Barriers to oral care: a cross-sectional analysis of the Canadian longitudinal study on aging (CLSA)
Abstract Background Oral health plays a role in overall health, indicating the need to identify barriers to accessing oral care. The objective of this study was to identify barriers to accessing oral health care and examine the association between socioeconomic, psychosocial, and physical measures w...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-023-02967-3 |
| _version_ | 1827943186571460608 |
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| author | Vanessa De Rubeis Ying Jiang Margaret de Groh Lisette Dufour Annie Bronsard Howard Morrison Carol W. Bassim |
| author_facet | Vanessa De Rubeis Ying Jiang Margaret de Groh Lisette Dufour Annie Bronsard Howard Morrison Carol W. Bassim |
| author_sort | Vanessa De Rubeis |
| collection | DOAJ |
| description | Abstract Background Oral health plays a role in overall health, indicating the need to identify barriers to accessing oral care. The objective of this study was to identify barriers to accessing oral health care and examine the association between socioeconomic, psychosocial, and physical measures with access to oral health care among older Canadians. Methods A cross-sectional study was conducted using data from the Canadian Longitudinal Study on Aging (CLSA) follow-up 1 survey to analyze dental insurance and last oral health care visit. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the association between socioeconomic, psychosocial, and physical measures with access to oral care, measured by dental insurance and last oral health visit. Results Among the 44,011 adults included in the study, 40% reported not having dental insurance while 15% had not visited an oral health professional in the previous 12 months. Several factors were identified as barriers to accessing oral health care including, no dental insurance, low household income, rural residence, and having no natural teeth. People with an annual income of <$50,000 were four times more likely to not have dental insurance (adjusted OR: 4.09; 95% CI: 3.80–4.39) and three times more likely to report not visiting an oral health professional in the previous 12 months (adjusted OR: 3.07; 95% CI: 2.74–3.44) compared to those with annual income greater than $100,000. Conclusions Identifying barriers to oral health care is important when developing public health strategies to improve access, however, further research is needed to identify the mechanisms as to why these barriers exist. |
| first_indexed | 2024-03-13T10:11:40Z |
| format | Article |
| id | doaj.art-86e956088e6d401ba9b9bb2d3e0ac1b1 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-13T10:11:40Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-86e956088e6d401ba9b9bb2d3e0ac1b12023-05-21T11:29:02ZengBMCBMC Oral Health1472-68312023-05-0123111010.1186/s12903-023-02967-3Barriers to oral care: a cross-sectional analysis of the Canadian longitudinal study on aging (CLSA)Vanessa De Rubeis0Ying Jiang1Margaret de Groh2Lisette Dufour3Annie Bronsard4Howard Morrison5Carol W. Bassim6Department of Health Research Methods, Evidence, and Impact, McMaster UniversityApplied Research Division, Centre for Surveillance and Applied Research, Public Health Agency of CanadaApplied Research Division, Centre for Surveillance and Applied Research, Public Health Agency of CanadaOffice of the Chief Dental Officer, Public Health Agency of CanadaOffice of the Chief Dental Officer, Public Health Agency of CanadaApplied Research Division, Centre for Surveillance and Applied Research, Public Health Agency of CanadaDepartment of Medicine, McMaster UniversityAbstract Background Oral health plays a role in overall health, indicating the need to identify barriers to accessing oral care. The objective of this study was to identify barriers to accessing oral health care and examine the association between socioeconomic, psychosocial, and physical measures with access to oral health care among older Canadians. Methods A cross-sectional study was conducted using data from the Canadian Longitudinal Study on Aging (CLSA) follow-up 1 survey to analyze dental insurance and last oral health care visit. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the association between socioeconomic, psychosocial, and physical measures with access to oral care, measured by dental insurance and last oral health visit. Results Among the 44,011 adults included in the study, 40% reported not having dental insurance while 15% had not visited an oral health professional in the previous 12 months. Several factors were identified as barriers to accessing oral health care including, no dental insurance, low household income, rural residence, and having no natural teeth. People with an annual income of <$50,000 were four times more likely to not have dental insurance (adjusted OR: 4.09; 95% CI: 3.80–4.39) and three times more likely to report not visiting an oral health professional in the previous 12 months (adjusted OR: 3.07; 95% CI: 2.74–3.44) compared to those with annual income greater than $100,000. Conclusions Identifying barriers to oral health care is important when developing public health strategies to improve access, however, further research is needed to identify the mechanisms as to why these barriers exist.https://doi.org/10.1186/s12903-023-02967-3Oral healthBarriersDental insuranceCLSA |
| spellingShingle | Vanessa De Rubeis Ying Jiang Margaret de Groh Lisette Dufour Annie Bronsard Howard Morrison Carol W. Bassim Barriers to oral care: a cross-sectional analysis of the Canadian longitudinal study on aging (CLSA) BMC Oral Health Oral health Barriers Dental insurance CLSA |
| title | Barriers to oral care: a cross-sectional analysis of the Canadian longitudinal study on aging (CLSA) |
| title_full | Barriers to oral care: a cross-sectional analysis of the Canadian longitudinal study on aging (CLSA) |
| title_fullStr | Barriers to oral care: a cross-sectional analysis of the Canadian longitudinal study on aging (CLSA) |
| title_full_unstemmed | Barriers to oral care: a cross-sectional analysis of the Canadian longitudinal study on aging (CLSA) |
| title_short | Barriers to oral care: a cross-sectional analysis of the Canadian longitudinal study on aging (CLSA) |
| title_sort | barriers to oral care a cross sectional analysis of the canadian longitudinal study on aging clsa |
| topic | Oral health Barriers Dental insurance CLSA |
| url | https://doi.org/10.1186/s12903-023-02967-3 |
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