Adams T, Freeman R, Gelbier S, Gibson B
Dental Public Health Research Group, School of Clinical Dentistry, Queen's University of Belfast, UK.
Community Dent Health. 1997 Jun;14(2):108-12.
To investigate and identify factors that may influence individuals' ability to access primary health care services.
Cross-sectional study
Lambeth, Southwark and Lewisham.
A 0.1 per cent random sample of people aged 18 years and over in the population of 626,621 people in the three boroughs.
Demographic as well as psychosocial profile of the sample, perceptions of their dental health needs, accessed dental care.
The results indicated that people believed that their oral health was good. The majority of the sample had attended for dental care within the previous year and were registered with a general dental practitioner. Accessing dental care was related to age, social class, borough of residence, dentate status and dental phobia status. In addition subjects experiencing problems with their teeth gained access to care more readily than others. This was related to social class. Accessing dental care was predicted by dental care being provided by a general dental practitioner, experiencing problems with teeth and not being dentally phobic.
The findings suggest that psychosocial factors together with dental health status can act as determinants when accessing primary dental services. It is considered that family health services authorities should be aware of these influences when developing and monitoring dental health services, in order to make them responsive and sensitive to the needs of the people whom they serve.
调查并确定可能影响个人获得初级卫生保健服务能力的因素。
横断面研究
兰贝斯、南华克和刘易舍姆
在这三个行政区626,621人的人口中，抽取18岁及以上人群的0.1%作为随机样本。
样本的人口统计学和社会心理概况、对其牙齿健康需求的认知、获得的牙科护理。
结果表明，人们认为自己的口腔健康状况良好。大多数样本在过去一年中接受过牙科护理，并在普通牙科医生处登记。获得牙科护理与年龄、社会阶层、居住行政区、牙齿状况和牙科恐惧症状况有关。此外，牙齿有问题的受试者比其他人更容易获得护理。这与社会阶层有关。由普通牙科医生提供牙科护理、牙齿有问题且没有牙科恐惧症可预测获得牙科护理的情况。
研究结果表明，社会心理因素与牙齿健康状况在获得初级牙科服务时可作为决定因素。人们认为，家庭健康服务当局在制定和监督牙科健康服务时应意识到这些影响，以便使其对所服务人群的需求做出响应并保持敏感。
