{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:02:03Z","timestamp":1789599723602,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,6]],"date-time":"2022-11-06T00:00:00Z","timestamp":1667692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to assess the association between different levels of frailty and dental attendance among home\u2010dwelling older adults, in Belgium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>While many determinants of dental attendance among older adults have been identified, no study has focused on the role of frailty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This was a cross\u2010sectional study on a random sample of home\u2010dwelling adults aged 60 and over from two Belgian cities. Data were collected with a structured questionnaire through a participatory peer\u2010research method. Time since the last dental attendance was the dependent variable. The independent variable was frailty, assessed with the Comprehensive Frailty Assessment Instrument, including physical, psychological, social, and environmental subdomains. Covariates were age, gender, having a partner, educational level, and household income, as well as self\u2010perceived oral health. Data analysis included descriptive, bivariate (Chi\u2010Square, ANOVA, and Kruskal\u2013Wallis), and binomial logistic regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sample consisted of 1329 older adults with a mean age of 72.5\u2009years (SD 8.9, range 60\u2013103). In the low frailty group, 73% attended the dentist in the previous 12\u2009months, while it was 62% and 54% in the medium and high frailty groups, respectively. In the fully adjusted model, the initial gradient in the relationship between overall frailty and dental attendance remained; those in the medium and the high frailty groups were respectively 1.46 (95% CI: 1.09, 1.95) and 1.67 (95% CI: 1.15, 2.43) times more likely to report no dental attendance in the previous year than the low frailty group. Similar associations could be seen in the physical and environmental frailty subdomains.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Frailty is consistently associated with less favourable dental attendance, independent from age, gender, socioeconomic factors, family composition, and self\u2010perceived oral health. Once frailty has been detected, good interprofessional communication and care are needed to avoid the drop\u2010out of older adults from the oral healthcare system.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12664","type":"journal-article","created":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T07:34:42Z","timestamp":1667806482000},"page":"363-371","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Frailty as a determinant of dental attendance among community\u2010dwelling older adults"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3490-0114","authenticated-orcid":false,"given":"Barbara","family":"Janssens","sequence":"first","affiliation":[{"name":"Department of Oral Health Sciences, Gerodontology, ELOHA (Equal Lifelong Oral Health for All) research group Ghent University  Gent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5086-235X","authenticated-orcid":false,"given":"Georgios","family":"Tsakos","sequence":"additional","affiliation":[{"name":"UCL Research Department of Epidemiology and Public Health University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8001-512X","authenticated-orcid":false,"given":"Luc","family":"De Visschere","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, Gerodontology, ELOHA (Equal Lifelong Oral Health for All) research group Ghent University  Gent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Vert\u00e9","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Educational Sciences Vrije Universiteit Brussel  Brussel Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8957-6425","authenticated-orcid":false,"given":"Nico","family":"De Witte","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Educational Sciences Vrije Universiteit Brussel  Brussel Belgium"},{"name":"Faculty of Medicine and Pharmacy Vrije Universiteit Brussels  Brussel Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,6]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1","article-title":"Impact of poor Oral health on community\u2010dwelling seniors: a scoping review","volume":"14","author":"Badewy R","year":"2021","journal-title":"Health Serv Insights"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17021"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-839"},{"issue":"3","key":"e_1_2_9_5_1","first-page":"382","article-title":"Oral health\u2014a neglected aspect of subjective well\u2010being in later life","volume":"73","author":"Rouxel P","year":"2018","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"e_1_2_9_6_1","volume-title":"World Report on Ageing and Health","author":"World Health Organization","year":"2015"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515573272"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034514552491"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12085"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2007.01459.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jicd.12120"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12105"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910808700110"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12373"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12190"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2011.09.011"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034512447953"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12214"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12096"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31786-6"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2016.03.007"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13826"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12406"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12644"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckr133"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-773"},{"key":"e_1_2_9_27_1","unstructured":"Belgian Ageing Studies. 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