Department of Dental Technology, The Nippon Dental University College, Tokyo 102-8159, Japan.
Division of Disease Control and Epidemiology, School of Dentistry, Health Sciences University of Hokkaido, Tobetsu 061-0293, Hokkaido, Japan.
Int J Environ Res Public Health. 2022 Aug 23;19(17):10479. doi: 10.3390/ijerph191710479.
Dental healthcare systems may differ between countries; however, having a family dentist is generally important for proper oral health management. This study aims to analyze the proportion of people in Japan who have a family dentist, and their characteristics. A nationwide web-based survey with 3556 participants (1708 men and 1848 women) showed that 45.6% of men and 54.1% of women had a family dentist (FD group). A multiple logistic regression analysis revealed that men in the FD group mostly belonged to older age groups (≥70 s, OR: 2.41), received higher household incomes (≥8000 K JPY, OR: 1.47), brushed their teeth three or more times daily (OR: 1.60), practiced habitual interdental cleaning (OR: 3.66), and fewer lived in rural areas (towns and villages, OR: 0.52). Regarding the women, the majority belonged to older age groups (60 s, OR: 1.52; ≥70 s, OR: 1.73), practiced habitual interdental cleaning (OR: 3.68), and fewer received lower household incomes (<2000 K JPY, OR: 0.61). These results suggest that despite Japan being a country with a public insurance coverage system for both men and women, having a family dentist is associated with disparities in individual socioeconomic factors, particularly age and household income.
牙科保健系统在各国之间可能存在差异;然而,拥有家庭牙医通常对于口腔健康管理很重要。本研究旨在分析日本拥有家庭牙医的人口比例及其特征。一项针对 3556 名参与者(男性 1708 人,女性 1848 人)的全国性网络调查显示,45.6%的男性和 54.1%的女性有家庭牙医(FD 组)。多因素逻辑回归分析显示,FD 组中的男性大多属于年龄较大的人群(≥70 岁,OR:2.41),家庭收入较高(≥8000 KJPY,OR:1.47),每天刷牙 3 次或以上(OR:1.60),习惯使用牙间清洁(OR:3.66),且较少居住在农村地区(城镇和村庄,OR:0.52)。对于女性,大多数属于年龄较大的人群(60 岁,OR:1.52;≥70 岁,OR:1.73),习惯使用牙间清洁(OR:3.68),且家庭收入较低(<2000 KJPY,OR:0.61)。这些结果表明,尽管日本是一个为男性和女性都提供公共保险覆盖制度的国家,但拥有家庭牙医与个人社会经济因素的差异有关,特别是年龄和家庭收入。