Javali S B, Prasad K V, Tippeswamy V
Department of Public Health Dentistry, SDM College of Dental Sciences, Dharwad-462090, India.
Indian J Dent Res. 2003 Jan-Mar;14(1):7-12.
The study was undertaken to identify the factors influential in determining the demand for oral health care in the surveyed households of Dharwad city. Karnataka during May-July 2001. Dharwad city was divided into nine divisions in 1991 census, in which four divisions were selected at random. A sample of 70 households was selected randomly from each division. A total of 1381 persons from 280 households only 208 persons were reported with various oral health problems during reference period of study. A significant positive relationship was observed between oral health care expenditure with the total number of visits (r = 0.4160, P < 0.01), the education of the sick person (r = 0.1983, p < 0.05), and the highest level of education among females (r = 0.1475, P < 0.05) and a significant negative relationship was observed between time gap between onset of disease and contact of health care centre (r = -0.1449, P < 0.05) and family size (r = -0.1518, P < 0.05) with expenditure. Path analysis results showed that, the duration of illness episode, the total number of visits to source of care during the reference period and distance between health care from the residence of the households (in km) are important variables in explaining increased oral health care expenditure.
该研究旨在确定影响2001年5月至7月期间卡纳塔克邦达尔瓦德市被调查家庭口腔保健需求的因素。在1991年的人口普查中，达尔瓦德市被划分为9个分区，从中随机选取了4个分区。从每个分区中随机选取70户家庭作为样本。在280户家庭的1381人中，在研究参考期间，只有208人报告有各种口腔健康问题。观察到口腔保健支出与就诊总次数（r = 0.4160，P < 0.01）、患者教育程度（r = 0.1983，p < 0.05）、女性最高教育水平（r = 0.1475，P < 0.05）之间存在显著正相关，而疾病发作与联系医疗中心的时间间隔（r = -0.1449，P < 0.05）和家庭规模（r = -0.1518，P < 0.05）与支出之间存在显著负相关。路径分析结果表明，疾病发作持续时间、参考期间内到医疗机构就诊的总次数以及医疗机构与家庭住所之间的距离（以公里为单位）是解释口腔保健支出增加的重要变量。
