Department of Conservative Dentistry, University of Heidelberg, Heidelberg, Germany.
Community Dent Oral Epidemiol. 2012 Apr;40(2):164-74. doi: 10.1111/j.1600-0528.2011.00639.x. Epub 2011 Sep 6.
To describe variations in the utilization of dental services by persons aged 50+ from 14 European countries and to identify the extent to which such variations are attributable to differences in oral health need and in accessibility of dental care.
We use data from the Survey of Health, Ageing, and Retirement in Europe (SHARE Waves 2 and 3) and estimate a series of multivariate logistic regression models to analyze variations in dental service utilization (overall dental attendance, preventive treatment and/or operative treatment, dental attendance in early life years)
Overall dental attendance and incidence of solely preventive treatment are comparatively high in the Netherlands, Sweden, Denmark, Germany, and Switzerland. In contrast, overall dental attendance is relatively low in Spain, Italy, France, Greece, Poland, and Ireland. Moreover, a high incidence of solely operative treatment is observed in Austria, Italy, and France, whereas in the Netherlands, Sweden, Denmark, Switzerland, and Ireland, the incidence of solely operative treatment is comparably low. By and large, these variations persist even when controlling for cross-country differences in oral health need and in accessibility of dental care.
In comparison with other European regions, there is a tendency toward more frequent and preventive dental treatment of the elderly populations residing in Scandinavia and Western Europe. Such utilization patterns appear only partially attributable to differences in need for and accessibility of dental care.
描述 14 个欧洲国家 50 岁以上人群对牙科服务的利用情况的差异，并确定这些差异在多大程度上归因于口腔健康需求的差异和牙科保健的可及性。
我们使用来自欧洲健康、老龄化和退休调查（SHARE 波 2 和 3）的数据，并估计了一系列多变量逻辑回归模型，以分析牙科服务利用（总体牙科就诊、预防性治疗和/或手术治疗、早年牙科就诊）的差异。
总体而言，荷兰、瑞典、丹麦、德国和瑞士的整体牙科就诊率和单纯预防性治疗的发生率相对较高。相比之下，西班牙、意大利、法国、希腊、波兰和爱尔兰的整体牙科就诊率相对较低。此外，奥地利、意大利和法国的单纯手术治疗发生率较高，而荷兰、瑞典、丹麦、瑞士和爱尔兰的单纯手术治疗发生率则相对较低。总的来说，即使控制了口腔健康需求和牙科保健可及性的国家间差异，这些差异仍然存在。
与其他欧洲地区相比，居住在斯堪的纳维亚和西欧的老年人群体更倾向于更频繁地接受预防性牙科治疗。这种利用模式似乎部分归因于对牙科保健的需求和可及性的差异。
