Gender-stratified models to examine the relationship between financial hardship and self-reported oral health for older US men and women

Donald L Chi; Reginald Tucker-Seeley

doi:10.2105/AJPH.2012.301145

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Gender-stratified models to examine the relationship between financial hardship and self-reported oral health for older US men and women

Journal article

Open access

Peer reviewed

Gender-stratified models to examine the relationship between financial hardship and self-reported oral health for older US men and women

Donald L Chi and Reginald Tucker-Seeley

American journal of public health (1971), Vol.103(8), pp.1507-1515

08/2013

DOI: 10.2105/AJPH.2012.301145

PMCID: PMC4007872

PMID: 23327271

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4007872View

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Abstract

We evaluated the relationship between financial hardship and self-reported oral health for older men and women. We focused on adults in the 2008 Health and Retirement Study (n = 1,359). The predictor variables were 4 financial hardship indicators. We used Poisson regression models to estimate the prevalence ratio of poor self-reported oral health. In the non-gender-stratified model, number of financial hardships was not significantly associated with self-reported oral health. Food insecurity was associated with a 12% greater prevalence of poor self-reported oral health (95% confidence interval [CI] = 1.04, 1.21). In the gender-stratified models, women with 3 or more financial hardships had a 24% greater prevalence of poor self-reported oral health than women with zero (95% CI = 1.09, 1.40). Number of hardships was not associated with self-reported oral health for men. For men, skipping medications was associated with 50% lower prevalence of poor self-reported oral health (95% CI = 0.32, 0.76). Number of financial hardships was differentially associated with self-reported oral health for older men and women. Most financial hardship indicators affected both genders similarly. Future interventions to improve vulnerable older adults' oral health should account for gender-based heterogeneity in financial hardship experiences.

Aged

Chi-Square Distribution

Cross-Sectional Studies

Female

Food Supply - statistics & numerical data

Health Status Indicators

Humans

Income - statistics & numerical data

Longitudinal Studies

Male

Medicaid

Middle Aged

Oral Health

Poisson Distribution

Retirement

Risk Factors

Self Report

Social Class

Statistics, Nonparametric

United States

Details

Title: Subtitle: Gender-stratified models to examine the relationship between financial hardship and self-reported oral health for older US men and women
Creators: Donald L Chi - University of Washington
Reginald Tucker-Seeley - Harvard University
Resource Type: Journal article
Publication Details: American journal of public health (1971), Vol.103(8), pp.1507-1515
DOI: 10.2105/AJPH.2012.301145
PMID: 23327271
PMCID: PMC4007872
ISSN: 0090-0036
eISSN: 1541-0048
Grant note: K08 DE020856 / NIDCR NIH HHS L60 MD003921 / NIMHD NIH HHS K08DE020856 / NIDCR NIH HHS
Language: English
Date published: 08/2013
Academic Unit: Public Policy Center (Archive)
Record Identifier: 9984283561902771

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