Elderly Oral Health: The relationship between oral health problems, dental care use, medical conditions, and provided medical care

项目摘要 该项目的目标是关注牙科使用、整体健康、合并症和 医疗服务使用。指导这项研究的中心假设是，牙齿护理的使用与以下因素高度相关： 总体健康状况好于平均水平，医疗服务利用率较低。我们将 使用Medicare Beneficiary提供的二级数据检验假设并进行本研究 调查（MCBS）和慢性病仓库（CCW），地区卫生资源文件（AHRF）和 密歇根大学社会研究所（ISR）健康与退休研究（HSR）。我们还将 利用由该研究团队成员和 ISR的调查人员。这个项目是建立在几个合作研究的基础上， 此前，该研究团队 从这项研究中获得的结果将对符合Medicare资格的人的健康和福利产生重大影响。 通过描述哪些共病状态与口腔疾病的存在相关， 预防性治疗是否与这些共病状态的较低水平相关，以及 或不使用矫正治疗与改善那些共病状态相关， 比较口腔疾病患者中这些共病状态的频率和严重程度， 没有得到治疗。 具体而言，我们将： 目标1。评估长者使用牙科护理服务与其他牙科服务的关系， 随着时间的推移，工作假设是，不使用牙科护理服务的长者， 与定期使用牙科服务的人相比，可能会经历特定的合并症。 目标2.估计预防性牙科保健服务使用、口腔健康问题和共同 老年人的发病率。工作假设是，经常使用 预防性牙科保健或没有口腔保健问题的人不太可能经历特定的合并症 与不经常使用预防性牙科保健或有口腔保健问题的老年人相比， 目标3。评估老年人口腔疾病与合并症之间的关系。的 工作假设是，随着时间的推移，患有口腔疾病的老年人更有可能经历特定的并发症， 与无口腔疾病的老年人相比，

Project Summary The goal of this project is to focus on the relationship between dental use, overall health, comorbidity, and medical services use. The central hypothesis guiding this study is that dental care use is highly correlated with better-than-average general health and lower levels of comorbidity and utilization of medical services. We will test the hypothesis and conduct this study using secondary data available from the Medicare Beneficiary Survey (MCBS) and Chronic Conditions Warehouse (CCW), Area Health Resources File (AHRF) and the University of Michigan Institute for Social Research (ISR) Health and Retirement Study (HSR). We will also take advantage of a HRS dental specific module co-developed by members of this research team and the survey staff at the ISR. This proposed project builds upon and is an extension of several collaborative studies previously conducted by this research team. Results obtained from this study will have a high impact on the health and welfare of the Medicare eligible community population by describing which co-morbid states are associated with the presence of oral diseases, whether or not preventive treatments are associated with lower levels of those co-morbid states, and whether or not the use of corrective treatments are associated with amelioration of those co-morbid states in comparison to the frequency and severity of those co-morbid states among individuals whose oral diseases are not treated. Specifically we will: Aim 1. Estimate the relationship between utilization of dental care services by elderly persons and co- morbidities over time. The working hypothesis is that elderly persons not using dental care service are more likely to experience specific co-morbidities compared to those using dental services on a regular basis. Aim 2. Estimate the relationship between preventive dental care service use, oral health problems, and co- morbidities over time by elderly persons. The working hypothesis is that elderly persons with regular use of preventive dental care or without oral health care problems are less likely to experience specific co-morbidities over time than elderly persons not regularly using preventive dental care or with oral health care issues. Aim 3. Estimate the relationship between oral disease and co-morbidities over time for elderly persons. The working hypothesis is that elderly persons with oral disease are more likely over time to experience specific co- morbidities compared to elderly persons without oral disease.