Use of Oral Health Services in Elderly Population in ColombiaParadoxes and Controversies

  1. Andrés A Agudelo-Suárez 1
  2. Anny M Vivares-Builes 1
  3. Adriana Posada-López 1
  4. Danilo Sánchez-Patiño 1
  5. Edwin J Meneses-Gómez 2
  1. 1 University of Antioquia Faculty of Dentistry
  2. 2 University Foundation Autónoma de las Américas Faculty of Dentistry
Revue:
International Journal of Odontostomatology

ISSN: 0718-381X 0718-3801

Année de publication: 2015

Volumen: 9

Número: 1

Pages: 5-11

Type: Article

DOI: 10.4067/S0718-381X2015000100001 DIALNET GOOGLE SCHOLAR

D'autres publications dans: International Journal of Odontostomatology

Résumé

This study aims to analyze the prevalence of use of oral health services in elderly population in Colombia according to selected socio-demographic and health outcomes. Cross-sectional analysis with information for 2650 subjects > 65 years provided by the 2007 National Public Health Survey. Variables: Use of oral health services, self-rated health, oral health problems, oral pain, dental caries, gum bleeding, sex, educative level and ethnic origin. Multivariate Logistic regressions were conducted for the use of health services and different demographic and health variables by means of Odds Ratio (OR), and 95% Confidence Intervals (95%CI). Analyses were conducted separately for men (M) and women (W). Logistic regression analysis showed that women with university studies (aOR 21.76; 95% CI 9.72­48.73), with dental problems (aOR 3.29; 95% CI 2.26­4.77), specifically gum bleeding (aOR 4.91; 95% CI 1.88­12.80) and men with dental caries (aOR 8.22; 95% CI 4.11­14.41) were more likely to report the recent use of oral health services. Use of oral health services is higher in people belonging to minority groups, but no statistically significant differences were found. Differences in the usage profile for elderly people were found according to socio-demographic and health variables. More research is needed in order to explain some controversial results.

Références bibliographiques

  • Aday, L. A.,Andersen, R.. (1974). A framework for the study of access to medical care. Health Serv. Res.. 9. 208
  • Agudelo-Suárez, A. A.,Martínez-Herrera, E.,Posada-López, A.,Sánchez-Patiño, D.,Viñas-Sarmiento, Y.. (2014). Ethnicity and self-perceived oral health in Colombia: a cross-sectional analysis. J. Immigr. Minor. Health. 16. 111
  • Albala, C.,Lebrão, M. L.,León Díaz, E. M.,Ham-Chande, R.,Hennis, A. J.,Palloni, A.,Peláez, M.,Pratts, O.. (2005). The Health, Well-Being, and Aging ("SABE") survey: methodology applied and profile of the study population. Rev. Panam. Salud Publica. 17. 307
  • Aránzazu, M., G. C.,Boada, C., H.,Martínez, L., C. A.,Uribe, M. M. M.. (2007). Percepciones de la salud general, oral y visual del adulto mayor que asiste a las clínicas de la Universidad Santo Tomás, factores que influencian su calidad de vida. Rev. Ustasalud Odontol.. 6. 87-95
  • Baldani, M. H.,Brito, W. H.,Lawder, J. A.,Mendes, Y. B.,da Silva, Fde. F.,Antunes, J. L.. (2010). Individual determinants of dental care utilization among low-income adult and elderly individuals. Rev. Bras. Epidemiol.. 13. 150
  • Benedetti, T. R.,de Mello, A. L.,Gonçalves, L. H.. (2007). Elderly people living in Florianópolis: self-perception of oral health conditions and use of dental services. Cien. Saude Colet.. 12. 1683
  • Calderón, C. A.,Botero, J. C.,Bolaños, J. O.,Martínez, R.. (2011). R. The Colombian healthcare system: 20 years of achievements and problems. Cien. Saude Colet.. 16. 2817
  • Cardona, D.,Estrada, A.,Agudelo, H. B.. (2006). Quality of life and health conditions of the elderly population of Medellin. Biomedica. 26. 206
  • (1999). Colombia^dMinisterio de Salud III Estudio Nacional De Salud Bucal - ENSAB III: II Estudio Nacional de Factores de Riesgo de Enfermedades Crónicas - ENFREC II. Ministerio de Salud. Bogotá.
  • (2010). Colombia^dProfamilia Encuesta Nacional de Demografía y Salud. ENDS-2010. Profamilia. Bogotá.
  • Concha Sánchez, S. C.,Camargo Lemus, D. M.. (2007). Análisis de la asociación entre la calidad vida y la condición oral de las personas mayores vinculadas a tres instituciones geriátricas de Bucaramanga: II Fase. Rev. Ustasalud Odontol.. 6. 75-86
  • de la Fuente-Hernández, J.,Sumano-Moreno, O.,Sifuentes-Valenzuela, M. C.,Zelocuatecatl-Aguilar, A.. (2010). Impacto de la salud bucal en la calidad de vida de adultos mayores demandantes de atención dental. Univ. Odontol.. 29. 83-92
  • Díaz Cárdenas, S.,Arrieta Vergara, K.,Ramos Martínez, K.. (2012). Impacto de la Salud Oral en la Calidad de Vida de Adultos Mayores. Rev. Clin. Med. Fam.. 5. 9-16
  • Duque Duque, V. E.,Tamayo Castrillón, J.,Echeverri Cadavid, P. A.,Gutiérrez Osorio, A. Y.,Sepúlveda Correa, D.,Giraldo Ramírez, O.,Agudelo Suárez, A.. (2013). Calidad de vida relacionada con la salud bucal en adultos mayores que consultan a la IPS Universitaria de Medellín y sus factores asociados. Rev. C. E. S. Odontol.. 26. 10-23
  • Griffin, S. O.,Jones, J. A.,Brunson, D.,Griffin, P. M.,Bailey, W. D.. (2012). Burden of oral disease among older adults and implications for public health priorities. Am. J. Public Health. 102. 411
  • Guay, A. H.. (2004). Access to dental care: solving the problem for underserved populations. J. Am. Dent. Assoc.. 135. 1599
  • Jaramillo, I.,Martínez, R.,Olaya, S.,Reynales, J.,Uribe, C.,Castaño, R. A.,Garzón, E.,Almeida, C.,Travassos, C.,Basto, F.,Angarita, J.,Céspedes, J. E.. (2000). Efectos de la reforma de la seguridad social en salud en Colombia sobre la equidad en el acceso y la utilización de servicios de salud. Rev. Salud Publica. 2. 145
  • (2004). Latin American and Caribbean Demographic Centre^dPopulation Division. Demographic Bulletin Latin America and Carribbean: Population estimates and projections. CELADE- ECLAC, United Nations. Santiago.
  • Machado, L. P.,Camargo, M. B.,Jeronymo, J. C.,Bastos, G. A.. (2012). Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil. Rev. Saude Publica. 46. 526
  • Marshman, Z.,Porritt, J.,Dyer, T.,Wyborn, C.,Godson, J.,Baker, S.. (2012). What influences the use of dental services by adults in the UK? Community Dent. Oral Epidemiol.. 40. 306
  • Matos, D. L.,Lima-Costa, M. F.. (2007). Trends in the use of dental services by elderly Brazilians and related socio-demographic factors based on the National Household Survey (1998 and 2003). Cad. Saude Publica. 23. 2740
  • McMunn, A,Breeze, E,Goodman, A,Nazroo, J,Oldfield, Z. (2006). Social determinats of health. 2. Oxford University Press. Oxford.
  • Nieto Antolínez, M. L.,Alonso Palacio, L. M.. (2012). ¿Está preparado nuestro país para asumir los retos que plantea el envejecimiento poblacional?. Rev. Cient. Salud Uninorte. 23. 292-301
  • Oliveira, R. F. R.,Ferreira, R. C.,Santos, R. M. S.,Marques, A. P. S. F.,Rodrigues, C. A. Q.,Nasci-Mento, J. E.. (2013). Elderly: use of dental services, behaviors and subjective health. Unimontes Científica. 14. 202
  • Petersen, P. E.,Kandelman, D.,Arpin, S.,Ogawa, H.. (2010). Global oral health of older people--call for public health action. Community Dent. Health. 27. 257
  • Petersen, P. E.,Yamamoto, T.. (2005). Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent. Oral Epidemiol.. 33. 81-92
  • Pilger, C.,Menon, M. H.,Mathias, T. A.. (2011). Socio-demographic and health characteristics of elderly individuals: support for health services. Rev. Lat. Am. Enfermagem. 19. 1230
  • Ramírez-Vélez, R.,Agredo, R. A.,Jerez, A. M.,Chapal, L. Y.. (2008). Health-related quality of life and conditions of health in non-institutionalised elderly people in Cali, Colombia. Rev. Salud Publica ( Bogota). 10. 529
  • Sánchez López, M. P.,Aparicio García, M. E.,Dresch, V.. (2006). Anxiety, self-esteem and self-perceived satisfaction as predictors of health: differences between men and women. Psicothema. 18. 584
  • Sisson, K. L.. (2007). Theoretical explanations for social inequalities in oral health. Community Dent. Oral Epidemiol. 35. 81
  • Skaar, D. D.,Hardie, N. A.. (2006). Demographic factors associated with dental utilization among community dwelling elderly in the United States, 1997. J. Public Health Dent.. 66. 67-71
  • Viacava, F,Travassos, C. M,Pinheiro, R. S,Brito, A. (2001). Projeto: gênero e utilização de serviços de saúde no Brasil, financiado pela OPS. Departamento de Informações em Saúde/Centro de Informação Científica e Tecnológica/Fundação Oswaldo Cruz. Rio de Janeiro.
  • Wu, B.,Liang, J.,Luo, H.,Furter, R.. (2013). Racial and Ethnic Variations in Preventive Dental Care Utilization among Middle-Aged and Older Americans, 1999-2008. Front. Public Health. 1. 65