Christensen Lisa B, Petersen Poul E, Steding-Jessen Marianne
Department for Community Dentistry and Graduate Studies, University of Copenhagen, Copenhagen, Denmark.
Eur J Oral Sci. 2007 Jun;115(3):174-9. doi: 10.1111/j.1600-0722.2007.00453.x.
The purpose of the present study was to measure the consumption of dental services among adults in Denmark and to analyze at what level socio-demographic/socio-economic factors influence dental attendance and oral examinations. A sample of 10% of the total population of 18 yr or older was randomly drawn from a population register, based on a cross-sectional design. Information on the use of dental services was retrieved from public registers along with data on gender, age-group, regions, ethnicity, education, marital status, and income. In addition, a cohort of persons was drawn from the sample in 1999 including only persons who were registered as residents in Denmark from 1999 to 2003. Over time, an increase in the number of dental visits and oral examinations was found among persons older than 45 yr, whereas a decrease was observed in the younger age-groups. Logistic regression analysis was applied to determine the effect of various variables on the experience of dental visits and oral examinations, and relatively high odds for dental attendance and oral examinations was found for the following: younger adults; women; married persons; high income; high education; and persons of Danish origin. The present dental healthcare system does not yet seem to have established mechanisms to address social inequalities in the consumption of dental services.
本研究的目的是衡量丹麦成年人的牙科服务消费情况,并分析社会人口统计学/社会经济因素在何种程度上影响看牙就诊率和口腔检查。基于横断面设计,从人口登记册中随机抽取了18岁及以上总人口的10%作为样本。关于牙科服务使用情况的信息以及性别、年龄组、地区、种族、教育程度、婚姻状况和收入数据均从公共登记册中获取。此外,1999年从样本中抽取了一组人群,仅包括1999年至2003年在丹麦登记为居民的人。随着时间的推移,发现45岁以上人群的看牙就诊次数和口腔检查次数有所增加,而较年轻年龄组则出现下降。应用逻辑回归分析来确定各种变量对看牙就诊和口腔检查体验的影响,结果发现以下人群看牙就诊率和口腔检查率相对较高:较年轻的成年人;女性;已婚人士;高收入者;高学历者;以及丹麦裔人士。目前的牙科医疗体系似乎尚未建立解决牙科服务消费中社会不平等问题的机制。