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Updated: Dec 18, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Self-Reported Dental Visits Among Older Adults Receiving Home- and Community-Based Services
Steffany Chamut1, Shahdokht Boroumand2, Timothy J Iafolla2
1Harvard School of Dental Medicine, Boston, MA, USA.
Older adults receiving home services, especially those without a high school diploma, are more likely to skip dental visits. Improving oral health knowledge and literacy could help increase dental care access for this population.
Area of Science:
- Gerontology
- Public Health
- Dental Public Health
Background:
- Older adults are a vulnerable population with specific healthcare needs.
- Home- and community-based services (HCBS) aim to support independent living for seniors.
- Dental health is crucial for overall well-being in older adults, yet access remains a challenge.
Purpose of the Study:
- To identify factors associated with infrequent dental care utilization among older adults enrolled in HCBS.
- To examine the relationship between sociodemographic and health indicators and dental visit frequency in this cohort.
Main Methods:
- Cross-sectional analysis of data from the 2014 National Survey of Older Americans Act Participants.
- Inclusion of participants receiving HCBS.
- Descriptive and multivariable statistical analyses to assess associations.
Main Results:
- Infrequent dental use was reported by 63% of participants in case management and home-delivered meals programs, versus 41% in congregate meal programs.
- Older adults who did not complete high school were 2-5 times more likely to have infrequent dental visits compared to those with higher educational attainment.
- Specific HCBS program participation correlated with varying rates of infrequent dental use.
Conclusions:
- Educational attainment is a significant predictor of dental care access among older adults in HCBS.
- Targeted interventions to improve oral health knowledge and health literacy may be effective in reducing infrequent dental use.
- Further research is needed to explore program-specific factors influencing dental care utilization in this demographic.
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