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Abstract：
BACKGROUND: The Gonds are a highly ancient and expansive tribal community, ranking among the largest in the world. A review of the literature has suggested that they are more vulnerable to oral diseases and are less inclined to utilize oral health services due to the comprehensive approach that considers the socioeconomic, cultural, and structural factors affecting the Gond community\'s access to oral health services. Tribal health requires action in the health sector. Utilization is an essential marker of the health status of any population and is necessary to bridge the gap between tribes and the wider portion of the community. Hence, this study was conducted among the Gond tribes of Chhattisgarh to evaluate the oral healthcare utilization factors shaping the perceived oral health outcome using Andersen\'s behavior model.
METHODS: This cross-sectional study was carried out among 400 Gond tribes residing in villages of Chhattisgarh. Data was collected through a standardized questionnaire, adapted from Andersen\'s behavioral model of healthcare utilization during house-to-house survey. The questionnaire included predisposing, enabling, perceived, and evaluated need factors. Oral health status for evaluated need was assessed using the World Health Organization (WHO) Oral Health Assessment form (1997), and the perceived oral health outcome was measured using Oral Health Impact Profile-14 (OHIP-14). Results were computed using descriptive statistics, chi-square test, and one-way analysis of variance (ANOVA). Multivariate analysis was done using binomial logistic regression.
RESULTS: The dental visit in the past one year was only 14%. The findings of logistic regression revealed that the perceived oral health outcome was significantly associated with age, occupation, and positive belief in the efficacy of dentist, perceived need, and presence of dental caries.
CONCLUSIONS: The findings of the present study support Andersen\'s behavioral model and suggest that there is an interrelationship of predisposing characters, predisposing health beliefs, and enabling need factors that determine the likelihood of use of services, which in turn determines the good or bad oral health outcome.
METHODS: This cross-sectional study was carried out among 400 Gond tribes residing in villages of Chhattisgarh. Data was collected through a standardized questionnaire, adapted from Andersen\'s behavioral model of healthcare utilization during house-to-house survey. The questionnaire included predisposing, enabling, perceived, and evaluated need factors. Oral health status for evaluated need was assessed using the World Health Organization (WHO) Oral Health Assessment form (1997), and the perceived oral health outcome was measured using Oral Health Impact Profile-14 (OHIP-14). Results were computed using descriptive statistics, chi-square test, and one-way analysis of variance (ANOVA). Multivariate analysis was done using binomial logistic regression.
RESULTS: The dental visit in the past one year was only 14%. The findings of logistic regression revealed that the perceived oral health outcome was significantly associated with age, occupation, and positive belief in the efficacy of dentist, perceived need, and presence of dental caries.
CONCLUSIONS: The findings of the present study support Andersen\'s behavioral model and suggest that there is an interrelationship of predisposing characters, predisposing health beliefs, and enabling need factors that determine the likelihood of use of services, which in turn determines the good or bad oral health outcome.
摘要：
背景：贡德是一个非常古老和广阔的部落社区，位居世界第一。对文献的回顾表明，他们更容易受到口腔疾病的影响，并且由于考虑到社会经济，文化,以及影响Gond社区获得口腔健康服务的结构性因素。部落卫生需要卫生部门采取行动。利用是任何人口健康状况的重要标志，也是弥合部落与社区广大地区之间差距的必要条件。因此，这项研究是在恰蒂斯加尔邦的Gond部落中进行的，目的是使用Andersen的行为模型评估口腔保健利用因素影响口腔健康的感知结果。
方法：这项横断面研究是在居住在Chhattisgarh村庄的400个Gond部落中进行的。数据是通过标准化问卷收集的，改编自安徒生在挨家挨户调查中的医疗保健利用行为模型。问卷包括易感因素，启用，感知，并评估了需求因素。使用世界卫生组织（WHO）口腔健康评估表（1997年）评估了评估需求的口腔健康状况，使用口腔健康影响概况14（OHIP-14）测量感知的口腔健康结果。结果采用描述性统计，卡方检验,和单向方差分析(ANOVA)。采用二项logistic回归进行多因素分析。
结果：过去一年的牙科就诊率只有14%。Logistic回归的结果显示，感知的口腔健康结果与年龄显着相关，职业,以及对牙医疗效的积极信念，感知到的需要，和龋齿的存在。
结论：本研究的结果支持安德森的行为模型，并表明易感特征之间存在相互关系，易感的健康信念，并启用确定使用服务可能性的需求因素，这反过来又决定了口腔健康结果的好坏。
方法：这项横断面研究是在居住在Chhattisgarh村庄的400个Gond部落中进行的。数据是通过标准化问卷收集的，改编自安徒生在挨家挨户调查中的医疗保健利用行为模型。问卷包括易感因素，启用，感知，并评估了需求因素。使用世界卫生组织（WHO）口腔健康评估表（1997年）评估了评估需求的口腔健康状况，使用口腔健康影响概况14（OHIP-14）测量感知的口腔健康结果。结果采用描述性统计，卡方检验,和单向方差分析(ANOVA)。采用二项logistic回归进行多因素分析。
结果：过去一年的牙科就诊率只有14%。Logistic回归的结果显示，感知的口腔健康结果与年龄显着相关，职业,以及对牙医疗效的积极信念，感知到的需要，和龋齿的存在。
结论：本研究的结果支持安德森的行为模型，并表明易感特征之间存在相互关系，易感的健康信念，并启用确定使用服务可能性的需求因素，这反过来又决定了口腔健康结果的好坏。
