title: Dental usage under changing economic conditions.
abstract: OBJECTIVE
  The purpose of this article is to examine the relationship between changes in household finances (wealth and income) and changes in dental utilization at the onset of the recent recession in a population of older Americans.
  
  
  METHODS
  Data from the Health and Retirement Study (HRS) were analyzed for U.S. individuals aged 51 years and older during the 2006 and 2008 waves of the HRS. We estimated logistic models of (a) starting and (b) stopping dental use between 2006 and 2008 survey periods as a function of changes in household wealth and income, controlling for other potentially confounding covariates.
  
  
  RESULTS
  We found that only when household wealth falls by 50 percent or more were older adults less likely to seek dental care. Changes in household income and other changes in household wealth were not associated with changes in dental utilization among this population.
  
  
  CONCLUSIONS
  Older Americans' dental care utilization appeared to be fairly resilient to changes in household finances; only when wealth fell by 50 percent or more did individuals decrease dental use. This finding might extend to other health-care services that are preventive, routine, and relatively inexpensive.
authors.affiliation: Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore, MD, USA Mathematica Policy Research, Inc., Washington, DC, USA RAND Corporation, Santa Monica, CA, USA Department of Economics, University of Virginia, Charlottesville, VA, USA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Manski
authors.forename: John F
authors.initials: JF
authors.lastname: Moeller
authors.forename: Haiyan
authors.initials: H
authors.lastname: Chen
authors.forename: Jody
authors.initials: J
authors.lastname: Schimmel
authors.forename: Patricia A
authors.initials: PA
authors.lastname: St Clair
authors.forename: John V
authors.initials: JV
authors.lastname: Pepper
mesh_terms: D003752:Dental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D005382:Financing, Personal; D006801:Humans; D008875:Middle Aged; D014481:United States