Pradeep Y, Chakravarty Kalyan K, Simhadri Kavya, Ghenam Alexis, Naidu Guntipalli M, Vundavalli Sudhakar
Department of Public Health Dentistry, R. V. S. Dental College, Kannampalayam, Coimbatore, Tamil Nadu, India.
Department of Prosthodontics, Vishnu Dental College, Bhimavaram, India.
J Int Soc Prev Community Dent. 2016 Aug;6(Suppl 2):S116-21. doi: 10.4103/2231-0762.189737.
To identify the relation between need, demand, and effective demand for dental services in Andhra Pradesh, India.
This is a cross-sectional study performed among populations residing in the rural and urban areas of Krishna district, Andhra Pradesh, India. Data were collected from 3102 individuals who were selected through multiphase random sampling. Data regarding self-perceived dental need, dental service utilization, and barriers for utilization were collected through s pretested questionnaire followed by type-III clinical examination to assess the normative need of the individuals. Chi-square test was used to compare independent and dependent variables, and further comparison was done with multivariate logistic regression analysis for significant variables.
Less than half (40%) of the participants perceived a need for dental care. Among the people who perceived need for care, only 21.4% utilized dental care and 78.6% of them had unmet dental needs. The two main reasons for not seeking dental care was lack of money, i.e., unaffordable dental treatment (48%) and having the perception that they do not have any dental problem (19.4%).
There is an enormous difference between normative need, demand, and actual utilization rates in dental care, and hindrances for effective demand need to be addressed to improve dental care delivery system.
确定印度安得拉邦牙科服务的需求、需求意愿与有效需求之间的关系。
这是一项针对印度安得拉邦克里希纳区农村和城市居民开展的横断面研究。通过多阶段随机抽样从3102名个体中收集数据。通过预先测试的问卷收集有关自我感知的牙科需求、牙科服务利用情况以及利用障碍的数据，随后进行III型临床检查以评估个体的规范需求。采用卡方检验比较自变量和因变量，并对显著变量进行多因素逻辑回归分析以作进一步比较。
不到一半（40%） 的参与者认为有牙科护理需求。在认为有护理需求的人群中，只有21.4%的人利用了牙科护理，其中78.6%的人有未满足的牙科需求。不寻求牙科护理的两个主要原因是缺钱，即负担不起牙科治疗费用（48%）以及认为自己没有任何牙齿问题（19.4%）。
牙科护理在规范需求、需求意愿和实际利用率之间存在巨大差异，需要解决有效需求的障碍以改善牙科护理提供系统。
