Scheutz F, Heidmann J
Department of Community Oral Health and Pediatric Dentistry, Dental School, Faculty of Health Sciences, University of Aarhus, Denmark.
Acta Odontol Scand. 2001 Aug;59(4):201-11. doi: 10.1080/00016350152509201.
Our aim was to identify determinants of utilization of dental services among 20- to 34-year-old Danes as outlined in a conceptual framework. Our sample consisted of a sample of 464 individuals who had been interviewed by 10 experienced interviewers from The Danish National Institute of Social Research. Our questionnaire comprised a battery of questions based on our conceptual model. The analysis was done in a hierarchical manner using a framework with three steps: Predisposing factors --> Enabling factors --> Need factors --> Utilization. Associations were evaluated with multivariate logistic regression analysis and expressed as odds ratios. The following factors were significantly associated with irregular use of dental services: age, sex, exercise habits, cost of dental treatment, dental anxiety, and perceived condition of teeth. Our findings suggest that a strategy aiming to increase young people's dental attendance should focus on the transition period that is, when the youngsters leave the public dental health care system and have to make use of the private system. The strategy should also take into account that young men are more likely to become non-users. A concerted effort could be dedicated to the non-negligible group of individuals with dental anxiety and dental phobia.
我们的目标是按照一个概念框架来确定20至34岁丹麦人牙科服务利用情况的决定因素。我们的样本包括由丹麦国家社会研究所的10名经验丰富的访谈员访谈的464名个体。我们的问卷包含了一系列基于我们概念模型的问题。分析采用分层方式，使用一个包含三个步骤的框架进行： predisposing因素 --> 促成因素 --> 需要因素 --> 利用情况。通过多变量逻辑回归分析评估关联，并以优势比表示。以下因素与牙科服务使用不规律显著相关：年龄、性别、运动习惯、牙科治疗费用、牙科焦虑以及牙齿的感知状况。我们的研究结果表明，旨在提高年轻人看牙率的策略应关注过渡期，即年轻人离开公共牙科保健系统并不得不使用私人系统的时候。该策略还应考虑到年轻男性更有可能成为非使用者。可以共同努力关注有牙科焦虑和牙科恐惧症的不可忽视的人群。
