States’ Medicaid adult dental benefits were significantly associated with dental utilization, with low-income older adults in states with no coverage having the lowest probability of visiting a dentist (RR=0.83, 95%CI=0.74-0.94), followed by emergency-only coverage (RR=0.91, 95%CI=0.84-0.98), and limited benefits (RR=0.91, 95%CI=0.85-0.98) relative to states with extensive benefits. There were no significant differences in either partial or complete tooth loss. States’ Medicaid adult dental benefits are significantly associated with dental visits among low-income seniors. Providing comprehensive dental benefits under Medicaid can improve access to dental care among low-income older adults. As the older adult patient population grows, the poorest older adults may face barriers to dental care in absence of dental coverage. Dental professionals must engage in advocating for comprehensive dental coverage, especially for vulnerable populations.
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影响因子：
5.4
作者：
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--
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