Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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Start date: 2022Subject: search.filters.subject.affordability

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    Material Well-Being, Oral Health and Affordability of Dental Care in Late-Middle-Aged New Zealanders
    (Gerodontology Association and John Wiley and Sons Ltd, 2025-10-03) Nordin N; Thomson WM; Broadbent JM; Smith MB; Gibson R
    Background: Little is known about oral health among New Zealanders in late middle age. Planning for the needs of older people should be informed by adequate information on the oral health and dental service use of those who will be entering old age. Accordingly, we investigated material well-being-related inequalities in self-reported oral health, self-care and dental care affordability among late-middle-aged New Zealanders. Method: This study was based on an analysis of data from the New Zealand Health, Work, and Retirement (HWR) 2016 study focused on its 6th biennial wave (2016–2018). There were 1952 participants (58% female) aged 55–64 years. Key dependent variables were self-reported oral health, chewing ability and the perceived affordability of dental care. The exposure variable of interest was material well-being, controlling for other socio-economic status (SES) measures (household income and educational qualifications). Cross-tabulations and logistic regression estimated the associations between financial and material well-being and the oral-health-related variables. Results: Approximately 90% of participants had retained at least one natural tooth, and over half had more than 20 teeth remaining (functional dentition). Approximately 70% reported having good oral health. There were consistent gradients in self-rated oral health and dentition status by education level, household income and material well-being, with higher proportions among those who were better off. Just under one third of participants (30%) reported experiencing issues with dental care affordability. Material well-being showed the strongest associations with the abovementioned aspects of oral health and access to dental care than the other SES measures. Conclusion: The findings provide important evidence of the association between material well-being in oral health and access to dental care.
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    China's Changing Alcohol Market and Need for an Enhanced Policy Response: A Narrative Review
    (MDPI (Basel, Switzerland), 2022-05-11) Liu S; Huang F; Zhu X; Zhou S; Si X; Zhao Y; Liu Y; Zhang X; Casswell S; Tchounwou PB
    This study describes trends in alcohol consumption in the context of an expanding commercial context, current policy responses, and flaws in relation to international best practice for alcohol control in China. We surveyed the literature and other documents in Chinese or English up to December 2020 on policy responses to alcohol consumption and harm, industry structure, and marketing practices in China. Databases searched included PubMed, China National Knowledge Internet, Wanfang Data, Web of Science, and Baidu Scholar. We also scanned the official websites of government organizations and gathered information using snowballing. We analyzed existing alcohol policy against evidence-based, cost-effective policies for reducing alcohol harm. Our findings show that although some restrictive policies have been enacted with potential impacts on alcohol harm, they are not comprehensive, and some are poorly executed. The long history of alcohol use remains an important element in alcohol consumption by the Chinese population. However, alcohol marketing and promotion, ease of access, and affordability have become increasingly prominent. The gaps identified in alcohol policy suggest improved strategies and measures to reduce the harmful use of alcohol are urgently needed in China.