Skaret Erik, Raadal Magne, Kvale Gerd, Berg Einar
Center for Odontophobia, Faculty of Odontology, University of Bergen, Norway.
Eur J Oral Sci. 2003 Oct;111(5):377-82. doi: 10.1034/j.1600-0722.2003.00072.x.
The present study had the following aims: (i): to evaluate the utilization of dental care among young adults during the age period from 18 to 23 yr; and (ii) to explore possible characteristics at the age of 18 yr that may predict non-utilization of dental care at the age of 23 yr. Respondents from a random sample of adolescents that had been surveyed at the age of 18 yr (n = 968) were surveyed again at the age of 23 yr. The data were based on (1) baseline data collected at the age 18 yr, and (2) a questionnaire mailed to the same subjects at the age of 23 yr. The response rate was 69%. The time since the last dental appointment at the age of 23 yr was longer for men than for women. Of the 2% that had not been to the dentist for the last 5 yr or more, the majority were men (69%). Multivariate logistic regression analyses showed that the following characteristics at the age of 18 yr were predictive of being included in a non-utilization group (n = 45) at the age of 23 yr: multiple fears (odds ratio (OR) = 3.0), treatment at the age of 18 yr not completed (OR = 2.5), and high dental anxiety (OR = 2.0 for women and OR = 1.2 for men). These gender differences may influence future strategies for prevention of dropout from care and possible interventions aimed at bringing adolescents back to regular dental care.
（i）评估18至23岁年轻成年人的牙科护理利用情况；（ii）探索18岁时可能预测23岁时未利用牙科护理的潜在特征。对18岁时接受过调查的青少年随机样本中的受访者（n = 968）在23岁时再次进行了调查。数据基于（1）18岁时收集的基线数据，以及（2）在23岁时邮寄给同一受试者的问卷。回复率为69%。23岁男性距离上次看牙的时间比女性更长。在过去5年或更长时间未看过牙医的2%人群中，大多数是男性（69%）。多因素逻辑回归分析表明，18岁时的以下特征可预测在23岁时被纳入未利用组（n = 45）：多种恐惧（比值比（OR）= 3.0）、18岁时治疗未完成（OR = 2.5）以及高度牙科焦虑（女性OR = 2.0，男性OR = 1.2）。这些性别差异可能会影响未来预防护理中断的策略以及旨在使青少年恢复定期牙科护理的可能干预措施。
