Department of Social and Preventive Medicine, Université Laval, Rue de l'Espinay, Quebec, Canada.
J Public Health Dent. 2013 Winter;73(1):32-40. doi: 10.1111/jphd.12003. Epub 2012 Dec 5.
The study aims to identify barriers to annual dental visits in the Belgian population.
We conducted a secondary analysis of data collected through the 2004 National Health Interview Survey in Belgium. Only respondents aged 15 years and older with complete information on dental consultations and the independent variables (n = 5940) were considered in this analysis. The associations between the lack of dental visits during the 12 months preceding the survey and covariates of interest were examined using a multivariable logistic regression analysis.
Almost one-half of the respondents (49.7 percent) did not visit a dentist in the 12 months prior to the survey. Region of residence was significantly the common variable for the three age categories. In the 15- to 34-year-old category, males and two-person households were significantly less likely to report a dental visit during the 12 months preceding the survey. For the 35- to 54-year-old category, a low level of education was the covariate associated with the lack of dental visit. In the 55 years or older category, the factors associated with the lack of a dental visit in the 12 months prior to the survey were: male gender, low level of education, low household income, low weekly alcohol consumption, current smoker, and body mass index of ≥ 25 mg/kg(2).
Barriers to dental visits in Belgium differ among age groups and are linked to personal and environmental factors. The findings confirm the existence of social health inequalities in dental visits among Belgian people.
本研究旨在确定比利时人群中年度牙科就诊的障碍因素。
我们对 2004 年比利时全国健康访谈调查所收集的数据进行了二次分析。仅纳入了在调查前 12 个月内有完整牙科就诊信息和相关自变量信息的 15 岁及以上受访者(n=5940)进行此项分析。采用多变量逻辑回归分析,对调查前 12 个月内未进行牙科就诊与感兴趣的协变量之间的关联进行了评估。
将近一半的受访者(49.7%)在调查前 12 个月内未看牙医。居住地区是三个年龄组共有的显著变量。在 15-34 岁年龄组中,男性和两人家庭在调查前 12 个月内看牙医的可能性明显较低。在 35-54 岁年龄组中,低教育水平是与未进行牙科就诊相关的协变量。在 55 岁及以上年龄组中,与调查前 12 个月内未进行牙科就诊相关的因素包括:男性、低教育水平、低家庭收入、低周饮酒量、当前吸烟者以及体重指数≥25mg/kg(2)。
比利时牙科就诊的障碍因素在不同年龄组之间存在差异,并与个人和环境因素有关。这些发现证实了比利时人群在牙科就诊方面存在社会健康不平等现象。