Factors associated with regular dental attendance by aged adults: A systematic review

Objectives To determine factors influencing regular dental attendance in aged adults 65 and over according to Andersen's Behavioural Model. Background Regular attendance for dental visits is vital to improve and maintain oral health, quality of life and general well‐being. Aged adults 65 years...

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Published in:Gerodontology 2023-09, Vol.40 (3), p.277-287
Main Authors: Tu, Raychel Yap, Liang, Phoebe, Tan, Alan Jia‐Ming, Tran, Daniel Hien Gia, He, Antonio Menglong, Je, Heidi, Kroon, Jeroen
Format: Article
Language:English
Subjects:
Aged
aged adults
barriers
Case-Control Studies
Cross-Sectional Studies
Dental Care
Humans
Income
Middle Aged
Oral Health
Quality of Life
systematic review
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Summary:Objectives To determine factors influencing regular dental attendance in aged adults 65 and over according to Andersen's Behavioural Model. Background Regular attendance for dental visits is vital to improve and maintain oral health, quality of life and general well‐being. Aged adults 65 years and older experience barriers to regular dental attendance, which in turn leads to an increased risk for oral diseases. Materials and Methods An electronic search was undertaken in April 2021 in Cochrane, Embase, Medline, Cinahl, Dentistry & Oral Science Source via EBSCOhost and Embase for papers on factors influencing the frequency of attendance by older people. Risk of bias was assessed according to the Newcastle‐Ottawa Scale for cohort and case–control studies, and with modified version of this tool for cross‐sectional studies. Frequency effect size was calculated for factors described in Andersen's Behavioural Model (predisposing, enabling and needs‐related). Results Twenty‐one studies were eligible for inclusion. Factors frequently investigated affecting regular dental attendance included: age, gender, education (predisposing); income, and social support (enabling); and remaining teeth, pain, perceived health (needs‐related). Income was the only factors with a 100% positive association with regular dental attendance. Conclusions This systematic review confirms the complex interconnectedness of several factors and dental attendance in older adults. A number of factors were identified which warrant further investigation to improve access to dental care to socio‐economically vulnerable older populations.
ISSN:0734-0664
1741-2358
DOI:10.1111/ger.12661