Household Pattern, Elderly Role, Oral Health Status and Dental Service Utilization of Elderly in Wiang-Nong-Long District, Lamphun Province
Article Sidebar
Main Article Content
Abstract
Objective: This cross-sectional descriptive study aimed to examine household patterns and the roles of the elderly, and to compare differences in oral health status and dental service utilization among them. The sample consisted of 354 elderly individuals aged over 60 years old from Wiang-Nong-Long district, Lamphun province.
Materials and Methods: Participants were selected using proportional and systematic sampling method. The questionnaire was developed by the researcher and included 1) households patterns, categorized by the types of family members; 2) the role of the elderly, determined by the activities on which they spent most of their time within a week during the last 6 months; 3) oral health status, including number of decayed, filled and missing teeth (DMFT), periodontal disease, the number of teeth and occluding pairs; and 4) dental service utilization in the past 12 months. Data were collected by three trained dental nurses who achieved inter-rater reliability with a kappa score of 0.82.
Results: The mean age of sample was 68.63±5.43, and 57.9% were female. Of the sample, 24.5% of elderly lived with working-age individuals, 18.7% lived alone, 28.6% belonged to families composed solely of elderly members, and 28.2% lived with children aged <15 years, with 44.4% of them were the carer. The lowest percentage of dental service utilization (15%), the highest caries prevalence (71.9%), a higher mean DMFT (14.12±8.04) and a higher prevalence of periodontal disease (32.3%) were found among the elderly living with children compared to those living in other family patterns, with statistically significance (p<0.001).
Conclusion: This study found differences in dental service utilization and oral health status among elderly based on family patterns. Therefore, these factors should be considered when designing dental service delivery systems to increase access and utilization.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Kamiya Y, Hertog S. [Internet]. New York; Measuring household and living arrangements of older persons around the world: The United Nation Database on the households and living arrangements of older persons 2019; c2020 [updated 2024 Sep 24; cited 2023 Feb 9] Available from: https://www.un.org/ development/desa/pd/sites/www.un.org. development. desa.pd/files/desa-pd-technicalpaper-living_ arrangements_of_older_ persons_2019.pdf
Chuanwan S, Thianlai K, Choorat W, Thuenklin P. [Internet]. Nakhon Pathom; Research brief: Access to health care services of the pre- and elderly; c2022 [update 2022 June 27; cited 2023 Feb] Available from:https://ipsr.mahidol.ac.th/wp-content/ ploads/2022/07/Research-brief-EAP-updated_ compressed.pdf
Rosenwohl-Mack A, Schumacher K, Fang ML, Fukuoka Y. A new conceptual model of experiences of aging in place in the United States: Results of a systematic review and meta-ethnography of qualitative studies. Int J Nurs Stud. 2020 DOI: 10.1016/j.ijnurstu.2019.103496.
Angelini V, Laferrère A. Friendship, housing environment and economic resources: What influences social network size after age 50? Active ageing and solidarity between generations in Europe: First results from SHARE after the economic crisis, Berlin, Boston: De Gruyter, 2013.
Lei X, Strauss J, Tian M, Zhao Y. Living arrangements of the elderly in China: evidence from the CHARLS national baseline. China Economic J. 2015;8(3):191-214. DOI: 10.1080/17538963.2015.1102473.
Chuanwan S, Thianlai K, Thuenklin P. The living patterns of the elderly in urban areas in Thailand to support appropriate housing and care. Bangkok: National Research Council of Thailand; 2020.
James W, Witte J, Galbraith M. Havighurst’s Social Roles Revisited. J Adult Dev 2006;13:52-60. DOI: 10.1007/s10804-006-9007-y
Vidovićová L. New Roles for Older People. Population Ageing 2018;11:1–6. doi.org/10.1007/s12062-017-9217-z
Department of Dental Health. Ministry of public health (Thailand). Report on the results of the 9th National Oral Health Survey, Thailand 2023. Nonthaburi: Aksorn Graphic and Design Publishing; 2024. 88-100. (in Thai)
Jiang CM, Chu CH, Duangthip D, Ettinger RL, Hugo FN, Kettratad-Pruksapong M, Liu J, Marchini L, McKenna G, Ono T, Rong W, Schimmel M, Shah N, Slack-Smith L, Yang SX, Lo ECM. Global perspectives of oral health policies and oral healthcare schemes for older adult populations. Front Oral Health. 2021;2:703526. DOI: 10.3389/froh.2021.703526.
Phuphaniat M, Prayurawong N. Factors affecting access to dental services for the elderly in Suphan Buri Province. Sripathum Review of Humanities and Social Sciences 2018;18(2):66-74. (in Thai)
Saeng-Uam S, Kittirawutthiwong N, Techachatwat P, Pratumsut C, Kowanich K. Factors related to access to dental services among the elderly in the lower northern region of Thailand. CM Dent J 2015;36(1):53-61. (in Thai)
Prasongsuk P. Access to dental services for the elderly in Chonburi Province. Master of Public Health Thesis, Faculty of Public Health, Burapha University. 2017:50-77. (in Thai)
Report on the administrative division of Lamphun Province: About the province, population [Internet]. Thailand; c2024. [cited 2024 Feb 9]. Available from: https://www.lamphun.go.th/ th/information/aboutus/7/ (in Thai)
Report on the Medical Information System. Output and Outcome Indicators: Elderly Group HDC Reporting System. Thailand: The Association; c2020-2024 [cited 2022 Jan 11] Available from:https://hdcservice.moph.go.th/hdc/reports/report.php?cat_id=fc73b811eb6d9206e7e5baf8ad20d7b9&id=2ff4c677be8f87c1a5c67b1cc5b9c330 (in Thai)
Lamphun Provincials Statistical Office. Lamphun Provincials Statistical report 2022. Statistical Forecasting Division, National Statistical Office, Bangkok.2022;8-9. (in Thai)
Daniel WW. Biostatistics: A foundation for analysis in the health sciences. New York: Wiley & Sons :1995.
Bureau of Elderly Health. [Internet]. Barthel activities of daily living, Health promotion & prevention individual wellness plan manual. Ministry of public health. c2022 [cited 2022 Jan 30] Available from: https://hp.anamai. moph. go.th/web-upload/4xceb3b571ddb70741ad 132d 75876bc41d/202106/m_news/35025/204975/file_download/493d895eb11327ff493e710419ee454c.pdf
Loyfah N, Chamchan C, Rittirong J. Household structure and poverty of Thai older persons. Chiang Mai University Journal of Economics. 2020:52-72. (in Thai)
Pawasutipaisit A. Effects of population structure on family institution and community in rural Thailand. National Science and Technology Development Agency. 2016:10-15. Contract No.: SRI58X0902. Sponsored by The Thailand Research Fund. (in Thai)
Kojima H. Population Aging and Living Arrangement of the Elderly in Japan. [Internet]. Tokyo; c2010 [updated 2011 Jan 21;cited 2021 Feb 21] .Available from: https://perspectivia.net/ servlets/MCRFileNodeServlet/pnet_derivate_00001144/51-74_POPULATION-AGING-AND-LIVING-ARRANGEMENTS-OF-THE-ELDERLY-IN-JAPAN_Mono_26_Conrad_L%C3%BCtzeler-4.pdf
Komjakraphan P, Chansawang W. Maintaining Harmony of Life in Skipped-Generation Households of the Older Adults. Asian/Pacific Island Nursing Journal. 2015: 1–7 DOI: 10.1177/ 2373665815569505 (in Thai)
Srihapak S, Amornrojanavaravutti W, Kam-on N, Srioad P,Srihanu P,Tupsai T. Problems and needs of long-term care for the elderly community dwellers supported by long term care fund in Khon Kaen province. Regional Health Promotion Center 9 Journal. 2021;15(36):44-62. (in Thai)
Department of Older Persons. Situation of The Thai Older Persons 2022. Bangkok: Amarin Corporations Public Company Limited, 2023;21-30.