scholarly journals Utilization of dental services and associated factors among preschool children in China

2019 ◽  
Author(s):  
Xiaoli Gao ◽  
Min Ding ◽  
Mengru Xu ◽  
Huijing Wu ◽  
Chunzi Zhang ◽  
...  
Keyword(s):  
Preschool Children ◽  
Oral Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Knowledge ◽  
Survey Design ◽  
Cross Sectional ◽  
The Past ◽  
Dental Utilization

Abstract Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen’s behavioural model to explore influencing factors, thereby providing a reference for future policy making. Methods: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016. Patient data were collected using a questionnaire, which was answered by the child’s parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchical logistic regression results were then analysed to find the factors associated with oral health service utilization. Results : The oral health service utilization prevalence during the prior 12 months were 9.5% (95%CI: 8.1%-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8%-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6%-19.4%) among 5-year-old children. “No dental diseases” (71.3%) and “dental disease was not severe” (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor’s degree or higher(OR: 2.29, 95%CI: 1.97-2.67, p <0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p <0.001), annual per capital income more than 25,000 CNY (OR: 1.40, 95%CI: 1.18-1.65, p <0.001),think their child have worse or bad oral health(OR: 3.54, 95%CI: 2.84-4.40, p <0.001), and children who often have toothaches (OR: 9.72 , 95%CI: 7.81-12.09, p <0.001) were more likely to go to the dentist in the past year. Conclusion: The prevalence of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.

scholarly journals Utilization of dental services and associated factors among preschool children in China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Xiaoli Gao ◽  
Min Ding ◽  
Mengru Xu ◽  
Huijing Wu ◽  
Chunzi Zhang ◽  
...  
Keyword(s):  
Preschool Children ◽  
Oral Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Knowledge ◽  
Survey Design ◽  
Cross Sectional ◽  
The Past ◽  
Dental Utilization

Abstract Background This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen’s behavioural model to explore influencing factors, thereby providing a reference for future policy making. Methods This study is a cross-sectional study. Data of 40,305 children aged 3–5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016. Patient data were collected using a questionnaire, which was answered by the child’s parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchical logistic regression results were then analysed to find the factors associated with oral health service utilization. Results The oral health service utilization prevalence during the prior 12 months were 9.5% (95%CI: 8.1–11.1%) among 3-year-old children, 12.1% (95%CI: 10.8–13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6–19.4%) among 5-year-old children. “No dental diseases” (71.3%) and “dental disease was not severe” (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor’s degree or higher (OR: 2.29, 95%CI: 1.97–2.67, p < 0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43–1.89, p < 0.001), annual per capital income more than 25,000 CNY (OR: 1.40, 95%CI: 1.18–1.65, p < 0.001),think their child have worse or bad oral health (OR: 3.54, 95%CI: 2.84–4.40, p < 0.001), and children who often have toothaches (OR: 9.72, 95%CI: 7.81–12.09, p < 0.001) were more likely to go to the dentist in the past year. Conclusion The prevalence of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.

scholarly journals Utilization of dental services and associated factors among preschool children in China

2019 ◽  
Author(s):  
Xiaoli Gao ◽  
Min Ding ◽  
Mengru Xu ◽  
Huijing Wu ◽  
Chunzi Zhang ◽  
...  
Keyword(s):  
Preschool Children ◽  
Oral Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Knowledge ◽  
Survey Design ◽  
Cross Sectional ◽  
The Past ◽  
Dental Utilization

Abstract Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen’s behavioural model to explore influencing factors, thereby providing a reference for future policy making. Methods: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016.Patient data were collected using a questionnaire, whichwas answered by the child’s parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchicallogistic regression results were then analysed to find the factors associated with oral health service utilization. Results : The oral health service utilization prevalenceduring the prior 12 months were 9.5% (95%CI: 8.1%-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8%-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6%-19.4%) among 5-year-old children. “No dental diseases” (71.3%) and “dental disease was not severe” (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor’s degree or higher(OR: 2.29, 95%CI: 1.97-2.67, p <0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p <0.001), annual per capital income more than 25,000RMB (OR: 1.40, 95%CI: 1.18-1.65, p <0.001),think their child have worse or bad oral health(OR: 3.54, 95%CI: 2.84-4.40, p <0.001), and children who often have toothaches (OR: 9.72 , 95%CI: 7.81-12.09, p <0.001) were more likely to go to the dentist in the past year. Conclusion: The prevalenceof dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.

scholarly journals Utilization of dental services and associated factors among preschool children in China

2019 ◽  
Author(s):  
Xiaoli Gao ◽  
Min Ding ◽  
Mengru Xu ◽  
Huijing Wu ◽  
Chunzi Zhang ◽  
...  
Keyword(s):  
Preschool Children ◽  
Oral Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Knowledge ◽  
Survey Design ◽  
Cross Sectional ◽  
The Past ◽  
Dental Utilization

Abstract Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen’s behavioural model to explore influencing factors, thereby providing a reference for future policy making. Methods: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016.Patient data were collected using a questionnaire, whichwas answered by the child’s parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchicallogistic regression results were then analysed to find the factors associated with oral health service utilization. Results : The oral health service utilization prevalenceduring the prior 12 months were 9.5% (95%CI: 8.1%-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8%-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6%-19.4%) among 5-year-old children. “No dental diseases” (71.3%) and “dental disease was not severe” (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor’s degree or higher(OR: 2.29, 95%CI: 1.97-2.67, p <0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p <0.001), annual per capital income more than 25,000CNY (OR: 1.40, 95%CI: 1.18-1.65, p <0.001),think their child have worse or bad oral health(OR: 3.54, 95%CI: 2.84-4.40, p <0.001), and children who often have toothaches (OR: 9.72 , 95%CI: 7.81-12.09, p <0.001) were more likely to go to the dentist in the past year. Conclusion: The prevalenceof dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.

scholarly journals Utilization of dental services and associated factors among preschool children in China

2019 ◽  
Author(s):  
Xiaoli Gao ◽  
Min Ding ◽  
Mengru Xu ◽  
Huijing Wu ◽  
Chunzi Zhang ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Service ◽  
Service Utilization ◽  
Urban Areas ◽  
Health Service Utilization ◽  
Health Knowledge ◽  
Dental Services ◽  
Cross Sectional ◽  
The Past ◽  
Dental Utilization

Abstract Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen’s behavioural model to explore influencing factors, thereby providing a reference for future policy making.Methods: A cross-sectional study utilizing data from the Fourth National Oral Health Survey was performed from August 2015 to December 2016. Survey data for children in the 3- to 5-year-old age groups were extracted. Patient data were collected using a questionnaire answered by the child’s parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and logistic regression results were then analysed to assess associations.Results : The oral health service utilization rates during the prior 12 months were 9.5% among 3-year-old children, 12.1% among 4-year-old children, and 17.5% among 5-year-old children. “No dental diseases” and “dental disease was not severe” were the principal reasons that children had not attended a dental visit in the past 12 months. Greater child age, increased parental educational level, and good oral health brief by parents was associated with an increased likelihood that the child received dental services within the past 12 months. Children who lived in urban areas and who belonged to families with high annual per capita incomes tended to have relatively higher oral health service utilization rates in the past 12 months. In addition, dental pain, evaluated dental health, and decayed, missing, and filled surface (DMFS) scores were significantly linked to dental visits. The results also demonstrated that children were more likely to see a dentist if they brushed their teeth more frequently or brushed their teeth with their parents’ help.Conclusion: The rate of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.

scholarly journals Oral health service utilization patterns among preschool children in Beijing, China

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Mengru Xu ◽  
Chao Yuan ◽  
Xiangyu Sun ◽  
Menglin Cheng ◽  
Yanyi Xie ◽  
...  
Keyword(s):  
Preschool Children ◽  
Oral Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Utilization Patterns ◽  
Beijing China

scholarly journals Depressive symptoms and health service utilization among Chinese middle aged and older adults: A national population-based longitudinal survey

2020 ◽  
Author(s):  
Jing Guo ◽  
Dexia Kong ◽  
Anao Zhang ◽  
Liming Fang ◽  
Yingxue Zhu
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Services Utilization ◽  
Middle Aged ◽  
Cross Sectional ◽  
Services Utilization

Abstract Background: The prevalence of depressive symptoms has been steadily increasing in recent years, however middle aged and older adults was less likely to use mental health services. The aims of this study were to 1) examine the cross-sectional and longitudinal relationships between depressive symptoms and health services utilization among Chinese middle-aged and older adults; and 2) evaluate whether there exists a rural-urban difference in such relationships. Methods: Data was obtained from China Health and Retirement Longitudinal Study (CHARLS) in 2013 and 2015, a nationally representative survey of 13,551 adults aged 45 years and above in China. Multivariate logistic regression analyses were conducted to assess the cross-sectional and longitudinal relationship between depressive symptoms and health services utilization in the whole sample, and urban and rural subsamples respectively. Results: Depressive symptoms were positively associated with a greater likelihood of outpatient and inpatient health services utilization. In addition, the relationships between depressive symptoms and health service use were consistent across rural and urban settings, indicating the robustness of such findings across geographic areas. Conclusions: Findings indicate that depressive symptoms are significantly associated with both in-patient and out-patient health service utilization among Chinese adults. Screening for depressive symptoms needs to be incorporated in these care settings in China.

scholarly journals Relationship Between Sociodemographic Backgrounds And Mothers' Oral Health Knowledge, Attitude And Practice Of Their Preschool Children

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Syarifah Haizan Sayed Kamar ◽  
Noor Inani Jelani ◽  
Noraini Mohamad Nor
Keyword(s):  
Preschool Children ◽  
Oral Health ◽  
Health Knowledge ◽  
Further Education ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Oral Health Knowledge ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice ◽  
Children’S Oral Health

Introduction: Mothers play important roles in their children's oral health. The aim of this study is to determine the relationship between mothers’ sociodemographic backgrounds and their oral health knowledge, attitude and practice of their preschool children. Materials and Methods: A cross sectional study was conducted among 149 mothers of 4 to 6-year-old preschool children from selected kindergartens. Stratified cluster sampling was done to select kindergartens from urban and suburban areas in Kuantan, Pahang. Knowledge and attitude of mothers were assessed using selfadministered questionnaires and children's oral health practice was recorded using three days tooth brushing diary. Data were analyzed using SPSS version 16.0. Results: Mothers had high oral health knowledge (Mean score 73.6%, SD 1.3%) and attitude (Mean score 73.2%, SD 2.4%) scores. Significant relationships were reported between mothers' oral health knowledge and age (p=0.037), educational status (p0.05). Conclusion(s): Lack of further education, low household income and living further away from the city contributed to low oral health knowledge and poor oral health attitude among mothers, towards their preschool children. Younger mothers had lower oral health knowledge, whereas older mothers had poorer oral health attitude.

Student Pandemic Experience: Protocol and baseline characteristics for a mobile prospective cohort study of university student mental health (Preprint)

2021 ◽  
Author(s):  
Chris Brogly ◽  
Michael A. Bauer ◽  
Daniel J. Lizotte ◽  
MacLean L. Press ◽  
Arlene MacDougall ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Physical Activity ◽  
Health Service ◽  
Protective Factors ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Risk And Protective Factors ◽  
Cross Sectional ◽  
Student Mental Health

BACKGROUND The COVID-19 pandemic is a public health emergency that poses challenges for the mental health of approximately 1.4 million university students in Canada. Preliminary evidence has shown that the COVID-19 pandemic had a detrimental impact on undergraduate student mental health and well-being, however existing data are predominantly limited to cross-sectional survey-based studies. Due to the evolving nature of the pandemic, longer-term prospective surveillance efforts are needed to better anticipate risk and protective factors during a pandemic. OBJECTIVE The overarching aim of this research is to use a mobile surveillance system to identify risk and protective factors for undergraduate mental health. Factors will be identified from weekly self-report data (e.g., affect, living accommodation) and device sensor data (e.g., physical activity, device usage) to prospectively predict self-reported mental health and service utilization. METHODS Undergraduate students at Western University, Canada, will be recruited via e-mail to complete an internet baseline questionnaire with the option to participate in the study on a weekly basis using the Student Pandemic Experience (SPE) mobile application (app) for Android/iOS. The app collects sensor samples (e.g., GPS coordinates, steps) and self-reported weekly mental health and wellness surveys. Student participants can opt-in to link their mobile data with campus-based administrative data capturing health service utilization. Risk and protective factors that predict mental health outcomes are expected to be estimated by 1) cross-sectional associations between student characteristics (e.g., demographics) and key psychosocial factors (e.g., affect, stress, social connection) and behaviors (e.g., physical activity, device usage) and 2) longitudinal associations between psychosocial and behavioral factors and campus-based health service utilization. RESULTS Data collection began November 9th, 2020 and will be ongoing through to at least August 31st, 2021. Retention from the baseline survey (N=427) to app sign-up was 315/427 (74%), with approximately 175-215 (55-68%) of app participants actively responding to weekly surveys. From November 9th, 2020 to May 1st, 2021, 3363 responses to the app surveys and 18914 sensor samples (consisting of up to 68 individual data items each, e.g., GPS coordinates, steps) were collected from the 315 participants that signed up for the app. CONCLUSIONS Identifying risk and resilience factors for student mental health during this public health crisis is critical for informing optimal campus-based strategies and program development during the pandemic and beyond.

Sign in / Sign up

Export Citation Format

Share Document