US adults with diabetes mellitus: Variability in oral healthcare utilization.

<h4>Background</h4>Diabetic patients are advised to have at least one dental examination per year. It is unclear to what extent different subgroups of US diabetic adults closely follow this recommendation. Thus, we assessed dental care utilization and related factors in a representative...

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Autores principales:	Lorena Baccaglini, Adams Kusi Appiah, Mahua Ray, Fang Yu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bb74ad4142144615b7a19e7969c03de9
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spelling	oai:doaj.org-article:bb74ad4142144615b7a19e7969c03de92021-11-25T05:54:19ZUS adults with diabetes mellitus: Variability in oral healthcare utilization.1932-620310.1371/journal.pone.0251120https://doaj.org/article/bb74ad4142144615b7a19e7969c03de92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251120https://doaj.org/toc/1932-6203<h4>Background</h4>Diabetic patients are advised to have at least one dental examination per year. It is unclear to what extent different subgroups of US diabetic adults closely follow this recommendation. Thus, we assessed dental care utilization and related factors in a representative sample of US diabetic adults from rural and urban counties.<h4>Methods</h4>Cross-sectional data were from the 2018 Behavioral Risk Factor Surveillance System (BRFSS). Survey logistic regression was used to account for the complex sampling design.<h4>Results</h4>Among 40,585 eligible participants, 24,887 (60% of the population) had at least one dental visit for any reason within the past year. The lowest compliance was observed among edentulous participants (27%, adjusted OR = 0.26, 95% CI = 0.22-0.31 vs. fully dentate). Dental compliance was also negatively associated with having a lower income or education, ever being a smoker, or having barriers to access to care. Rural residents had lower dental compliance compared to urban residents, particularly those without healthcare coverage.<h4>Conclusions</h4>Dental compliance among US adult diabetic individuals was low, particularly among rural residents, and as compared to other recommended diabetic care practices. Future public health interventions may target rural individuals without healthcare coverage, smokers and edentulous individuals. There is a need to integrate dental and medical care to facilitate cross-talks among different health professionals, so that educational preventive messages are reinforced at every healthcare visit.Lorena BaccagliniAdams Kusi AppiahMahua RayFang YuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251120 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lorena Baccaglini Adams Kusi Appiah Mahua Ray Fang Yu US adults with diabetes mellitus: Variability in oral healthcare utilization.
description	<h4>Background</h4>Diabetic patients are advised to have at least one dental examination per year. It is unclear to what extent different subgroups of US diabetic adults closely follow this recommendation. Thus, we assessed dental care utilization and related factors in a representative sample of US diabetic adults from rural and urban counties.<h4>Methods</h4>Cross-sectional data were from the 2018 Behavioral Risk Factor Surveillance System (BRFSS). Survey logistic regression was used to account for the complex sampling design.<h4>Results</h4>Among 40,585 eligible participants, 24,887 (60% of the population) had at least one dental visit for any reason within the past year. The lowest compliance was observed among edentulous participants (27%, adjusted OR = 0.26, 95% CI = 0.22-0.31 vs. fully dentate). Dental compliance was also negatively associated with having a lower income or education, ever being a smoker, or having barriers to access to care. Rural residents had lower dental compliance compared to urban residents, particularly those without healthcare coverage.<h4>Conclusions</h4>Dental compliance among US adult diabetic individuals was low, particularly among rural residents, and as compared to other recommended diabetic care practices. Future public health interventions may target rural individuals without healthcare coverage, smokers and edentulous individuals. There is a need to integrate dental and medical care to facilitate cross-talks among different health professionals, so that educational preventive messages are reinforced at every healthcare visit.
format	article
author	Lorena Baccaglini Adams Kusi Appiah Mahua Ray Fang Yu
author_facet	Lorena Baccaglini Adams Kusi Appiah Mahua Ray Fang Yu
author_sort	Lorena Baccaglini
title	US adults with diabetes mellitus: Variability in oral healthcare utilization.
title_short	US adults with diabetes mellitus: Variability in oral healthcare utilization.
title_full	US adults with diabetes mellitus: Variability in oral healthcare utilization.
title_fullStr	US adults with diabetes mellitus: Variability in oral healthcare utilization.
title_full_unstemmed	US adults with diabetes mellitus: Variability in oral healthcare utilization.
title_sort	us adults with diabetes mellitus: variability in oral healthcare utilization.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bb74ad4142144615b7a19e7969c03de9
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US adults with diabetes mellitus: Variability in oral healthcare utilization.

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