从克尔曼健康中心就诊的家长视角调查儿童口腔和牙齿健康服务的获取障碍。
Investigating the access barriers to oral and dental health services for children from the perspective of parents attending the health centers of Kerman.
作者信息
Vali Leyla, Zare Zahra, Jahani Yones, Kalavani Khalil
机构信息
Associate Professor, Environmental Health Engineering Research Center, Department of Health Services Management, Kerman University of Medical Sciences, Kerman, Iran.
Ph.D. Candidate of Health Care Management, Department of Health Services Management, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Dent Res J (Isfahan). 2023 Apr 26;20:49. eCollection 2023.
BACKGROUND
Oral health plays a key role in people's overall health. Dental caries is the most important problem in children's oral health. Despite significant advances made in the area of oral health around the world, there is inequality in access to oral health within Iran and abroad, and this is considered a public health challenge. This study was conducted to investigate the access barriers to children's oral health services from the perspective of parents attending the health centers of Kerman, Iran.
MATERIALS AND METHODS
The present descriptive-analytical study was carried out, as a cross-sectional survey, on 410 parents of children living in Kerman, Iran. The data were collected by access barriers questionnaire, and then were analyzed by SPSS software using descriptive statistical methods and the multiple linear regression test. Confidence interval (CI) in this study was 95% (95% CI).
RESULTS
The most common access barrier to children's oral health was the high treatment cost. The access barriers to children's oral health services were significantly associated with parental education ( = 0.00), maternal employment ( = 0.04), supplementary insurance ( = 0.00), and family income ( = 0.01). Parental satisfaction was also significantly correlated to the child's sex ( = 0.04), supplementary insurance ( = 0.04), and number of filled teeth ( = 0.04). The mean score of parental satisfaction was 1.83 ± 0.34; within the range of 1-3 from satisfied to dissatisfied.
CONCLUSION
The cost of dental treatment services high and there are many barriers to accessing children's oral health.
背景
口腔健康在人们的整体健康中起着关键作用。龋齿是儿童口腔健康中最重要的问题。尽管全球口腔健康领域取得了显著进展，但伊朗国内外在获得口腔健康服务方面存在不平等现象，这被视为一项公共卫生挑战。本研究旨在从伊朗克尔曼健康中心儿童家长的角度调查儿童口腔健康服务的获取障碍。
材料与方法
本描述性分析研究作为一项横断面调查，对伊朗克尔曼410名儿童的家长进行。通过获取障碍问卷收集数据，然后使用SPSS软件采用描述性统计方法和多元线性回归检验进行分析。本研究的置信区间为95%（95%CI）。
结果
儿童口腔健康最常见的获取障碍是治疗费用高昂。儿童口腔健康服务的获取障碍与父母教育程度（=0.00）、母亲就业情况（=0.04）、补充保险（=0.00）和家庭收入（=0.01）显著相关。父母满意度也与孩子的性别（=0.04）、补充保险（=0.04）和补牙数量（=0.04）显著相关。父母满意度的平均得分为1.83±0.34；在1至3的范围内，从满意到不满意。
结论
牙科治疗服务费用高昂，获取儿童口腔健康存在诸多障碍。
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