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Dental hygienist attendance and its covariates in an ageing Swedish cohort
University of Bergen, Norway.
Örebro County Council, Sweden; Örebro University, Sweden.
Region Östergötland, Public Dental Health Care.
University of Bergen, Norway.
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2017 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 125, no 6, 487-494 p.Article in journal (Refereed) Published
Abstract [en]

Delegation of tasks between professional groups is important to make health-care services accessible and effective for ageing people. Focussing on a Swedish 1942 birth cohort and guided by Andersens Behavioral Model, this study assessed dental hygienist attendance from age 50 to age 70 and identified covariates at the population-averaged and person-specific levels. In 1992, a census of 50-yr-old subjects was invited to participate in a questionnaire survey. Of the 6,346 respondents, 3,585 completed follow-ups in 1997, 2002, 2007, and 2012. Multiple logistic regression analysis was conducted using a marginal model and a random intercept model. Cochrans Q test revealed that significantly more respondents confirmed dental hygienist attendance in 2012 than in 1992 (57.2% in 2012 vs. 26.0% in 1992). Population-averaged ORs for dental hygienist attendance across time were 3.5 at age 70 yr compared with age 50 yr (baseline); 2.0 if being a regular rather than an irregular dental attendee; and 0.7 if being of non-native origin compared with native origin. The corresponding person-specific ORs were 8.9, 3.2, and 0.5. Consistent with Andersens Behavioral Model, predisposing, enabling, and need-related factors were associated with dental hygienist attendance at population-averaged and person-specific levels. This has implications for promoting dental hygienist attendance among ageing people.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2017. Vol. 125, no 6, 487-494 p.
Keyword [en]
behavioral model; dental hygienist attendance; multilevel analyses; older people
National Category
Dentistry
Identifiers
URN: urn:nbn:se:liu:diva-143230DOI: 10.1111/eos.12385ISI: 000415054200010PubMedID: 29083073Scopus ID: 2-s2.0-85033215386OAI: oai:DiVA.org:liu-143230DiVA: diva2:1160456
Available from: 2017-11-27 Created: 2017-11-27 Last updated: 2017-12-06Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf