Department of Geography and Environment, Western University, London, Canada.
Department of Health & Society, University of Toronto Scarborough, Toronto, Canada.
BMC Oral Health. 2023 May 25;23(1):323. doi: 10.1186/s12903-023-03019-6.
The literature recognizes food insecurity as a barrier to access to health care services. However, we know very little about the association between food insecurity and unmet dental care needs among older people in Ghana. To address this void in the literature, this study uses a representative survey of adults aged 60 or older from three regions in Ghana to examine whether older people who experienced household food insecurity differently report unmet dental care needs in comparison to their counterparts without any food insecurity. We find that 40% of older adults reported unmet dental care needs. Results from logistic regression analysis show that older people who experienced severe household food insecurity were more likely to report unmet dental care needs, compared to those who did not experience any type of food insecurity, even after accounting for theoretically relevant variables (OR = 1.94, p < 0.05). Based on these findings, we discuss several implications for policymakers and directions for future research.
文献认为,粮食不安全是获得医疗保健服务的障碍。然而,我们对于加纳老年人中粮食不安全与未满足的牙科护理需求之间的关联知之甚少。为了填补这一文献空白,本研究使用加纳三个地区的代表性成年人调查数据,研究经历家庭粮食不安全的老年人与没有粮食不安全的老年人相比,是否有不同程度的未满足的牙科护理需求。我们发现,40%的老年人报告存在未满足的牙科护理需求。逻辑回归分析结果表明,与没有经历任何类型粮食不安全的老年人相比,经历严重家庭粮食不安全的老年人更有可能报告未满足的牙科护理需求,即使在考虑到理论上相关的变量后(OR=1.94,p<0.05)。基于这些发现,我们讨论了对政策制定者的一些启示和未来研究的方向。