McGrath C, Bedi R, Dhawan N
WHO Collaborating Centre for Disability, Culture and Oral Health, Eastman Dental Institute for Oral Health Care Sciences, University of London.
Gerodontology. 1999 Dec;16(2):97-102. doi: 10.1111/j.1741-2358.1999.00097.x.
This study was designed to determine the use of dental services and factors associated with their use among the United Kingdoms' older population.
A national study involving 1,116 older people (aged 60 or older).
Home Interviews were undertaken exploring the time and reason for last dental visit. In addition, socio-demographic characteristics and proxy oral health measures (self-reported number of teeth and edentulous status) of the respondents were collected.
Forty seven percent (528) claimed they visited the dentist within the past year, 10% (116) claimed that the reason for their last visit was because of a dental emergency, 43% (484) were classified as "regular attenders"--having attended the dentist within the past year for a non dental emergency. Bivariate analysis identified that regular dental attendance was associated with age (P < 0.01), social class (P < 0.01), income level (P < 0.01), educational attainment (P < 0.01), self-reported number of teeth possessed (P < 0.01) and edentulous status (P < 0.01). In regression analysis, self reported edentulous status and number of teeth possessed emerged as the most important factors in determining service utilisation. Possessing a full denture was associated with a 6-fold decrease, having accounted for other factors, in the likelihood of attending the dentist within the past year for a non dental-emergency (OR = 0.15, CI 0.10, 0.21).
Less than half of the sample population were "regular dental attenders", their attendance was associated with a number of socio-demographic and oral health factors. In particular, edentulous state was a major factor associated with their use of services.
本研究旨在确定英国老年人群牙科服务的使用情况及其相关因素。
一项涉及1116名老年人（60岁及以上）的全国性研究。
进行了家庭访谈，探讨上次看牙的时间和原因。此外，还收集了受访者的社会人口学特征和代理口腔健康指标（自我报告的牙齿数量和无牙状况）。
47%（528人）称他们在过去一年看过牙医，10%（116人）称上次看牙的原因是牙齿急诊，43%（484人）被归类为“定期就诊者”——在过去一年因非牙齿急诊看过牙医。双变量分析表明，定期看牙与年龄（P<0.01）、社会阶层（P<0.01）、收入水平（P<0.01）、教育程度（P<0.01）、自我报告拥有的牙齿数量（P<0.01）和无牙状况（P<0.01）有关。在回归分析中，自我报告的无牙状况和拥有的牙齿数量成为决定服务利用的最重要因素。在考虑其他因素后，佩戴全口假牙使过去一年因非牙齿急诊看牙医的可能性降低了6倍（OR=0.15，CI 0.10，0.21）。
样本人群中不到一半是“定期看牙者”，他们的就诊与一些社会人口学和口腔健康因素有关。特别是，无牙状态是与他们使用服务相关的主要因素。
