title: Determinants for preventive oral health care need among community-dwelling older people: a population-based study.
abstract: The aim was to study the determinants of preventive oral health care need among community-dwelling old people. The study population consisted of 165 participants, a subpopulation in the Geriatric Multidisciplinary Strategy for Good Care of Elderly People (GeMS) study. Fifty-five percent of the edentate participants with full dentures and 82% of the dentate had a need for preventive oral health care. In the total study population, the need for preventive care was associated with co-morbidity (measured by means of the Modified Functional Co-morbidity Index) odds ratios (OR) 1.2 (confidence intervals [CI] 1.0-1.5), being pre-frail or frail, OR 2.5 (CI 1.2-5.1), presence of natural teeth, OR 4.8 (CI 2.2-10.4), and among dentate participants, the use of a removable partial denture, OR 12.8 (CI 1.4-114.4). Primary care clinicians should be aware of the high need for preventive care and the importance of nonoral conditions as determinants of preventive oral health care need.
authors.affiliation: Research Centre of Geriatric Care, University of Eastern Finland, Kuopio, Finland; Clinical Pharmacology and Geriatric Pharmacotherapy Unit, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland; Social and Health Centre of Kuopio, Finland.
authors.forename: Kaija
authors.initials: K
authors.lastname: Komulainen
authors.forename: Pekka
authors.initials: P
authors.lastname: Ylöstalo
authors.forename: Anna-Maija
authors.initials: AM
authors.lastname: Syrjälä
authors.forename: Piia
authors.initials: P
authors.lastname: Ruoppi
authors.forename: Matti
authors.initials: M
authors.lastname: Knuuttila
authors.forename: Raimo
authors.initials: R
authors.lastname: Sulkava
authors.forename: Sirpa
authors.initials: S
authors.lastname: Hartikainen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003752:Dental Health Services / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D009909:Oral Health; D011314:Preventive Health Services / Q000706:statistics & numerical data*
keywords: older people; preventive oral health care