Department of Dental Public Health, Faculty of Dental Medicine Universitas Airlangga, Surabaya, East Java, 60132, Indonesia.
Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
F1000Res. 2020 Jul 3;9:673. doi: 10.12688/f1000research.23698.2. eCollection 2020.
Despite high levels dental issues and insurance coverage in the East Java province Indonesia, the utilization of dental services is still low. This research aims to test whether certain individual-level sociodemographic, behavioural, and clinical characteristics influenced the current level of dental services utilization by East Java residents. A secondary analysis was undertaken using data on the East Java province from the Indonesian Basic Health Research 2013, which included 90,551 randomly selected respondents aged 5-100 years old. Socio-demographic characteristics (age, sex, education and residential location), dental behavior (tooth brushing habit), and clinical (dental) condition were self-reported through a questionnaire. Multivariable models were generated to estimate prevalence ratios (PR), and 95% confidence intervals (95% CI). Prevalence of dental service utilization during the last 12 months in East Java province is only 9 %. Respondents 25-<50 years old showed the highest utilization of dental services. Being male, having lower education and living in a district (as opposed to municipalities) were indicators for having lower utilization of dental treatment (PR [95% CI] = 0.81 [0.79-0.84], PR [95% CI] = 0.89 [0.86-0.93] and PR [95% CI] = 0.91 [0.88-0.95], respectively). Respondents with poor tooth brushing habit showed lower utilization of dental services. Having teeth was associated with higher utilization of dental treatment (PR [95% CI] = 1.39 [1.16-1.66). Age, sex, education and residential location influence the utilization of dental services among Indonesia's East Java residents. Poor tooth brushing habits and being edentulous are also indicators of lesser utilization. These results call for urgent public health interventions to increase equitable dental care services utilization.
尽管印度尼西亚东爪哇省的口腔问题和保险覆盖率很高，但牙科服务的利用率仍然很低。本研究旨在检验东爪哇居民的某些个体社会人口统计学、行为和临床特征是否会影响其当前的牙科服务利用水平。利用 2013 年印度尼西亚基本健康研究中来自东爪哇省的数据进行了二次分析，该研究包括 90551 名年龄在 5-100 岁之间的随机选择的受访者。通过问卷报告了社会人口统计学特征（年龄、性别、教育程度和居住地点）、口腔行为（刷牙习惯）和临床（口腔）状况。生成多变量模型来估计患病率比（PR）和 95%置信区间（95%CI）。东爪哇省在过去 12 个月内牙科服务的利用率仅为 9%。25-<50 岁的受访者显示出最高的牙科服务利用率。男性、受教育程度较低和居住在区（而非市）是牙科治疗利用率较低的指标（PR[95%CI]=0.81[0.79-0.84]，PR[95%CI]=0.89[0.86-0.93]和 PR[95%CI]=0.91[0.88-0.95]）。刷牙习惯差的受访者牙科服务利用率较低。有牙齿与更高的牙科治疗利用率相关（PR[95%CI]=1.39[1.16-1.66]）。年龄、性别、教育程度和居住地点会影响印度尼西亚东爪哇居民的牙科服务利用率。刷牙习惯差和无牙也是利用率较低的指标。这些结果呼吁紧急采取公共卫生干预措施，以增加公平的牙科保健服务利用率。
