Dental service utilisation among adults in a European developing country: findings from a national health survey

Šiljak, Sladjana; Janković, Janko; Marinković, Jelena; Erić, Miloš; Janević, Teresa; Janković, Slavenka

doi:10.1111/idj.12449

Cited by 15 publications

(43 citation statements)

References 14 publications

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“…According to data from the World Health Survey [9], adults expressing a need for oral health services range from 35% in low-income countries to 60% in lower-middle-income countries. Prompt dental service utilisation (DSU) is needed for the prevention and treatment of oral diseases, and it is therefore important to determine the facilitators and barriers of DSU [10]. However, no national population-based study has been conducted on the prevalence and correlates of DSU in Sudan, a low-income country in north-eastern Africa.…”

Section: Introductionmentioning

confidence: 99%

“…Predisposing factors of DSU include female sex [10,[12][13][14][15]19], older age [16,19,22], decreasing age [10,15], no age differences [13], higher educational level [14,16,19,22,23], and higher household income/wealth [14,16,[19][20][21][22][23]. Enabling factors of DSU include having medical insurance [14,15,22,23], urban residence [10,19,23], short distance to dentist [15], and oral health literacy [13,15].…”

Section: Introductionmentioning

confidence: 99%

“…Health and lifestyle factors of DSU include better general health status [13], having normal weight [20], having non-communicable diseases [10], never smoking [19], low alcohol use [24], being physically active [20], and having a healthier diet [20]. Perceived need factors of DSU include poor self-rated oral health (SROH) [13][14][15][16]22], pain in teeth or gum [19,25], self-reported mouth ulcers [19], more permanent teeth [25], not edentulous, nor severe tooth loss [13], and eating difficulties due to oral problems [26].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan

Pengpid

Peltzer

2021

BMC Oral Health

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Background Prompt dental service utilisation (DSU) is needed for the prevention and treatment of oral diseases, and it is therefore important to determine the facilitators and barriers of DSU. There is, however, scarce information available on DSU in Sudan. Therefore, this study aimed to investigate the prevalence and associated factors of DSU in a general population-based survey among 18–69 year-old persons in Sudan. Methods Cross-sectional nationally representative data of 7,722 18–69 year-old persons (36 years median age) from the 2016 Sudan Stepwise approach to surveillance (STEPS) survey were analysed. Using questionnaire, anthropometric and biochemical measures, predisposing, enabling and health and lifestyle factors of DSU were assessed. Multinomial logistic regression was conducted to estimate the predictors of DSU (> 12 months and past 12 months, with never DSU as the reference category). Results About two-thirds of the participants (64.6%) had never DSU, 22.0% had more than 12-month DSU, and 13.4% had past 12- month DSU. Among those who had ever DSU, the main reason for the last DSU was pain or trouble with teeth, gums, or mouth (66.9%), treatment or follow-up treatment 22.3%, and routine check-up treatment 5.0%. In adjusted multinomial logistic regression analysis, higher education (p < 0.001), urban residence (p < 0.001), screened for blood pressure (p < 0.001), raised total cholesterol (p < 0.05), poor SROH (p < 0.001), pain in teeth or mouth (p < 0.001), and not working because of teeth or mouth (p < 0.01) were positively and not knowing their household income (p < 0.01), high physical activity (p < 0.05), and having 20 or more teeth (p < 0.001), were negatively associated with both > 12 months and past 12 months DSU. Higher household income (p < 0.001), overweight/obesity (p < 0.05), using tooth paste (p < 0.001), and difficulty chewing (p < 0.001), were positively, and male sex (p < 0.01), and teeth cleaning twice or more times a day (p < 0.05), were negatively associated with > 12 months or past 12 months DSU. Conclusion More than one in ten participants had past 12 months DSU and several factors were detected which could be targeted in intervention activities. Study findings suggest to improve oral health awareness, in particular stressing the relevance of regular dental check-ups, by using different modalities of oral health promotion.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan

Pengpid

Peltzer

2021

BMC Oral Health

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“…The prevalence of non-utilisation of dental services in our study was far higher than in other countries, such as Brazil, which reported the figure to be only less than 2% [ 25 ]. Other studies investigating non-utilisation of dental services in the one year preceding the survey found the prevalence to be 33.8% in the United States [ 26 ], 60.4% in Greece [ 3 ], 63.9% in Thailand [ 27 ], and 80% in Republic of Srpska (RS), Bosnia and Herzegovina [ 28 ]. It was suggested that government investments in healthcare might influence the use of dental services in the country [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis

Santoso

Bramantoro

Bagoly

et al. 2020

IJERPH

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This study aimed to examine the prevalence of dental service utilisation in Indonesia and its association with social determinants at individual and community levels. Cross-sectional data from the 2014 Indonesian Family Life Survey (IFLS-5) was analysed. Individual independent variables included age, sex, marital status, educational attainment, economic status, health insurance, dental pain, self-reported mouth ulcers, self-rated health status, unmet healthcare needs and smoking status, while community independent variables included cognitive, structural social capital and residential area. Multilevel logistic regressions were performed to explore the associations between independent variables at different levels and the outcome of dental service utilisation. Of the total sample of 16,860 adults aged 15 years or older in our study, around 86.4% never visited a dentist. Dental service utilisation was associated with older age, female, currently not married, higher education level and economic status, health insurance, dental pain, self-reported mouth ulcers, met healthcare needs, never smoking, living in urban areas and communities with high structural social capital. Both individual and broader social determinants influenced dental service utilisation in Indonesia. These factors should be considered in the formulation of oral health policies and programmes aiming to improve dental service utilisation in the country.

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“…Many studies worldwide have addressed the frequency and determinants of oral healthcare utilisation [9][10][11][12]. Age, sex, urbanity, education level, income level, employment, and health status among others have been associated with oral healthcare utilisation in many studies around the world [9][10][11][12]. However, published research on associated factors of oral healthcare utilisation in Malaysia is scarce.…”

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confidence: 99%

Demographic and socioeconomic inequalities in oral healthcare utilisation in Malaysia: evidence from a national survey

Tan

Jawahir

et al. 2021

BMC Oral Health

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Background Throughout the years, oral healthcare utilisation in Malaysia has been low despite various efforts by the Ministry of Health Malaysia for improvement. This study aimed to determine the prevalence of oral healthcare utilisation and identify factors associated with oral healthcare utilisation among adults in Malaysia. Methods Secondary data analysis of adults aged 18 years and over from the National Health and Morbidity Survey 2019 was conducted in this study. Characteristics of respondents and those who utilised oral healthcare were described using complex sample descriptive statistics. Logistic regression analysis was performed to examine the association between the dependent and independent variables. Dependent variable was oral healthcare utilisation in the last 12 months. Independent variables were demographic and socioeconomic factors (predisposing, enabling and need characteristics) based on Andersen’s Behavioural Model. Results A total of 11,308 respondents, estimated to represent 21.7 million adults aged 18 years and over in Malaysia were included in the analysis. Prevalence of oral healthcare utilisation in the last 12 months was 13.2%. Demographic factors of sex, age, marital status, and socioeconomic factors of education level and occupation as well as health belief such as medical check-up were significantly related to oral healthcare utilisation. Enabling factor of household income quintile had significant association with oral healthcare utilisation. Inequalities were observed; females (OR = 1.57, 95% CI = 1.25, 1.96), younger adults (OR = 1.64, 95% CI = 1.15, 2.33), those who were married (OR = 1.65, 95% CI = 1.23, 2.22), those with higher education (OR = 2.21, 95% CI = 1.23, 3.99), those who had medical check-up in the last 12 months (OR = 1.86, 95% CI = 1.53, 2.25) and those with higher income (OR = 1.43, 95% CI = 1.04, 1.96) were more likely to utilise oral healthcare. Conclusion Understanding factors associated with utilisation of oral healthcare could help in formulating effective interventions to improve oral healthcare utilisation. Demographic and socioeconomic factors are strong determinants of oral healthcare utilisation in Malaysia. Appropriate interventions to strengthen the existing programmes aimed to promote regular and timely oral health check-ups are needed to improve oral healthcare utilisation.

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Dental service utilisation among adults in a European developing country: findings from a national health survey

Cited by 15 publications

References 14 publications

Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan

Prevalence and correlates of dental service utilisation among a national general adult population sample in Sudan

Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis

Demographic and socioeconomic inequalities in oral healthcare utilisation in Malaysia: evidence from a national survey

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