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Cited by 5Dental Health and Care UtilizationHealth disparities and outcomesAging, Health, and Disability

Psychosocial profiles of older adults by dentition Status and dental utilisation history

Open access
Finlayson, T. L., Moss, K., Jones, J. A., Preisser, J. S., Weintraub, J. A.·2025·Community Dentistry and Oral Epidemiology
DOI 10.1111/cdoe.13040PMC PMC12665515
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Abstract

Objective: Psychosocial factors can affect health. Patterns of psychosocial stressors and resources among older adults were examined for oral health status. Methods: The Health and Retirement Study (HRS) is a representative sample of US adults > 50 years. Participants completed the 2018 HRS CORE survey and the Psychosocial and Lifestyle Questionnaire–Panel A “Leave Behind” survey (HRS‐LB) (N = 4703). All measures were self‐reported and stratified into outcome groups: (1) edentulous/dentate, (2) with/without a recent dental visit in the last 2 years. Psychosocial measures covered three domains: well‐being, beliefs, and lifestyle. Specifically, loneliness, life satisfaction, perceived age, social status, control, mastery, and chronic stressors were included in this analysis. Latent class analysis (LCA) identified profiles of adults based on the distribution of psychological and social stressors and resources. Associations between latent classes and being edentulous and a recent dental visit were examined in logistic regression models. Results: About 30% reported no recent dental visit; 14% were edentulous. Three latent classes were identified; profiles had different distributions of psychosocial factors. About half (47%) were in Class A: “Satisfied/Connected” (n = 2230), 28% in Class B: “Satisfied/Lonely” (n = 1293), and 25% in Class C: “Unsatisfied/Lonely” (n = 1180). “Satisfied/Connected” adults had the fewest psychosocial risk factors, most resources, were dentate, and had a recent dental visit. “Unsatisfied/Lonely” adults exhibited the most psychosocial risk factors and fewest resources and lacked a recent dental visit. “Satisfied/Lonely” adults exhibited characteristics between Classes A and C. In fully adjusted regression models, Class B adults had 1.29 (1.03–1.62) times greater odds than Class A to be edentulous and 1.26 (1.07–1.50) times greater odds to not have a recent dental visit. Class C adults had 1.22 (0.97–1.53) times greater odds than Class A to be edentulous and 1.31 (1.10–1.57) times greater odds to not have a recent dental visit. Conclusion: Adverse psychosocial factors are associated with edentulism and lack of routine dental visits. Exposure to psychosocial risk and resource factors can affect oral health. Health providers should assess older adults for loneliness and other psychosocial risk factors, and policies and programmes that support older adults' psychosocial needs should be expanded.

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  • Such studies often give less attention to how dental care access interplays with physical function, mental health, and subjective social satisfaction.

    “Such studies often give less attention to how dental care access interplays with physical function, mental health, and subjective social satisfaction (13, 14).”

    From Access to oral health care and its social determinants across the lifespan in the United States (2025) · cites this paper as [14]

    The Introduction (page not provided) says the relationship between psychosocial factors and older adults’ dental utilization had not been explored in the HRS, and that only 5% of HRS publications examined psychosocial stressors. This supports the claim of limited attention to psychological and social factors, but the paper does not establish that studies give less attention to the interplay between dental care access and physical function specifically. (LLM, conf=0.83)

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Research works printed but not linked: 1

  1. [10]Vermunt JK, Magidson J. Latent class analysis. In: Lewis-Beck AB M, & Liao TF (Eds.), ed. The Sage ncyclopedia of social sciences research methods. Sage; 2004: 549– 553.

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Authors
Finlayson, T. L., Moss, K., Jones, J. A., Preisser, J. S., & Weintraub, J. A.
Affiliations
  • San Diego State University (US)
  • Indiana University Indianapolis (US)
  • University of Detroit Mercy (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Finlayson, T. L.
ORCID
Venue
Community Dentistry and Oral Epidemiology
Publisher
Wiley
Published
2025-04-25
Volume
53
Issue
4
Pages
389-401
ISSN
  • 0301-5661 (ISSN-L)
  • 1600-0528
DOI
10.1111/cdoe.13040
PMC
PMC12665515
OpenAlex
W4409814626
Cited by
2
References
50
Citations by year
2026: 1 · 2025: 1
FWCI
1.86
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Community Dentistry And Oral Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion)
  • IUScholarWorks (Indiana University) (submittedVersion)
Funders
National Institute of Dental and Craniofacial Research (R03DE030161)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
older adults, edentulism, dental care utilization, psychosocial stressors, loneliness, life satisfaction, perceived age, social status, chronic stressors, mastery, control, psychosocial profile, oral health, dental visits, latent class analysis, Health and Retirement Study, well-being, social connectedness, health beliefs, health risk factors
MeSH terms
Aged, Aged, 80 and over, Dental Care, Female, Humans, Male, Middle Aged, Mouth, Edentulous, Oral Health, Surveys and Questionnaires, Stress, Psychological, United States

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