Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
Department of Social Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
Front Public Health. 2023 Sep 18;11:1244663. doi: 10.3389/fpubh.2023.1244663. eCollection 2023.
The aim of this paper is to assess the association of demografic and socioeconomic determinants with utilization of dental services among Serbian adults.
The study is a part of the population health research of Serbia, conducted in the period from October to December 2019 by the Institute of Statistics of the Republic of Serbia in cooperation with the Institute of Public Health of Serbia "Dr. Milan JovanovićBatut" and the Ministry of Health of the Republic of Serbia. The research was conducted as a descriptive, cross-sectional analytical study on a representative sample of the population of Serbia. For the purposes of this study, data on the adult population aged 20 years and older were used.
Men were approximately 1.8 times more likely than women to not utilize dental healthcare services (OR = 1.81). The likelihood of not utilizing dental healthcare protection rises with increasing age, reaching its peak within the 65-74 age range (OR = 0.441), after which it declines. Individuals who have experienced marital dissolution due to divorce or the death of a spouse exhibit a higher probability of not utilizing health protection (OR = 1.868). As the level of education and wealth diminishes, the probability of abstaining from health protection increases by 5.8 times among respondents with an elementary school education (OR = 5.852) and 1.7 times among the most economically disadvantaged respondents (OR = 1.745). Regarding inactivity, respondents who are not employed have a 2.6-fold higher likelihood of not utilizing oral health care compared to employed respondents (OR = 2.610).
The results suggest that individual sociodemographic factors influence utilization of dental services by Serbian adults and confirmed the existence of socioeconomic disparities.
本文旨在评估人口统计学和社会经济决定因素与塞尔维亚成年人利用牙科服务之间的关联。
该研究是塞尔维亚人口健康研究的一部分，于 2019 年 10 月至 12 月期间由塞尔维亚国家统计局与塞尔维亚公共卫生研究所“Milan JovanovićBatut 博士”和塞尔维亚共和国卫生部合作进行。该研究采用描述性、横断面分析方法，对塞尔维亚代表性人群样本进行研究。为了进行本研究，使用了年龄在 20 岁及以上的成年人群的数据。
男性利用牙科医疗保健服务的可能性比女性低约 1.8 倍（OR=1.81）。随着年龄的增长，不利用牙科医疗保健保护的可能性增加，在 65-74 岁年龄范围内达到峰值（OR=0.441），之后下降。因离婚或配偶去世而经历婚姻解体的个人，不利用健康保护的可能性更高（OR=1.868）。随着教育和财富水平的降低，具有小学教育程度的受访者不利用健康保护的可能性增加了 5.8 倍（OR=5.852），最经济弱势群体的受访者增加了 1.7 倍（OR=1.745）。就非活跃状态而言，与就业受访者相比，未就业受访者不利用口腔保健的可能性高 2.6 倍（OR=2.610）。
结果表明，个体社会人口统计学因素影响塞尔维亚成年人对牙科服务的利用，并证实了存在社会经济差异。
