McCunniff M D, Damiano P C, Kanellis M J, Levy S M
Department of Dental Public Health, University of Missouri-Kansas City School of Dentistry, USA.
Pediatr Dent. 1998 May-Jun;20(3):181-7.
This cross-sectional study examined whether referrals from nondental health professionals impacted utilization of dental services by low-income populations.
A sample of 309 mothers enrolled in the Women, Infant, and Children (WIC) clinic in Jackson County, Missouri, completed a self-administered, 32-item questionnaire to assess the mother and child's oral health behavior and past use of dental services. Dental utilization, the primary dependent variable, was defined as whether or not the child had ever been to a dentist.
Findings showed 27% of the children in the sample had been referred for dental care. Bivariate analysis indicated that a dental referral, age of the child, age of the mother, mother's perceived dental need for the child, household size, number of children in the household, and dental insurance for the child were associated with a child having a dental visit. Logistic regression, however, indicated that only age was significantly related to utilization.
The results showed a strong effect of increasing age being related to dental utilization, while additional research is needed to clarify the importance of WIC referrals.
本横断面研究探讨了非牙科保健专业人员的转诊是否会影响低收入人群对牙科服务的利用情况。
对密苏里州杰克逊县妇女、婴儿和儿童（WIC）诊所登记的309名母亲进行抽样，她们完成了一份32项的自填式问卷，以评估母亲和孩子的口腔健康行为以及过去对牙科服务的使用情况。牙科服务利用情况作为主要因变量，定义为孩子是否曾看过牙医。
研究结果显示，样本中的27%的儿童曾被转诊接受牙科护理。双变量分析表明，牙科转诊、孩子年龄、母亲年龄、母亲对孩子牙齿需求的认知、家庭规模、家庭中的孩子数量以及孩子的牙科保险与孩子看牙医有关。然而，逻辑回归分析表明，只有年龄与牙科服务利用情况显著相关。
结果表明年龄增长与牙科服务利用情况之间存在强烈关联，同时需要进一步研究以阐明WIC转诊的重要性。
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