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

项目摘要 这个项目的目标是关注牙齿使用、整体健康、合并症和 医疗服务的使用。指导这项研究的中心假设是，牙齿护理的使用与 总体健康状况好于平均水平，合并症和医疗服务利用率较低。我们会 测试假设并使用Medicare受益人提供的次要数据进行这项研究 调查(MCBS)和慢性病仓库(CCW)、地区卫生资源档案(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。这一拟议的项目建立在几项合作研究的基础上，并是其延伸 之前由这个研究小组进行的。 这项研究的结果将对符合条件的医疗保险的健康和福利产生很大影响 通过描述哪些共病状态与口腔疾病的存在有关， 预防性治疗是否与这些共病状态的较低水平相关，以及 纠正治疗的使用是否与改善这些共病状态有关 口腔疾病患者中这些共病状态的频率和严重程度的比较 得不到治疗。 具体来说，我们会： 目的1.评估老年人对牙科保健服务的利用与合作之间的关系 随着时间流逝的病态。工作假设是，不使用牙科护理服务的老年人 与那些定期使用牙科服务的人相比，可能会经历特定的并存疾病。 目的2.评估预防性牙科保健服务使用、口腔健康问题和合作的关系。 随着时间的推移，老年人的疾病。工作假说是经常使用药物的老年人 预防性牙科护理或没有口腔保健问题的患者不太可能发生特殊的共病。 随着时间的推移，老年人比不经常使用预防性牙科护理或有口腔保健问题的老年人更容易受到伤害。 目的3.评估老年人口腔疾病与合并症之间的关系。这个 工作假说是，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协同 与没有口腔疾病的老年人相比，他们的患病率更高。

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.