Jaidee Jeeratip, Ratanasiri Amornrat, Chatrchaiwiwatana Supaporn, Soonthon Surasak
J Med Assoc Thai. 2015 Jul;98 Suppl 6:S73-80.
The present study aimed to find out the utilization prevalence of dental care services among factory workers over a period of one year and factors associated with utilization of dental care services.
This was a cross-sectional analytic study. The study population was factory workers in Nava Nakorn Industrial Estate randomly sampled using Probability Proportion to Size Cluster Sampling Method. The tool was a questionnaire about utilization of dental care services.
Among the sample group of 1,500 workers from 16 factories, almost 2/3 (63.9%) had never used any dental care services in the previous year while only 36.1% did. A multivariable logistic regression analysis showed that workplace, accommodation, tooth decay, toothache history, transportation, experience in using social security fund for dental care services, availability and accessibility of dental care services, brushing teeth regularly after meals, using dental care services regularly in a dental clinic, and agreement with the idea that a tooth extraction and medication by a dentist could reduce the risk of progression of disease, statistical significance (p-value < 0.05), were factors associated with the utilization of dental care services at R2 (The Nagelkerke R Square) 0.38.
That the prevalence of the factory workers who did not use dental care services during the last one year was 63.9 percent. This study identified three groups of factors associated with the utilization of dental care services as: 1) Predisposing factors, 2) Enabling factors, and 3) Need factors.
本研究旨在了解工厂工人在一年时间内牙科护理服务的使用 prevalence 以及与牙科护理服务使用相关的因素。
这是一项横断面分析研究。研究人群是纳瓦那空工业区的工厂工人，采用概率比例规模整群抽样方法进行随机抽样。工具是一份关于牙科护理服务使用情况的问卷。
在来自 16 家工厂的 1500 名工人样本组中，近三分之二（63.9%）的人在前一年从未使用过任何牙科护理服务，而只有 36.1%的人使用过。多变量逻辑回归分析表明，工作场所、住宿、龋齿、牙痛史、交通、使用社会保障基金支付牙科护理服务的经验、牙科护理服务的可获得性和可及性、饭后定期刷牙、在牙科诊所定期使用牙科护理服务以及认同拔牙和牙医用药可降低疾病进展风险等因素，具有统计学意义（p 值<0.05），是与牙科护理服务使用相关的因素，决定系数（Nagelkerke R 方）为 0.38。
过去一年未使用牙科护理服务的工厂工人 prevalence 为 63.9%。本研究确定了与牙科护理服务使用相关的三组因素：1） predisposing 因素，2） enabling 因素，3）需求因素。
