Factors Associated with Denture Use and Non-use among the Elderly in Wang Phikun Subdistrict, Wang Thong District, Phitsanulok Province
Keywords:
elderly, denture use, social determinants of health, social support, healthcare accessAbstract
This study aimed to examine the relationship between personal, social, psychological, and situational factors and the use of dentures among older adults in Wang Phikun Subdistrict, Wang Thong District, Phitsanulok province.
This study employed a quantitative cross-sectional design comparing elderly individuals who used and did not use dentures. A total of 300 participants were selected using systematic and simple random sampling based on Taro Yamane’s formula at a 95% confidence level. Data were collected with a researcher-developed questionnaire covering personal, oral health, social, psychological, and situational factors. Content validity was assessed by three experts (IOC = 0.94), and reliability was confirmed using Cronbach’s alpha (0.918). Data were analyzed using descriptive statistics and Chi-square tests to examine associations between factors and denture use at a significance level of 0.05.
The findings revealed that 50.0% of the participants used dentures. Statistically significant associations were found between denture use and personal factors such as annual household income (p=0.003), main source of income (p=0.006), and healthcare coverage (p=0.020). Additionally, social factors including support from family (p=0.046) and dental personnel (p= 0.003) were significantly related to denture use. In contrast, psychological motivation and situational barriers such as travel distance showed no significant association.
The results indicate that economic conditions and social support are key determinants in the decision to use dentures among the elderly.
Therefore, policies should focus on increasing access to oral health education, promoting awareness of healthcare entitlements, and enhancing proactive support from dental professionals to improve denture usage rates and the quality of life in aging populations.
References
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav, Mar;36(31):31–10. https://doi.org/10.2307/2137284.
Cho, H.-A., Kim, B.-R., & Shin, H. (2022). Travel Time for Dental Care Services Based on Patient Preference in South Korea. Int J Environ Res Public Health, 19(14), 2051; https://doi.org/2010.3390/ijerph19042051.
Department of Older Persons. (2024). Situation of the Thai Older Persons 2023. Retrieved from Retrieved 20 October 2025, from https://www.dop.go.th/download/statistics/th1738230377-2563_1.pdf
Ghanbari-Jahromi, M., Bastani, P., Jalali, F. s., & Delavari, S. (2023). Factors affecting oral and dental services' utilization among Elderly: a scoping review. BMC Oral Health, 23, 597. https://doi.org/10.1186/s12903-023-03285-4.
Graham, R., Mihaylov, S., Jepson, N., Allen, P. F., & Bond, S. (2006). Determining ‘need’ for a Removable Partial Denture: a qualitative study of factors that influence dentist provision and patient use. Br Dent J, 200, 155–158. https://doi.org/10.1038/sj.bdj.4813193.
Grey, E. B., Harcourt, D., O’Sullivan, D., Buchanan, H., & Kilpatrick, N. M. (2013). A qualitative study of patients' motivations and expectations for dental implants. Br Dent J 214, E1 (2013). https://doi.org/10.1038/sj.bdj.2012.1178.
Hajek, A., Kretzler, B., & König, H.-H. (2021). Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review. Int J Environ Res Public Health, 18(5), 2491. https://doi.org/2410.3390/ijerph18052491.
Kaurani, P., Kakodkar, P., Bhowmick, A., Samra, R. K., & Bansal, V. (2024). Association of tooth loss and nutritional status in adults: an overview of systematic reviews. BMC Oral Health, 24(1), 838. http://doi.810.1186/s12903-12024-04602-12901.
Kiyak, H. A., & Reichmuth, M. (2005). Barriers to and Enablers of Older Adults’ Use of Dental Services. J Dent Educ, 69: 975-986. https://doi.org/10.1002/j.0022-0337.2005.69.9.tb03994.x.
Lee, W., Kim, S.-J., Albert, J. M., & Nelson, S. (2014). Community factors predicting dental care utilization among older adults. JADA, 145(2), 150-158. http://doi:110.14219/jada.12013.14222.
Limpuangthip, N., Purnaveja, S., & Somkotra, T. ( 2019). Predisposing and enabling factors associated with public denture service utilization among older Thai people: a cross-sectional population-based study. BMC Oral Health, 19, 220. https://doi.org/10.1186/s12903-019-0923-1.
Liu, L., Zhang, Y., Wu, W., & Cheng, R. (2015). Characteristics of dental care-seeking behavior and related sociodemographic factors in a middle-aged and elderly population in northeast China. BMC Oral Health, Jun 10;15(1):66. https://doi.org/10.1186/s12903-015-0053-3.
Petersen, P. E., & Yamamoto, T. (2005). Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol, 33(2), 81-92. https://doi.org/10.1111/j.1600-0528.2004.00219.x.
Rezaei, S., Hajizadeh, M., Irandoost, S. F., & Salimi, Y. (2019). Socioeconomic inequality in dental care utilization in Iran: a decomposition approach. Int J Equity Health, 18, 161. https://doi.org/10.1186/s12939-019-1072-5.
Rovinelli RJ, & Hambleton RK. (1977). On the use of content specialists in the assessment of criterion-referenced test item validity. Tijdschrift voor Onderwijsresearch., 2(2), 49-60. Retrieved from https://files.eric.ed.gov/fulltext/ED121845.pdf
Sinha, S., Govindan, C., Sharma, A., Yadav, P., E, A., & Jain, A. (2025). Oral health disparities in the elderly: A study on access to dental care and its implications. Bioinformation, 21, 832-835. http://doi.810.6026/973206300210832.
Somkotra, T. (2013). Experience of socioeconomic-related inequality in dental care utilization among Thai elderly under universal coverage. Geriatrics & Gerontology International, 13, 298-306. https://doi.org/210.1111/j.1447-0594.2012.00895.x.
Supapanit, P., & Arunsri, K. (2023). Oral Health Status and Depression in the Elderly. SHJ, 32(2), 45–55. Retrieved from https://he01.tci-thaijo.org/index.php/shj/article/download/266378/180153/1127897
Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. Int J Med Educ, 2, 53–55. https://doi.org/10.5116/ijme.5114dfb.5118dfd.
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