scholarly journals Socioeconomic Inequalities in the Utilization of Dental Services Among Adults in Saudi Arabia

2021 ◽  
Author(s):  
Deema A. Sahab ◽  
Mohammed S. Bamashmous ◽  
Amitha Ranauta ◽  
Vanessa Muirhead
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Dental Care ◽  
Household Wealth ◽  
Socioeconomic Inequalities ◽  
Dental Services ◽  
Services Utilization ◽  
Dental Utilization ◽  
Dental Services Utilization ◽  
Utilization Of Dental Services

Abstract Background This study used the Anderson Behavioral Model to assess the socioeconomic inequalities in dental services utilization among adults in Saudi Arabia, along with other predictors of utilization, to inform future planning of dental care services. Methods In this cross-sectional study, we conducted secondary analysis using national data from the 2019 Kingdom of Saudi Arabia World Health Survey (KSAWHS). The survey consisted of two interviewer-administered questionnaires, one for the household and one individual interview. The questionnaires included questions covering predisposing factors (age, gender, marital status, nationality, education, employment), enabling factors (income, household wealth, area-based socioeconomic class, health insurance, eligibility for free governmental health care, transportation and region of residence) and self-reported need for dental treatment. The main outcome was dental utilization. The independent variables were the predisposing, enabling and need factors. Hierarchical logistic regression analyses identified significant predictors of dental utilization, applying survey weights to adjust for the complex survey design. Adjusted odds ratios with 95% confidence intervals and p values were reported in the final model. Results The final dataset included 8,535 adults (response rate = 95.4%). Twenty percent of adults visited the dentist at least once in the past year (95%CI: 18% -21%). The socioeconomic factors associated with the higher likelihood of dental service utilization in the final fully adjusted model were high household income (OR = 1.43, p = 0.043), second and middle household wealth status (OR = 1.51, p = 0.003 and OR = 1.57, p = 0.006) and access to free governmental health care (OR = 2.05, p = 0.004). In addition to self-reported oral problems (OR= 52.09, p < 0.001). Conclusion Socioeconomic inequalities in the utilization of dental services exist in Saudi Arabia. The main driver of dental services utilization in adults was the need for treatment suggesting predominantly symptomatic attendance. Increasing awareness about the importance of preventive dental visits rather than symptomatic attendance could be an important policy implication to improve oral health and optimize dental care expenditure. Further research should explore the drivers for adults to seek preventive care in the absence of any recognized dental problems.

scholarly journals Parents View About Oral Health Status, Oral Hygiene Behaviors, and Dental Services Utilization of Their Children With Hearing Impairment Attending Special Schools

2021 ◽  
Author(s):  
Soofia Rajabloo ◽  
Mina Pakkhesal ◽  
AliAkbar Naghavi Alhosseini ◽  
Zahra Ghorbani ◽  
Abdolhalim Rajabi
Keyword(s):  
Health Care ◽  
Health Status ◽  
Oral Health ◽  
Hearing Impairment ◽  
Oral Hygiene ◽  
Oral Health Status ◽  
Special Schools ◽  
Dental Services ◽  
Services Utilization ◽  
Dental Services Utilization

Abstract Objectives: Parents are the principal decision-makers regarding their child’s health. Awareness of parents’ views regarding their children's health, particularly with special health care needs, is essential for health care providers. Therefore, the present study aimed to assess the parents' view about oral health status, oral hygiene practices, and dental services utilization of their children with hearing impairment attending special schools.Results: 57.4% of the parents rated their children's oral health status as very good or good, 27.9% as moderate, and 9.0% as poor. About half of the parents (49.2%) stated that their children used toothbrush once daily, and 15% use dental floss. Also, 54% of the children visited the dentist before this survey's conduct. The twice brush or more a day was significantly associated with the oral health status (OR: 22.16; CI 95%), and other factors did not show a significant association.

scholarly journals Urban-Rural Disparities in Dental Services Utilization Among Adults in China's Megacities

2021 ◽  
Vol 2 ◽  
Author(s):  
Xiang Qi ◽  
Xiaomin Qu ◽  
Bei Wu
Keyword(s):  
Dental Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Living Arrangement ◽  
Place Of Residence ◽  
Dental Services ◽  
Services Utilization ◽  
Urban Rural ◽  
Dental Services Utilization ◽  
Urban And Rural Areas

Objective: China's dental care system is bifurcated between urban and rural areas. However, very few studies have examined the dental services utilization inequities in China's megacities, particularly in these urban and rural areas. This study aims to examine the urban-rural disparities in dental services utilization among adults living in China's megacities based on the Andersen dental services utilization model.Methods: This study used data from 4,049 residents aged 18–65 who participated in the “2019 New Era and Living Conditions in Megacities Survey.” Multivariate logistic regressions were employed to examine the associations between place of residence and dental services utilization for individuals from ten megacities in China. Predisposing variables (age, gender, marital status, living arrangement, and education), enabling variables (socioeconomic status, occupational status, income, insurance coverage, health attitude, and health behavior), and need variables (self-rated health, oral health status, gum bleeding) were controlled for.Results: The mean age of the 4,049 adults was 45.2 (standard deviation = 13.0), and 30.4% (n = 1,232) had no dental visits at all. Adults who resided in urban areas were more likely to use dental services [odds ratio (OR) = 1.57, 95% confidence interval (CI) = 1.30 to 1.91] than those residing in rural areas after controlling for key covariates. Factors associated with higher odds of visiting dentists include having a higher income (OR = 1.44, P &lt; 0.001), higher education level (OR = 1.53, P = 0.042), being covered by insurance for urban residents/employees (OR = 1.49, P = 0.031), having a positive attitude toward healthy diets (OR = 1.43, P &lt; 0.001), attending regular physical examination (OR = 1.66, P &lt; 0.001), having more tooth loss (OR = 1.05, P &lt; 0.001), and having frequent gum bleeding (OR = 2.29, P &lt; 0.001).Conclusion: The findings confirm that place of residence is associated with dental services utilization while adjusting for key covariates. Despite rapid economic development in China, many adults had never visited dentists at all. More efforts should be taken to encourage widespread dental care, such as providing more dental coverage and better access to dental care services.

scholarly journals Factors influencing Oral Health and Utilization of Oral Health Care in an Indian Fishing Community, Mangaluru City, India

2017 ◽  
Vol 8 (4) ◽  
pp. 321-326
Author(s):  
Mithun BH Pai ◽  
Ashwini Rao ◽  
Sumeet Bhatt ◽  
Guru R Rajesh ◽  
Vijayendra Nayak
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Oral Health Care ◽  
Fishing Community ◽  
Periodontal Health ◽  
Dental Services ◽  
Factors Influencing ◽  
Gender Education ◽  
Utilization Of Dental Services

ABSTRACT Aim The aim of this study was to assess factors influencing the oral health and utilization patterns of oral health services by fishermen community in Mangaluru city, Karnataka, India. Materials and methods A house-to-house survey was conducted among 840 individuals in fishermen population. Oral health status was evaluated by employing the World Health Organization basic oral health survey form. A self-administered questionnaire was used to assess patterns of utilization of dental services and their sociodemographic details. Results Mean decayed, missing, and filled teeth (DMFT) of the population was 3.78 ± 6.02 and prevalence of caries and periodontal conditions was 55 and 99% respectively. About 55% participants had never visited a dentist. Age, gender, and education of the respondents showed significant associations with DMFT status. Periodontal health showed significant association with age, gender, education, and income of the respondents. Visit to the dentist was associated with age, gender, education, and dental caries. The major barrier recognized in seeking dental care was the perception of not having any dental problem. Conclusion The dental care utilization was poor, and majority of the dental visits were for tooth extraction. Lack of perceived oral health care need was the main barrier to the utilization of dental services. Clinical significance The fishing population had high dental caries and poor periodontal health due to low utilization of dental care. How to cite this article Bhatt S, Rajesh GR, Rao A, Shenoy R, Pai MBH, Nayak V. Factors influencing Oral Health and Utilization of Oral Health Care in an Indian Fishing Community, Mangaluru City, India. World J Dent 2017;8(4):321-326.

Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants

2011 ◽  
Vol 71 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Marcia Helena Baldani ◽  
Yasmine Bittencourt Emílio Mendes ◽  
Juliana Aparecida de Campos Lawder ◽  
Ana Paula Ingles de Lara ◽  
Michelli Marta Azevedo da Silva Rodrigues ◽  
...  
Keyword(s):  
Low Income ◽  
Dental Services ◽  
Services Utilization ◽  
Low Income Children ◽  
Individual Determinants ◽  
Dental Services Utilization

scholarly journals County-level Correlates of Dental Service Utilization for Low Income Pregnant Women. Ecologic study of the North Carolina Medicaid for Pregnant Women (MPW) program.

2019 ◽  
Author(s):  
Mark E Moss ◽  
Andrew Grodner ◽  
Ananda P. Dasanayake ◽  
Cherry M. Beasley
Keyword(s):  
North Carolina ◽  
Pregnant Women ◽  
Low Income ◽  
Well Being ◽  
Economic Research ◽  
County Level ◽  
Dental Services ◽  
Dental Utilization ◽  
Persistent Poverty ◽  
Utilization Of Dental Services

Abstract Background: Dental care utilization for low income pregnant women is met with challenges in the traditional dentist-centered model of care. County-level measures provide insights for policy and roles for stakeholders that extend beyond the dentist-patient relationship. We examined county-level data to generate hypotheses about factors that influence utilization of dental services in North Carolina’s Medicaid for Pregnant Women (MPW) program. Methods: County-level Medicaid utilization data for dental services for 2014-2016 were pooled to get mean county estimates of dental utilization in the MPW program. Descriptive statistics and multivariate regression models of dental utilization and county-level measures are presented. Data used were collected by NC Child and the Robert Wood Johnson Foundation’s County Health Rankings Reports. USDA Economic Research Service data were used to categorize counties in terms of Farming, Recreation, Persistent Poverty, and metro/non-metro status using Rural Urban Continuum Codes. Results: Dental utilization ranged from 1% to 26% with a median of 8.5% across the 100 counties of North Carolina. Strong patterns linking utilization of dental services in the MPW program to contextual social measures of well-being emerged, specifically, increased reporting of child abuse and neglect, elevated infant mortality, poor quality of life, and worse ranking in years of potential life lost. Counties with persistent poverty had lower rates of dental utilization. Conclusions: Utilization of dental services in the MPW program is generally low. Patterns identify the potential for enhancing community-clinical linkages to improve birth outcomes and care coordination for pregnant women to enhance dental utilization in this population.

scholarly journals Factors affecting recent dental services utilization by an urban older population in Athens

2014 ◽  
Vol 1 (1) ◽  
pp. 48-51
Author(s):  
Vasilia Petraki ◽  
◽  
Philippos Thomopoulos ◽  
Anastassia E. Kossioni ◽  
◽  
...  
Keyword(s):  
Older Population ◽  
Dental Services ◽  
Factors Affecting ◽  
Services Utilization ◽  
Dental Services Utilization

scholarly journals County-level Correlates of Dental Service Utilization for Low Income Pregnant Women. Ecologic study of the North Carolina Medicaid for Pregnant Women (MPW) program.

2020 ◽  
Author(s):  
Mark E Moss ◽  
Andrew Grodner ◽  
Ananda P. Dasanayake ◽  
Cherry M. Beasley
Keyword(s):  
North Carolina ◽  
Pregnant Women ◽  
Care Coordination ◽  
Low Income ◽  
County Level ◽  
Medicaid Program ◽  
Dental Services ◽  
Dental Utilization ◽  
Persistent Poverty ◽  
Utilization Of Dental Services

Abstract Background: Dental care utilization for low income pregnant women is met with challenges in the traditional dentist-centered model of care. County-level measures provide insights for policy and roles for stakeholders that extend beyond the dentist-patient relationship. We examined county-level data to generate hypotheses about factors that influence utilization of dental services in North Carolina’s Medicaid for Pregnant Women (MPW) program.Methods: County-level Medicaid utilization data for dental services for 2014-2016 were pooled to get mean county estimates of dental utilization in the MPW program. Descriptive statistics and multivariate regression models of dental utilization and county-level measures are presented. Data used were collected by NC Child and the Robert Wood Johnson Foundation’s County Health Rankings Reports. USDA Economic Research Service data were used to categorize counties in terms of Farming, Recreation, Persistent Poverty, and metro/non-metro status using Rural Urban Continuum Codes.Results: Dental utilization ranged from 1% to 26% with a median of 8.5% across the 100 counties of North Carolina. Strong patterns linking utilization of dental services in the MPW program to contextual social measures of well-being emerged, specifically, increased reporting of child abuse and neglect, elevated infant mortality, poor quality of life, and worse ranking in years of potential life lost. Counties with persistent poverty had lower rates of dental utilization. Conclusions: Utilization of dental services in the MPW program is generally low. Patterns identify the potential for enhancing community-clinical linkages to improve birth outcomes and care coordination for pregnant women to enhance dental utilization in this population.Dental coverage in the Medicaid program in most states is administered separately from medical coverage. The separation of the funding mechanisms adds a further layer of complexity to care integration. Efforts to enhance dental care for pregnant women in the Medicaid program may benefit from policy that aligns incentives for care coordination within the community. Policy that extends the window of eligibility for dental benefits to 24 months after the birth of the child will help women complete the dental treatment that is needed. This also leverages the value of care coordination for community stakeholders from diverse child health sectors.

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