{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T17:22:26Z","timestamp":1793208146899,"version":"4.5.0"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine dental visits, dental coverage, and out-of-pocket (OOP) dental expenditures among Medicare Advantage (MA) enrollees with and without diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We analyzed 2015\u20132019 Medicare Current Beneficiary Survey data for MA enrollees aged \u226565 years (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 12,312). Outcomes included any dental visit, any OOP expenditure, and total OOP spending among those with positive expenditures. Multivariable regression models examined associations between diabetes, dental coverage, and utilization outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Diabetes was associated with lower odds of having a dental visit (AOR = 0.84), whereas dental coverage was associated with higher odds of dental visits (AOR = 1.85) and zero OOP expenditures (AOR = 3.36). No significant interaction effects were observed between diabetes and dental coverage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dental coverage alone may be insufficient to improve dental care utilization among adults with diabetes. Integrating oral health into chronic disease management may improve dental utilization among older adults with diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08982643261486557","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:33:41Z","timestamp":1789698821000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Dental Coverage and Dental Care Utilization Among Medicare Advantage Beneficiaries With and Without Diabetes United States"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5144-3210","authenticated-orcid":false,"given":"Huabin","family":"Luo","sequence":"first","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie R.","family":"Sanfratello","sequence":"additional","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1559-270X","authenticated-orcid":false,"given":"Rashmita","family":"Basu","sequence":"additional","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Mejia","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark E.","family":"Moss","sequence":"additional","affiliation":[{"name":"East Carolina University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0217771"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S318972"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc24-S002"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc24-S004"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0251120"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084420923576"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(26)00149-0"},{"key":"e_1_3_4_10_1","unstructured":"Centers for Disease Control and Prevention. (2026a). National diabetes statistics report 2023. Available at: https:\/\/gis.cdc.gov\/grasp\/diabetes\/diabetesatlas-statsreport.html (Accessed Feb 2026)."},{"key":"e_1_3_4_11_1","unstructured":"Centers for Disease Control and Prevention. (2026b). Promoting oral health. Available at: https:\/\/www.cdc.gov\/diabetes\/hcp\/clinical-guidance\/how-to-promote-oral-health-for-people-with-diabetes.html (Accessed Apr 2026)."},{"key":"e_1_3_4_12_1","volume-title":"2019 data user\u2019s guide: Cost supplement file","author":"Centers for Medicare & Medicaid Services","year":"2019","unstructured":"Centers for Medicare & Medicaid Services. (2019a). 2019 data user\u2019s guide: Cost supplement file: Centers for Medicare & Medicaid Services."},{"key":"e_1_3_4_13_1","volume-title":"2019 medicare current beneficiary survey methodology report","author":"Centers for Medicare & Medicaid Services","year":"2019","unstructured":"Centers for Medicare & Medicaid Services. (2019b). 2019 medicare current beneficiary survey methodology report: Centers for Medicare & Medicaid Services."},{"key":"e_1_3_4_14_1","unstructured":"Centers for Medicare & Medicaid Services. (2026). Medicare dental coverage. Available at: https:\/\/www.cms.gov\/Medicare\/Coverage\/MedicareDentalCoverage (Accessed Jan 2026)."},{"key":"e_1_3_4_15_1","unstructured":"Freed M. Ochieng N. Sroczynski N. Damico A. Amin K. (2021). Medicare and dental coverage: A closer look. Available at: https:\/\/www.kff.org\/medicare\/medicare-and-dental-coverage-a-closer-look\/"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300362"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-022-1806-8"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3064"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.16.1.329"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.01.008"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12364"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glac178"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2007.00064.x"},{"issue":"8","key":"e_1_3_4_24_1","first-page":"e89604","article-title":"Barriers to geriatric oral health: A multifaceted public health issue","volume":"17","author":"Murali A.","year":"2025","unstructured":"Murali A., Muddappa S. C., Rajan R. R., Joseph A., Ravi A. B. (2025). Barriers to geriatric oral health: A multifaceted public health issue. Cureus, 17(8), Article e89604. https:\/\/doi.org\/10.7759\/cureus.89604","journal-title":"Cureus"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2024.5123"},{"key":"e_1_3_4_26_1","unstructured":"National Institute of Diabetes and Digestive and Kidney Diseases. (2026). Diabetes gum disease & other dental problems. Available at: https:\/\/www.niddk.nih.gov\/health-information\/diabetes\/overview\/preventing-problems\/gum-disease-dental-problems (Accessed Apr 2026)."},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2018.294"},{"issue":"9","key":"e_1_3_4_28_1","first-page":"661","article-title":"The global burden of oral diseases and risks to oral health","volume":"83","author":"Petersen P. E.","year":"2005","unstructured":"Petersen P. E., Bourgeois D., Ogawa H., Estupinan-Day S., Ndiaye C. (2005). The global burden of oral diseases and risks to oral health. 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G., Shi L., Camhi S. M. (2021). Disparities in preventive oral health care and periodontal health among adults with diabetes. Prev Chronic Dis, 18(1), Article E47. https:\/\/doi.org\/10.5888\/pcd18.200594","journal-title":"Prev Chronic Dis"}],"container-title":["Journal of Aging and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08982643261486557","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08982643261486557","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08982643261486557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T17:48:40Z","timestamp":1789840120000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08982643261486557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,17]]},"references-count":35,"alternative-id":["10.1177\/08982643261486557"],"URL":"https:\/\/doi.org\/10.1177\/08982643261486557","relation":{},"ISSN":["0898-2643","1552-6887"],"issn-type":[{"value":"0898-2643","type":"print"},{"value":"1552-6887","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,17]]},"article-number":"08982643261486557"}}