{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:51:07Z","timestamp":1792173067396,"version":"4.4.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"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":["J Public Health Dent"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the association among barriers to dental care services, dentition groups, and self\u2010reported oral health status for Medicare beneficiaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used data from the 2017 to 2018 National Health and Nutrition Examination Survey (NHANES), which included participants aged \u226565\u2009years who were enrolled in Medicare and had completed the oral health exam. We created a dentition group variable using the detailed dental examination data to account for the presence of natural, replaced, removable, or missing teeth. Through bivariate and logistic analyses, we explored the relationship between barriers to receiving dental care services, dentition groups, and reported oral and general health statuses, along with other control variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For the total Medicare population as well as in the four subgroup analyses, we showed that those with barriers to dental care services were more likely to report fair or poor oral health status. Those who were edentulous, had complete dentures, or had less than a full mouth of teeth had greater barriers and worse oral and general health than did those with all\u2010natural teeth. Among those who reported fair or poor general health, those with less than a full mouth of teeth showed similar levels of barriers to dental care services and worse perceived oral health than did those without any teeth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Helping the 65\u2009years and older population retain their teeth in good condition will improve their overall health. Investment in oral hygiene and health for the current and future Medicare populations could improve their overall health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12592","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T07:55:01Z","timestamp":1701330901000},"page":"3-12","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The impact of dentition status and barriers to dental care services on perceived oral health of medicare beneficiaries"],"prefix":"10.1111","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6954-8520","authenticated-orcid":false,"given":"Kyeonghee","family":"Kim","sequence":"first","affiliation":[{"name":"Dr. William T. Hold\/The National Alliance Program of Risk Management &amp; Insurance, College of Business Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjorie A.","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Department of Risk and Insurance, Wisconsin School of Business University of Wisconsin  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13987"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12342"},{"issue":"2","key":"e_1_2_5_4_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1111\/j.1532-849X.2009.00437.x","article-title":"Edentulism and comorbid factors","volume":"18","author":"Felton DA","year":"2009","journal-title":"J Prosthodontics: Implant Esthetic Reconstruct Dent"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70106-2"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300362"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.5.699"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.0800"},{"key":"e_1_2_5_9_1","unstructured":"LeeC.Lacking dental coverage many people on medicare forgo dental care especially beneficiaries of color.2021."},{"key":"e_1_2_5_10_1","unstructured":"FreedM CubanskiJ SroczynskiN OchiengN NeumanT.Dental hearing and vision costs and coverage among medicare beneficiaries in traditional medicare and medicare advantage.2021."},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084420923576"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2004.0088"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.00386"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.09.010"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2021.01899"},{"key":"e_1_2_5_16_1","unstructured":"FeineJ.Oral health in American: advances and challenges. 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