Lo E C, Schwarz E
Faculty of Dentistry, University of Hong Kong, Hong Kong.
J Public Health Dent. 1998 Summer;58(3):220-7. doi: 10.1111/j.1752-7325.1998.tb02997.x.
The aim of this research was to study the major determinants for dental services utilization among middle-aged Hong Kong Chinese in a longitudinal study using an expanded Andersen and Newman model as the theoretical framework.
A random sample of 372 middle-aged Hong Kong Chinese were interviewed and clinically examined in an oral health survey. The findings were explained to the subjects and they were advised to seek care from their own dentist as appropriate.
A total of 322 subjects were interviewed over the telephone after 12 months. About half had visited a dentist within the study period. Results of the bivariate analysis showed that proportionally more subjects who had dental benefit coverage, had prevention-oriented attitudes, were regular users of dental services, had received counseling from a dentist, or had more filled teeth at the baseline examination had visited a dentist within the study period. Logistic regression analysis produced a final model consisting of seven factors and three interaction terms that was able to classify 68 percent of the subjects into the correct user category.
The expanded Andersen and Newman model was useful as a theoretical framework in studying the dental services utilization behaviors of the Hong Kong adults.
本研究旨在以扩展的安德森和纽曼模型为理论框架，通过纵向研究探讨香港中年华裔人群牙科服务利用的主要决定因素。
在一项口腔健康调查中，对372名香港中年华裔进行随机抽样访谈并进行临床检查。向受试者解释检查结果，并建议他们根据自身情况寻求自己牙医的治疗。
12个月后，通过电话对322名受试者进行了访谈。在研究期间，约一半的受试者看过牙医。双变量分析结果显示，在研究期间看过牙医的受试者比例较高，这些受试者享有牙科保险、持预防导向态度、是牙科服务的常规使用者、接受过牙医的咨询，或者在基线检查时有更多的补牙。逻辑回归分析得出了一个由七个因素和三个交互项组成的最终模型，该模型能够将68%的受试者正确分类到使用者类别。
扩展的安德森和纽曼模型作为一个理论框架，对于研究香港成年人的牙科服务利用行为是有用的。
