Access to dental care among adults with physical and intellectual disabilities: Residence factors

Pradhan, A., Slade, G. D. and Spencer, A. J. (2009) Access to dental care among adults with physical and intellectual disabilities: Residence factors. Australian Dental Journal, 54 3: 204-211. doi:10.1111/j.1834-7819.2009.01120.x


Author Pradhan, A.
Slade, G. D.
Spencer, A. J.
Title Access to dental care among adults with physical and intellectual disabilities: Residence factors
Journal name Australian Dental Journal   Check publisher's open access policy
ISSN 0045-0421
1834-7819
Publication date 2009-09
Sub-type Article (original research)
DOI 10.1111/j.1834-7819.2009.01120.x
Volume 54
Issue 3
Start page 204
End page 211
Total pages 8
Place of publication West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Subject 3500 Dentistry
Formatted abstract
Background:
There is limited information about access and barriers to dental care among adults with disabilities.

Methods:
A mailed questionnaire survey of carers of 18-44-year-old South Australians with physical and intellectual disabilities (care recipients; n = 485) in family homes, community housing and institutions. Bivariate associations were tested using chi-square tests. Odds ratios (ORs) and 95 per cent confidence intervals (CI) were estimated for irregular dental visits (IDV).

Results:
Carers from family homes and community housing were more likely to report problems in obtaining dental care than those at institutions (p < 0.001). Lack of dentists with adequate skills in special needs dentistry (SND) was the most frequently reported problem for carers from family homes and community housing. IDV were less likely (p < 0.01) for care ecipients in institutions and community housing than in family homes. After adjusting for care recipients' age, gender and disability, odds of IDV was lower in community housing (OR = 0.2, 95% CI = 0.1, 0.3) and in institutions (OR = 0.1, 95% CI = 0.04, 0.3) relative to family homes.

Conclusions:
Care recipients in institutions and community housing had better access to dental care than those at family homes. The shortage of dentists in SND and treatment costs needs to be addressed.
Keyword Access
Adults
Dental care
Disabilities
Settings
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Dentistry Publications
 
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