Factors associated with oral health service utilization among adults and older adults in China, 2015‐2016

Objectives To explore the factors associated with utilization of oral health services among Chinese adults and older adults according to the Andersen Behavior Model. Methods Data from the 4th National Oral Health Survey (2015‐2016) in China were used. A total of 7206 people (3669 adults aged 35‐44 y...

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Bibliographic Details
Published in:Community dentistry and oral epidemiology 2020-02, Vol.48 (1), p.32-41
Main Authors: Xu, Mengru, Cheng, Menglin, Gao, Xiaoli, Wu, Huijing, Ding, Min, Zhang, Chunzi, Wang, Xing, Feng, Xiping, Tai, Baojun, Hu, Deyu, Lin, Huancai, Wang, Bo, Wang, Chunxiao, Zheng, Shuguo, Liu, Xuenan, Rong, Wensheng, Wang, Weijian, Xu, Tao, Si, Yan
Format: Article
Language:English
Subjects:
adults
China
Dental insurance
dental service
Dentistry
Health services
Health services utilization
older adults
Older people
Oral hygiene
Regression analysis
Statistical analysis
Teeth
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Summary:Objectives To explore the factors associated with utilization of oral health services among Chinese adults and older adults according to the Andersen Behavior Model. Methods Data from the 4th National Oral Health Survey (2015‐2016) in China were used. A total of 7206 people (3669 adults aged 35‐44 years and 3537 older adults aged 65‐74 years) were included in our analysis. Oral health service utilization in the past 12 months was the outcome variable. Explanatory variables were selected according to the Andersen Behavior Model. Descriptive statistics and bivariate associations (chi‐square tests) were analysed, followed by hierarchical Poisson regression models, which were conducted to determine the factors associated with oral health service utilization. Results In total, 21.4% (95% CI: 19.4%‐23.7%) of adults (35‐44 years old) and 20.7% (95% CI: 18.6%‐22.9%) of older adults (65‐74 years old) utilized oral health services in the past 12 months. Nearly 80% of adults (78.7%, 95% CI: 74.0%‐82.7%) and more than 90% of older adults (93.7%, 95% CI: 91.0%‐95.6%) visited a dentist for treatment. Adults aged 35‐44 years old who were female (IRR: 1.15, 95% CI: 1.00‐1.33, P = .047), had good oral health knowledge and attitudes (IRR: 1.30, 95% CI: 1.06‐1.59, P = .011), perceived their oral health status as fair (IRR:1.51, 95% CI:1.24‐1.85, P 
ISSN:0301-5661
1600-0528
DOI:10.1111/cdoe.12497