title: Utilization of dental health services by community-dwelling older adults in Japan who attended a weekly educational programme.
abstract: OBJECTIVE
  The purpose of this study was to describe dental health services utilization and identify factors which influenced a group of independently living elderly persons in an urban area of Japan.
  
  
  METHODS
  The study sample consisted of 2,990 participants, 83% of the total sample of the Senior Citizen's College, who were 60 years and over.
  
  
  METHODS
  Their dental utilization and satisfaction with dental treatment were measured by a questionnaire from 1995 to 1998.
  
  
  RESULTS
  The mean age of the subjects was 66.5 years and 52% were male. Sixty percent of the subjects had visited a dentist within the previous year, and 33% of them had received a regular oral health check-up. The majority of the subjects (63%) were satisfied with their dental treatment. A multiple stepwise logistic regression analysis showed that dental services utilization had a significant positive association with presence of teeth (p < 0.001), being male (p < 0.01) and satisfaction with financial status (p < 0.05). A regular oral health check-ups had a significant association with presence of teeth (p < 0.001), satisfaction with financial status (p < 0.05) and aging (p = 0.001).
  
  
  CONCLUSIONS
  Dental health services utilization was related to the presence of teeth and financial status, rather than age or medical conditions, among independently living elderly persons in an urban area of Japan.
authors.affiliation: Department of Removable Prosthodontics, Graduate School of Dentistry, Osaka University, Suita, Japan. ikebe@dent.osaka-u.ac.jp
authors.forename: Kazunori
authors.initials: K
authors.lastname: Ikebe
authors.forename: Takashi
authors.initials: T
authors.lastname: Nokubi
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Ettinger
mesh_terms: D000368:Aged; D001294:Attitude to Health; D016321:Dental Care for Aged / Q000706:statistics & numerical data*; D003752:Dental Health Services / Q000706:statistics & numerical data*; D003753:Dental Health Surveys; D005260:Female; D006266:Health Education / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D007564:Japan / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009909:Oral Health