Abstract：
UNASSIGNED: This study investigates the association between dental insurance, income, and dental care access for Canadian children and youth aged 1 to 17 years. It contributes to a baseline understanding of oral health care use before the implementation of the Canadian Dental Care Plan (CDCP).
UNASSIGNED: This study used data from the 2019 Canadian Health Survey on Children and Youth (n=47,347). Descriptive statistics and logistic regression models were employed to assess the association of dental insurance, adjusted family net income, and other sociodemographic factors on oral health care visits and cost-related avoidance of oral health care.
UNASSIGNED: A large percentage of children under the age of 5 had never visited a dentist (79.8% of 1-year-olds to 16.4% of 4-year-olds). Overall, 89.6% of Canadian children and youth aged 5 to 17 had visited a dental professional within the past 12 months: 93.1% of those who were insured and 78.5% of those who were uninsured. Insured children and youth had a 4.5% cost-related avoidance of dental care, contrasting with 23.3% for uninsured children and youth. After adjustment for sociodemographic variables, children and youth with dental insurance were nearly three times more likely (odds ratio [OR]: 2.94; 95% confidence interval [CI]: 2.60 to 3.33) to have visited a dental professional in the past 12 months than uninsured children and youth. Having dental insurance (OR: 0.19; 95% CI: 0.16 to 0.21) was protective against barriers to seeing a dental professional because of cost. There was a strong income gradient for both dental service outcomes.
UNASSIGNED: The study emphasizes the significant association of dental insurance and access to oral health care for children and youth. It highlights a significant gap between insured and uninsured children and youth and points out the influence of sociodemographic and income factors on this disparity.
UNASSIGNED: This study used data from the 2019 Canadian Health Survey on Children and Youth (n=47,347). Descriptive statistics and logistic regression models were employed to assess the association of dental insurance, adjusted family net income, and other sociodemographic factors on oral health care visits and cost-related avoidance of oral health care.
UNASSIGNED: A large percentage of children under the age of 5 had never visited a dentist (79.8% of 1-year-olds to 16.4% of 4-year-olds). Overall, 89.6% of Canadian children and youth aged 5 to 17 had visited a dental professional within the past 12 months: 93.1% of those who were insured and 78.5% of those who were uninsured. Insured children and youth had a 4.5% cost-related avoidance of dental care, contrasting with 23.3% for uninsured children and youth. After adjustment for sociodemographic variables, children and youth with dental insurance were nearly three times more likely (odds ratio [OR]: 2.94; 95% confidence interval [CI]: 2.60 to 3.33) to have visited a dental professional in the past 12 months than uninsured children and youth. Having dental insurance (OR: 0.19; 95% CI: 0.16 to 0.21) was protective against barriers to seeing a dental professional because of cost. There was a strong income gradient for both dental service outcomes.
UNASSIGNED: The study emphasizes the significant association of dental insurance and access to oral health care for children and youth. It highlights a significant gap between insured and uninsured children and youth and points out the influence of sociodemographic and income factors on this disparity.
摘要：
■本研究调查了牙科保险，收入,加拿大1至17岁儿童和青少年的牙科护理服务。在实施加拿大牙科保健计划（CDCP）之前，它有助于对口腔保健使用的基线了解。
■这项研究使用了2019年加拿大儿童和青少年健康调查的数据（n=47,347）。描述性统计和逻辑回归模型被用来评估牙科保险的关联，调整后的家庭净收入，以及其他社会人口统计学因素对口腔保健就诊和与成本相关的避免口腔保健的影响。
■很大比例的5岁以下儿童从未去过牙医（1岁儿童的79.8％至4岁儿童的16.4％）。总的来说,在过去的12个月中，89.6％的5至17岁的加拿大儿童和青年曾拜访过牙科专业人员：93.1％的参保者和78.5％的未参保者。受保险的儿童和青少年避免了4.5%的牙科护理费用，相比之下，没有保险的儿童和青少年为23.3%。在调整社会人口统计学变量后，在过去的12个月中,有牙科保险的儿童和青少年就诊的可能性(比值比[OR]:2.94;95%置信区间[CI]:2.60~3.33)是没有保险的儿童和青少年的近3倍.拥有牙科保险（OR：0.19；95％CI：0.16至0.21）可以防止由于成本而导致的牙科专业人员的障碍。两种牙科服务结果都有很强的收入梯度。
■该研究强调了牙科保险与儿童和青少年获得口腔保健的重要关联。它强调了投保和未投保的儿童和青年之间的巨大差距，并指出了社会人口和收入因素对这种差距的影响。
■这项研究使用了2019年加拿大儿童和青少年健康调查的数据（n=47,347）。描述性统计和逻辑回归模型被用来评估牙科保险的关联，调整后的家庭净收入，以及其他社会人口统计学因素对口腔保健就诊和与成本相关的避免口腔保健的影响。
■很大比例的5岁以下儿童从未去过牙医（1岁儿童的79.8％至4岁儿童的16.4％）。总的来说,在过去的12个月中，89.6％的5至17岁的加拿大儿童和青年曾拜访过牙科专业人员：93.1％的参保者和78.5％的未参保者。受保险的儿童和青少年避免了4.5%的牙科护理费用，相比之下，没有保险的儿童和青少年为23.3%。在调整社会人口统计学变量后，在过去的12个月中,有牙科保险的儿童和青少年就诊的可能性(比值比[OR]:2.94;95%置信区间[CI]:2.60~3.33)是没有保险的儿童和青少年的近3倍.拥有牙科保险（OR：0.19；95％CI：0.16至0.21）可以防止由于成本而导致的牙科专业人员的障碍。两种牙科服务结果都有很强的收入梯度。
■该研究强调了牙科保险与儿童和青少年获得口腔保健的重要关联。它强调了投保和未投保的儿童和青年之间的巨大差距，并指出了社会人口和收入因素对这种差距的影响。
