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Guided by the perspective that intimate relationship types represent a continuum of social attachment, we assessed how living apart together (LAT) relationships are related to psychological well-being in later life. Using data from the 2011 Wisconsin Longitudinal Study (WLS), we assessed levels of depressive symptoms by comparing LAT respondents (2.5%) with never married (2.5%), divorced (6.8%), widowed (10.4%), dating (2.8%), cohabiting (2.3%), remarried (15.1%), and first married (57.6%) men and women aged 51 and older (Total N = 7,924). However, the results did not support the theory of social attachment. The psychological well-being of men and women in LAT relationships was no different from either cohabiting or married adults. LAT relationships may have unique functions that help to reduce stress in later life. This study provides new insights about the psychological well-being of LAT adults. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to measure socioeconomic‐related inequality and horizontal inequity in the use of oral health services and decompose this inequality among adults of different age groups in China. Methods: In total, 10 973 adults (3669 aged 35‐44 years, 3767 aged 55‐64 years and 3537 aged 65‐74 years) who participated in the 4th National Oral Health Survey (2015‐2016) in China were included. Concentration curves and the Erreygers‐corrected concentration index (EI) were employed to measure socioeconomic‐related inequality in the use of oral health services. Then, inequity in this utilization was measured by the horizontal inequity index (HI). Furthermore, decomposition analyses were conducted for the three groups to explain the contributions of income level, need factors (ie self‐assessed oral health and evaluated oral health status), other factors (ie sex, residential location, educational attainment level and type of basic insurance) and a residual term to overall inequality in oral health service utilization. Results: The significant positive EI and HI values indicated that pro‐rich inequality and inequity in oral health service utilization exist among Chinese adults. Income and type of basic medical insurance contributed the most to socioeconomic‐related inequality in the use of oral health services among adults aged 55‐64 and 65‐74 years. However, the main driving factors of socioeconomic inequality among adults aged 35‐44 years in dental care use included income, educational achievement, type of basic medical insurance and residential location. The need variables accounted for a very small proportion of overall socioeconomic‐related inequality in oral health service use in all three groups. Conclusions: Oral healthcare service utilization was disproportionately concentrated among better‐off Chinese adults. The primary determinants of inequality in dental care use in different age groups provide information for policymakers to create more targeted policies to achieve equity in the oral healthcare system in China. [ABSTRACT FROM AUTHOR]

Objectives: To explore the factors associated with utilization of oral health services among Chinese adults and older adults according to the Andersen Behavior Model. Methods: Data from the 4th National Oral Health Survey (2015‐2016) in China were used. A total of 7206 people (3669 adults aged 35‐44 years and 3537 older adults aged 65‐74 years) were included in our analysis. Oral health service utilization in the past 12 months was the outcome variable. Explanatory variables were selected according to the Andersen Behavior Model. Descriptive statistics and bivariate associations (chi‐square tests) were analysed, followed by hierarchical Poisson regression models, which were conducted to determine the factors associated with oral health service utilization. Results: In total, 21.4% (95% CI: 19.4%‐23.7%) of adults (35‐44 years old) and 20.7% (95% CI: 18.6%‐22.9%) of older adults (65‐74 years old) utilized oral health services in the past 12 months. Nearly 80% of adults (78.7%, 95% CI: 74.0%‐82.7%) and more than 90% of older adults (93.7%, 95% CI: 91.0%‐95.6%) visited a dentist for treatment. Adults aged 35‐44 years old who were female (IRR: 1.15, 95% CI: 1.00‐1.33, P =.047), had good oral health knowledge and attitudes (IRR: 1.30, 95% CI: 1.06‐1.59, P =.011), perceived their oral health status as fair (IRR:1.51, 95% CI:1.24‐1.85, P <.001) or poor/very poor (IRR:2.52, 95% CI:2.01‐3.18, P <.001) and had a decayed, missing and filled teeth (DMFT) index >0 (IRR: 1.52, 95% CI: 1.11‐2.09, P =.009) were more likely to report dental visits in the past 12 months. Older adults who utilized oral health services tended to be female (IRR: 1.32, 95% CI: 1.09‐1.59, P =.004); to be covered by Urban Resident Basic Medical Insurance (URBMI) (IRR: 1.56, 95% CI: 1.18‐2.05, P =.002), Urban Employee Basic Medical Insurance (UEBMI) (IRR: 1.69, 95% CI: 1.32‐2.16, P <.001) or government medical insurance (GMI) (IRR: 1.03, 95% CI:1.01‐2.16, P =.044); to have a high education level (IRR: 1.37, 95% CI: 1.08‐1.74, P =.010); to have an income level in the 2nd tertile (IRR: 1.44, 95% CI: 1.13‐1.84, P =.003) or 3rd tertile (IRR:1.52, 95% CI:1.18‐1.95, P =.001); and to perceive their oral health status as poor or very poor (IRR: 1.53, 95% CI: 1.21‐1.95, P =.001). Conclusions: Sex and self‐perceived oral health status were associated with oral health utilization among Chinese population. Additionally, for older adults, education level, household income and insurance coverage were determinants of dental service use. These findings can aid in creating more targeted policies to increase the use of dental services by Chinese adults. [ABSTRACT FROM AUTHOR]