期刊
INTERNATIONAL DENTAL JOURNAL
卷 67, 期 3, 页码 133-138出版社
WILEY
DOI: 10.1111/idj.12283
关键词
Dental insurance coverage; elderly populations; inequalities; USA; Europe
资金
- National Institute of Dental and Craniofacial Research of the USA National Institutes of Health [DE021678]
In this review we consider oral-health access among older adults within and between the USA and various European countries with regard to possible primary financial and modifiable secondary non-financial factors. For older adults, the likelihood of using dental services has been associated, in the health literature, with a multiplicity of factors. These factors are traditionally classified into predisposing, enabling and need categories, and can be further classified into modifiable and non-modifiable subcategories. This raises the question of which single factor or group of factors has the most influence in keeping older adults from seeking care, and how these influences might differ between the USA and various other (European) countries. As it turns out, there is variation in the magnitude of effects across certain measurable potential barriers, but generally it takes a combination of characteristics associated with non-use to have a substantial impact.
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