Adegbembo Albert O, Leake James L, Main Patricia A, Lawrence Herenia P, Chipman Mary L
Division of Public Health Services and Research, College of Dentistry University of Florida, Gainesville, USA.
Spec Care Dentist. 2005 Nov-Dec;25(6):275-85. doi: 10.1111/j.1754-4505.2005.tb01401.x.
To assess whether dental insurance influences how institutionalized older adults ages 65 and older rank their oral health status, a census survey was designed for residents of Durham's (Canada) Municipal Homes for the Aged. The odds ratio (OR) and the Cochran & Mantel-Haenszel's OR were used to estimate the crude and adjusted effect of dental insurance on oral health status, respectively. Overall, 64 percent participated in the interview. Oral health status was ranked as "good," "very good" or "excellent" by 57 percent of the participants. This ranking was clearly unrelated to the residents having dental insurance, as only 28 percent had dental coverage. Significant effect modifiers included age, dental status and whether the participant had visited the dentist within the last year. Dental insurance positively influenced how dentate participants ranked their oral health status (OR = 2.26; 95 percent CI = 1.19; 4.28). In edentulous participants, age and visiting the dentist within the last year modified the effect of dental insurance on oral health status. Having dental insurance reduced the odds of reporting "good," "very good" or "excellent" oral health (OR = 0.20; 95 percent CI = 0.08; 0.49) among the participants ages 85 and older who did not visit the dentist within the last year; however, the opposite was true for their younger counterparts who visited the dentist within the last year (OR = 7.20; 95 percent CI = 1.08; 47.96). In this population, therefore, dental insurance was associated with higher oral health status rank among the dentate, but its effect on the edentulous population depended on age and the pattern of visiting the dentist.
为评估牙科保险是否会影响65岁及以上的老年机构化人群对其口腔健康状况的排名，针对加拿大达勒姆市老年公寓的居民设计了一项普查。比值比（OR）和 Cochr an & Mantel - Haenszel 的OR分别用于估计牙科保险对口腔健康状况的粗略和调整效应。总体而言，64%的人参与了访谈。57%的参与者将口腔健康状况评为“良好”“非常好”或“优秀”。这一排名与居民是否拥有牙科保险明显无关，因为只有28%的人有牙科保险。显著的效应修饰因素包括年龄、牙齿状况以及参与者在过去一年是否看过牙医。牙科保险对有牙参与者对其口腔健康状况的排名有积极影响（OR = 2.26；95%置信区间 = 1.19；4.28）。在无牙参与者中，年龄和过去一年是否看过牙医改变了牙科保险对口腔健康状况的影响。对于85岁及以上且过去一年未看过牙医的参与者，拥有牙科保险降低了报告口腔健康为“良好”“非常好”或“优秀”的几率（OR = 0.20；95%置信区间 = 0.08；0.49）；然而，对于过去一年看过牙医的较年轻的无牙参与者，情况则相反（OR = 7.20；95%置信区间 = 1.08；47.96）。因此，在这一人群中，牙科保险与有牙者较高的口腔健康状况排名相关，但它对无牙人群的影响取决于年龄和看牙医的模式。
