Dental health among older Israeli adults: is this a reflection of a medical care model inadequately addressing oral health?
Dental health among older Israeli adults: is this a reflection of a medical care model inadequately addressing oral health?
复制标题
以色列老年人的牙齿健康：这是否反映了医疗保健模式未能充分解决口腔健康问题？
DOI：
10.1111/idj.12135
复制
发表时间：
2015
影响因子：
3.3
通讯作者：
Listl,Stefan
中科院分区：
文献类型：
--
作者：
Sgan-Cohen,Harold;Livny,Alon;Listl,Stefan
ObjectivesIsrael’s health-care system is considered as one of the most efficient worldwide. The purpose of the present study was to assess oral health outcomes, dental care use and respective social inequalities among the older segment of the Israeli population.MethodsSecondary analyses were conducted of recently available data from the Survey of Health, Ageing, and Retirement in Europe (SHARE Israel, wave 2), which specifically includes information on chewing ability, denture wearing and dental care use obtained from more than 2,400 Israeli people, 50+ years of age. Multivariate logistic regressions and concentration indices were used to analyse determinants of oral health and dental care use.ResultsSeventy per cent of respondents reported being able to bite/chew on hard foods and 49% of respondents reported wearing dentures. Forty-three per cent of respondents had visited a dentist within the past 12 months, with about half of all dental visits being made for solely nonpreventive reasons. Significant income-related inequalities were identified, with higher income being associated with greater dental care use (particularly preventive dental visits), better chewing ability and less denture wearing.ConclusionsFor the older segment of the Israeli population and compared with other countries, the findings of the present study suggest a relatively low level of chewing ability, a high extent of nonpreventive dental visiting, as well as considerable inequalities in oral health and care. It seems that the Israeli health-care system may be improved even further by more comprehensive inclusion of dental care into universal health coverage.
