关键词: Oral health service utilization Preschool children Universal health coverage

Mesh : Female Child Humans Child, Preschool Cross-Sectional Studies Child Health China / epidemiology Dental Caries / epidemiology therapy Health Services

来  源:   DOI:10.1186/s12903-023-03350-y   PDF(Pubmed)

Abstract:
This study aimed to investigate the utilization patterns and factors related to oral health care for 5-year-old preschoolers based on Andersen\'s Behavioural Model in Guizhou Province, Western China.
A cross-sectional study of 4,862 5-year-old preschoolers in 66 kindergartens was conducted in 2019 and 2020. A basic oral examination and a survey of parents and grandparents were conducted to gather data on oral health services. The results were analysed using chi-square tests and logistic regression analysis.
The utilization rate of oral health services for children in Guizhou province was 20.5%. The dmft was 4.43, and the rate of caries was 72.2%. The average cost of a dental visit was higher in rural areas and higher for girls. Logistic regression analysis revealed that dmft ≥ 6 teeth, a history of toothache, starting toothbrushing at age ≤ 3 years and limited parental knowledge were the primary factors impacting dental visits.
Needs factors such as severe oral conditions and pain in children are the main reasons for the utilization of these services. This study underscores the urgency to actively promote the importance of oral health and expand insurance coverage for oral health services.
摘要:
背景:本研究旨在基于Andersen行为模型调查贵州省5岁学龄前儿童口腔保健的利用模式和相关因素。中国西部。
方法:在2019年和2020年对66所幼儿园的4,862名5岁学龄前儿童进行了横断面研究。进行了基本的口腔检查以及对父母和祖父母的调查,以收集有关口腔保健服务的数据。结果采用卡方检验和logistic回归分析。
结果:贵州省儿童口腔保健服务利用率为20.5%。dmft为4.43,龋齿率为72.2%。农村地区的牙科平均费用较高,女孩的平均费用较高。Logistic回归分析显示dmft≥6颗牙齿,牙痛史,在≤3岁时开始刷牙和父母知识有限是影响牙科就诊的主要因素.
结论:儿童的严重口腔疾病和疼痛等需求因素是使用这些服务的主要原因。这项研究强调了积极促进口腔健康的重要性并扩大口腔健康服务保险范围的紧迫性。
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