Use of dental services among middle‐aged adults: predisposing, enabling and need variables

Singh, Kiran A.; Brennan, David S.

doi:10.1111/adj.12828

Cited by 8 publications

(6 citation statements)

References 37 publications

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“…The relationship between DFA and dental attendance was examined in 57 articles ( n = 15 pediatric, n = 42 adult). The avoidance of or infrequent dental visits were linked with higher levels of DFA in children and adolescents [ 3 , 7 , 45 , 50 , 110 , 121 , 148 , 155 , 156 , 157 , 158 , 159 ] as well as adults [ 4 , 8 , 21 , 39 , 40 , 54 , 57 , 61 , 62 , 63 , 65 , 66 , 101 , 102 , 125 , 126 , 129 , 131 , 133 , 135 , 136 , 138 , 140 , 142 , 160 , 161 , 162 , 163 , 164 , 165 , 166 , 167 , 168 , 169 , 170 , 171 , 172 , 173 ]. Sporadic dental attendance as a child, compared to regular attendance, was associated with incre...…”

Section: Resultsmentioning

confidence: 99%

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

Duker

Grager²,

Giffin

et al. 2022

IJERPH

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Dental fear and anxiety (DFA) is common across the lifespan and represents a barrier to proper oral health behaviors and outcomes. The aim of this study is to present a conceptual model of the relationships between DFA, general anxiety/fear, sensory over-responsivity (SOR), and/or oral health behaviors and outcomes. Two rounds of literature searches were performed using the PubMed database. Included articles examined DFA, general anxiety/fear, SOR, catastrophizing, and/or oral health behaviors and outcomes in typically developing populations across the lifespan. The relationships between the constructs were recorded and organized into a conceptual model. A total of 188 articles were included. The results provided supporting evidence for relationships between DFA and all other constructs included in the model (general anxiety/fear, SOR, poor oral health, irregular dental attendance, dental behavior management problems [DBMP], and need for treatment with pharmacological methods). Additionally, SOR was associated with general anxiety/fear and DBMP; general anxiety/fear was linked to poor oral health, irregular attendance, and DBMP. This model provides a comprehensive view of the relationships between person factors (e.g., general anxiety/fear, SOR, and DFA) and oral health behaviors and outcomes. This is valuable in order to highlight connections between constructs that may be targeted in the development of new interventions to improve oral health behaviors and outcomes as well as the experience of DFA.

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Section: Resultsmentioning

confidence: 99%

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

Duker

Grager²,

Giffin

et al. 2022

IJERPH

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“…Previous research that has used the Andersen model to assess socioeconomic disparities in the utilization of dental services has shown that enabling factors are key predictors [30]. Significant socioeconomic predictors included income [31][32][33][34][35][36][37], education [32,33,[35][36][37][38][39][40][41][42], wealth [32,41], dental health insurance coverage [32,35,40,43,44], and social support [28,34,43]. One study in Saudi Arabia used the Andersen model to investigate the utilization of dental services but only among children [45].…”

Section: Using the Andersen Healthcare Utilization Model As A Theoret...mentioning

confidence: 99%

Socioeconomic inequalities in the utilization of dental services among adults in Saudi Arabia

et al. 2022

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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 This cross-sectional study was a 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 household and one individual interview. The questions covered 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 in the past year; predisposing, enabling and need factors were independent variables. 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 8535 adults (response rate = 95.4%). Twenty percent of adults had visited the dentist at least once in the past year (95% CI 18–21%). There were socioeconomic inequalities in dental utilization. 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) were significant predictors in the final regression model along with perceived need for dental treatment (OR 52.09, p < 0.001). Conclusion Socioeconomic inequalities in the utilization of dental services exist in Saudi Arabia. The need for treatment was the strongest predictor 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.

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“…A deeper understanding of the different barriers affecting access to and use of dental services is necessary to achieve this (4). The affordability of dental treatments has been largely recognized as one of the leading reasons why many adults delay or avoid the use of dental services (5,6). Although research suggests that affordability is a substantial barrier to using dental services, there is little evidence of progress toward ensuring that dental services are affordable (6).…”

Section: Introductionmentioning

confidence: 99%

Do dental anxiety and satisfaction with dental professionals modify the association between affordability and dental service use? A population‐based longitudinal study of Australian adults

Shahid,

Tadakamadla,

Kroon

et al. 2024

J Public Health Dent

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ObjectivesThis study aimed to assess the association between affordability in terms of difficulty paying dental bills in Australian dollars and dental service use in the presence of sociodemographic confounders, and to assess the role of dental anxiety and satisfaction with dental professionals as mediators. The second aim was to investigate how dental anxiety and satisfaction with dental professionals modify the association between affordability and use of dental services in Australian adults.MethodsLongitudinal data from the Australian National Study of Adult Oral Health (2004–06 and 2017–18) was used. Poisson regression and path analysis were conducted to determine the association between affordability and frequency of use of dental services. Effect measure modification (EMM) analysis was performed by stratification of dental anxiety and satisfaction with dental professionals.ResultsThe study included 1698 Australian adults and identified that the prevalence of low frequency of dental visits was 20% more for those who had difficulty paying dental bills. Adults with dental anxiety (prevalence ratio [PR] = 1.14) and those who were dissatisfied with dental professionals (PR = 1.17) had a higher prevalence of low frequency of dental visits in the presence of difficulty paying dental bills. This indicated that dental anxiety and dissatisfaction with dental professionals were effect modifiers on this pathway.ConclusionsAdults who experience dental anxiety and dissatisfaction with dental professionals are more likely to avoid dental visits when faced with difficulty paying dental bills. However, it is important to note that these associations do not necessarily imply a causal relationship.

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Use of dental services among middle‐aged adults: predisposing, enabling and need variables

Cited by 8 publications

References 37 publications

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

Socioeconomic inequalities in the utilization of dental services among adults in Saudi Arabia

Do dental anxiety and satisfaction with dental professionals modify the association between affordability and dental service use? A population‐based longitudinal study of Australian adults

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