factors affecting oral examinations and dental treatments among older adults in israel shosh shahrabani资料.pdf

该【factors affecting oral examinations and dental treatments among older adults in israel shosh shahrabani资料 】是由【赖大文档】上传分享，文档一共【9】页，该文档可以免费在线阅读，需要了解更多关于【factors affecting oral examinations and dental treatments among older adults in israel shosh shahrabani资料 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。ShahrabaniIsraelJournalofHealthPolicyResearch(2019)8:43https:///-019-0312-xessFactorsaffectingoralexaminationsanddentaltreatmentsamongolderadultsinIsraelShoshShahrabaniAbstractBackground:,:Thestudyisbasedona2017telephonesurveyconductedamongpeopleaged50–:Theresultsshowthatamongolderadultsthedecisiontoundergoroutinedentalcheckupsisaffectedbysocio-,elevels,,thosewhosawthebenefitsofroutinecheckups,believedthatdentistswerereadilyavailable,:AccordingtotherecentdentalreforminIsrael,,,,:Oralhealth,Olderadults,IsraelparisonsprovidedbytheWHOindi--olderadultpopulationplayanimportantroleinprevent-,oralinghealthissues,improvingqualityoflife,[1,2].Thedemographicrevolu-one-thirdofpeopleaged65andoverreporteddifficultiestionreflectedinthegrowingnumbersofolderadultsininchewingfood[5].AccordingtotheIsraelMinistryofthegeneralpopulationposesnewchallengesfordentalHealth’s2013report,costsfordentalmedicineconstitutehealthprofessionalsregardinghowtoprovideappropri-around26%,theateandaffordableoralcare[3].Poororalhygienecanlevelofexpenditureforprivatehealthcare,includingden-leadtooveralldeficienthealthandenhancetheriskoftaltreatment,eindividualsischronicillness,monriskfactorssuchsimilar[6].Onlyasmallpercentageofolderadultsinneedasinfections[2,4].ofdentalservicesareentitledtodentaltreatmentssubsi-dizedbythewelfareservices[7].InFebruary2019,:******@TheEconomicsandManagementDepartmentandHeadofResearchtothisreform,peopleaged75andolderareeligibleforAuthority,TheMaxSternYezreelValleyCollege,,EmekYezreel,oneperiodicdentalcheckupperyearandonedentalIsrael?TheAuthor(s).(/licenses/by//),whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedyougiveappropriatecredittotheoriginalauthor(s)andthesource,providealinktomonslicense,(/publicdomain/zero//)appliestothedatamadeavailableinthisarticle,(2019)8:43Page2of9hygienistvisitevery6months,.[5]basedondatawaves1and2oftheofdentaltreatmentstopreservegooddentitionandSHAREsurveyforpeopleaged65andoverinIsraelpreventfuturedentaldiseaseareavailableatmodestde-’sfindingsindicatethatductiblefeesrangingfrom34to136NewIsraeliShekelsage,economicstatus,andinterviewlanguageweresig-(about$10–$40)-,17%reportedthattheirqualityoflifeandpeopleaged75andoverbutexcludesadultsaged19–-[18].Thosewhohadvisitedadentistwithinthepastlisregardlessofage[8].year,hadtheirownteethandnodentures,andreportedThecurrentstudyexaminesthefactorsthatinfluencenochewingproblemshadbetterdietaryintake[19].olderadultsinIsraelindecidingwhethertoundergoDentaltreatmentscostsareconsideredasignificantobs-,pointingtofinancialinequality[20–22].ofourknowledge,thereisalacunaintheresearchForexample,Singhetal.[21][22]foundassociationsbetweenrefrainingfromdentalcareforLiteraturereviewfinancialreasonsandsocioeconomicstatusamongadultin-Compliancewithroutinedentalexaminationsandtreat-,amongthemthisinequalitybyincludingdentalhealthcostswithinna-socio-demographic,economic,,Theide,andBirch[23]proposedaframe-[9–11].SomefoundthatThemodelincludedthreedimensionsthataffectwilling-olderadultswithpoorphysicalhealthandlowfinancialnesstoseektreatment:a)affordability,whichreferstoessorabilitytoaffordgoodsorservices;b)issuesaswell[12–14].availability(ess);andc)acceptability(cul-Arecentmeta-lobalinequal-ess).YetbasedontheSHAREsurvey,Listl[24]itiesindentalserviceutilization.[12].Basedupondatafoundthatonlyasmallproportionofolderadults(ran-fromtheinternationalSHAREsurvey(Waves2–3),Listlgingfrom7%%inAustria)citedfinancial[15]examinedtherateofsocial--demographicfactorsintheuseofpreventiveOverall,routinedentalcareandpreventivetreatmenthealthservices,includingdentalexaminations,alargeparativelyhighinfivecountriesbodyofliteraturediscussestheroleofhealthbeliefsand(herlands,Sweden,Denmark,-Switzerland)parativelylowinanotherfiveoreticalmodelssuchastheHealthBeliefModel(HBM),(Spain,Italy,France,Greece,PolandandIreland).InallReasonedAction,passbeliefsre-theparticipatingcountries,ahigherlevelofeducationgardinghealthandobstaclesthatpreventhealthybehav-wasassociatedwithgreaterchancesofundergoingrou-,thelevelofinequalityindentalordiagnosis[25].Themodelassumesthatindividuals’be-.[16]conductedastudyamongdisadvan-esaswellastheirsubjectiveexpecta-,,arecaredforbyafamilymember,wereborninpreventivehealthbehaviorincludepersonalperceivedsus-Westerncountries,efromapensionareceptibilitytoillness(.,),perceiveddiseaseseriousness(.,dentaletal.[17]foundthattheuseofprimarydentalservicesproblems),perceivedbenefitsofpreventiveactions(.,,thisroutinedentalexaminations),andbarrierstotakingsuchstudyalsofounddisparitiesinprimarydentalcareuseactions(.,treatmentcosts,fearofexamination).Thee,immigrantandethnicminoritystatus,HBMhasbeenimplementedinnumerousstudiesexamin-(2019)8:43Page3of9particular[26–34].Forexample,accordingtothetheoret-SampleandsamplingicalstudybyFlaeretal.[30],thefollowingHBMcategor-panyselectedforthetele-iesaffectpreventivedentalhealthbehavior:personalphonesurveywasinitiallybasedonprobabilitysamplingperceptionofprobabilityofdentalproblems,perceivedofgroupsdefinedbysocio-,senseofself-efficacy,andThesamplesizewaschosenbasedonthedistributionofcuestoaction(.,mendations).Ac-thesesub-ordingtosocio-demographicvari-cordingtoanotherrecentstudy,-HBM-basedquestionnairecanbeusedtoidentifythepo-spondents::“Ispregnantwomen[34].thereatleastoneindividualinthehouseholdbetweenMostoftheaforementionedarticlesexaminedtheim-theagesof50and75?”,pletedquestionnaires(%-rate).Oftheremainingquestionnaires,115didnotre-ingliteraturelacksstudiesexaminingthepsychologicalspond,301refusedtoparticipate,and11answeredpar-,-prisedthefollowingparts:olderadults’decisiontoundergoroutinedentalexamina-:socioeconomicinformation;age;maritalstatus;education;nationality;yearofimmigration;degreeofreligiousness(1=notatallHypothesisreligious,5=veryreligious);e(1=BasedontheHealthBeliefModel,wedevelopedthefol-aboveaverage,5=muchlowerthanaverage);placelowinghypothesisregardingthedecisiontoundergorou-ofresidence;anizationtinedentalcheckups:Decidingwhethertoundergoroutinemembership;supplementalinsuranceand/orprivatedentalcheckupswilldependonindividuals’attitudesanddentalinsurance;,thede--,,believethatthenextyear(1=certainlyyes,5=certainlyno).Diddentalproblemsareserious,believethatdentalexamshaveparticipantundergodentaltreatmentsafterproblemsmorebenefitsthandrawbacks,havefewerbarrierstoden-ests?Didparticipanttalcheckups,andhavehigherlevelsofhealthmotivationforegodentaltreatmentsbecauseoffinancialcost?willbemorelikelytoundergoroutinedentalcheckupsandmendationtogetdentalwillhavestrongerintentionstoundergocheckupsthefol-checkups?(1=notatall,5=veryThishypothesisisbasedpartiallyonthetheoreticalmuch)?Doesparticipantbelievethat“youonlyneedHBMpredictioninFlaeretal.[30]andontheempiricaltovisitadentistwhenyouareinpain”?findingsinShahrabanietal.[32](1=mothers’decisionstotaketheirchildrenfordentalverygood,5=verybad);numberofmissingteeth;:perceivedimportanceIn2017,panyconductedaofdentalcheckups;perceivedseriousnessofdentaltelephonesurveyamongasampleofIsraeliadultsagedproblems;perceivedsusceptibilitytodental50–;perceivedbenefitsofcheckups;barriersolderadultsinIsraelhadundergonedentalcheckupstocheckups;,hefrequencywithwhichtheyundergoroutineexaminationsand,Themodel’sconstructsareillustratedinTable4moreimportantly,theirintentionstoundergodental(Appendix).Responsepossibilitiesrangedfrom1==,theShahrabaniIsraelJournalofHealthPolicyResearch(2019)8:43Page4of9questionnaireincl