Rossow I, Holst D
Institute of Community Dentistry, University of Oslo, Norway.
J Public Health Dent. 1991 Summer;51(3):152-7. doi: 10.1111/j.1752-7325.1991.tb02206.x.
The act relating to dental health service implied a reorganization of the public dental health services in Norway in 1984. The act intended to extend the target group of public dental health services and to achieve social and geographic equality in the distribution of dental health services among children and adolescents. The purpose of this study was to assess the degree to which these intentions had been fulfilled. The material comprised two nationwide, stratified, and randomly selected samples of 3,356 and 2,970 children and adolescents in the age group zero to 18 years. Data were collected in 1975 and 1985. Both the theoretical and the empirical models applied structural and individual resources to explain individual variation in use of dental health services. The results showed that the proportion of zero- to 18-year-olds who had seen a dentist within the past 12 months was higher in 1985 than in 1975 (81.7% and 75.8%, respectively). Bivariate and trivariate table analyses showed that statistically significant associations between structural resources and use of dental health services disappeared when controlling for a third variable. Use of dental health services among children and adolescents in Norway was not systemically influenced by the same factors, as was the use of dental health services in the adult population. Thus, the Public Dental Health Service in Norway seems to have had the capability of compensating for most of the discriminating effects that individual and structural factors may have on the use of dental health services both before and after the reorganization of the public dental health service.
1984年，一项与牙齿健康服务相关的法案意味着挪威公共牙齿健康服务的重组。该法案旨在扩大公共牙齿健康服务的目标群体，并在儿童和青少年中实现牙齿健康服务分配的社会和地理平等。本研究的目的是评估这些目标的实现程度。研究材料包括两个全国性的、分层的、随机抽取的样本，分别为3356名和2970名0至18岁的儿童和青少年。数据收集于1975年和1985年。理论模型和实证模型都应用了结构资源和个人资源来解释牙齿健康服务使用方面的个体差异。结果显示，1985年在过去12个月内看过牙医的0至18岁人群比例高于1975年（分别为81.7%和75.8%）。双变量和三变量表格分析表明，在控制第三个变量时，结构资源与牙齿健康服务使用之间的统计学显著关联消失。挪威儿童和青少年的牙齿健康服务使用情况不像成年人群那样受到相同因素的系统性影响。因此，挪威公共牙齿健康服务似乎有能力弥补个体和结构因素在公共牙齿健康服务重组前后可能对牙齿健康服务使用产生的大部分歧视性影响。
