Guiney H, Woods N, Whelton H, Morgan K
Oral Health Services Research Centre, Cork Dental School and Hospital, University College Cork, Ireland.
Community Dent Health. 2011 Dec;28(4):269-73.
The objective of this study was to identify the predictors of utilisation of dental care services in Ireland.
The 2007 Irish Survey of Lifestyle, Attitudes and Nutrition is a cross-sectional study, conducted in 2006/2007 (n = 10,364), by interviews at home to a representative sample of adults aged 18 years or over.
Multivariate logistic regression was used to investigate the influence of socioeconomic, predisposing and enabling factors on the odds of males and females having a dental visit in the past year.
The significant predictors of visiting the dentist in the past year were for males: having 3rd level education, employment status, earning 50,000 euros or more, location of residence, use of a car, brushing frequently, and dentition status. For females, the predictors were being between 25-34 or 55-64 years-old, education level, earning 50,000 euros or more, location of residence, use of a car, brushing frequently and dentition status.
Predictors of the use of dental services vary by gender. Predictors common to both genders were education level, higher income, location of residence, use of a car, brushing frequently and dentition status. Many of the predictors of dental visiting in the past year are also related to social inequalities in health. These predictors may be useful markers of impact for policies designed to address inequalities in access to oral health services.
本研究的目的是确定爱尔兰牙科护理服务利用情况的预测因素。
2007年爱尔兰生活方式、态度与营养调查是一项横断面研究，于2006/2007年进行（n = 10364），通过对18岁及以上成年人的代表性样本进行上门访谈。
采用多变量逻辑回归来研究社会经济、易患因素和促成因素对过去一年中男性和女性看牙医几率的影响。
过去一年中看牙医的显著预测因素，对男性而言包括：接受第三级教育、就业状况、收入5万欧元或以上、居住地点、使用汽车、经常刷牙以及牙列状况。对女性而言，预测因素包括年龄在25 - 34岁或55 - 64岁之间、教育水平、收入5万欧元或以上、居住地点、使用汽车、经常刷牙以及牙列状况。
牙科服务利用情况的预测因素因性别而异。两性共有的预测因素包括教育水平、较高收入、居住地点、使用汽车、经常刷牙以及牙列状况。过去一年中看牙医的许多预测因素也与健康方面的社会不平等有关。这些预测因素可能是旨在解决口腔卫生服务获取不平等问题的政策影响的有用指标。
