Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, 4028 Debrecen, Hungary.
Department of Dental Public Health, Faculty of Dental Medicine, Universitas Airlangga, Surabaya 60286, Indonesia.
Int J Environ Res Public Health. 2020 Jul 22;17(15):5282. doi: 10.3390/ijerph17155282.
This study aimed to examine the prevalence of dental service utilisation in Indonesia and its association with social determinants at individual and community levels. Cross-sectional data from the 2014 Indonesian Family Life Survey (IFLS-5) was analysed. Individual independent variables included age, sex, marital status, educational attainment, economic status, health insurance, dental pain, self-reported mouth ulcers, self-rated health status, unmet healthcare needs and smoking status, while community independent variables included cognitive, structural social capital and residential area. Multilevel logistic regressions were performed to explore the associations between independent variables at different levels and the outcome of dental service utilisation. Of the total sample of 16,860 adults aged 15 years or older in our study, around 86.4% never visited a dentist. Dental service utilisation was associated with older age, female, currently not married, higher education level and economic status, health insurance, dental pain, self-reported mouth ulcers, met healthcare needs, never smoking, living in urban areas and communities with high structural social capital. Both individual and broader social determinants influenced dental service utilisation in Indonesia. These factors should be considered in the formulation of oral health policies and programmes aiming to improve dental service utilisation in the country.
本研究旨在探讨印度尼西亚牙科服务利用的流行情况及其与个体和社区层面社会决定因素的关联。对 2014 年印度尼西亚家庭生活调查（IFLS-5）的横断面数据进行了分析。个体自变量包括年龄、性别、婚姻状况、教育程度、经济状况、医疗保险、牙痛、自我报告的口腔溃疡、自我评估的健康状况、未满足的医疗保健需求和吸烟状况，而社区自变量包括认知、结构性社会资本和居住区域。采用多水平逻辑回归分析方法，探讨不同层次的自变量与牙科服务利用结局之间的关联。在本研究中，共有 16860 名 15 岁及以上的成年人，约 86.4%的人从未看过牙医。牙科服务的利用与年龄较大、女性、未婚、受教育程度较高和经济状况较好、医疗保险、牙痛、自我报告的口腔溃疡、满足医疗保健需求、从不吸烟、居住在城市地区和结构性社会资本较高的社区有关。个体和更广泛的社会决定因素都影响了印度尼西亚的牙科服务利用。在制定旨在改善该国牙科服务利用的口腔卫生政策和方案时，应考虑这些因素。
