Authors: Medina-Solís, Carlo E.; Maupomé, Gerardo; Ávila-Burgos, Leticia; Hijar-Medina, Martha; Segovia-Villanueva, América; Pérez-Núñez, Ricardo

Source: Pediatric Dentistry, Volume 28, Number 3, May/June 2006 , pp. 285-292(8)

Publisher: American Academy of Pediatric Dentistry

Abstract:

Purpose: The purpose of this study was to identify the factors associated with dental health services utilization (DHSU) within a publicly funded oral health program for preschool children in Campeche, México.

Methods: A cross-sectional study in 1,303 preschoolers (3 to 6 years old) enrolled in 10 public schools was conducted. The independent variables were: (1) sex; (2) age; (3) tooth-brushing frequency; (4) caries severity; (5) enamel defects; (6) mother's maximum education level; (7) mother's attitude toward oral health; (8) health services availability; and (9) family's socioeconomic status. The mothers completed a questionnaire, and their children were clinically examined. The DHSU (none vs any) in the previous 12 months was the dependent variable. Data were analyzed using binary logistic regression (BLR).

Results: Average age was 4.3±0.8 years, and 52% of participants were boys. The prevalence of DHSU any was 31%. The variables associated with DHSU were: (1) moderate and high oral health needs; (2) access to private health services; and (3) older age. The authors' model supported an interaction between tooth-brushing frequency and the importance that the mother ascribed to her child's oral health.

Conclusions: A low prevalence of DHSU was observed. The source of health services and oral health needs determined DHSU in this population, with some attitudes and behaviours modifying utilization. These findings have implications for designing oral health care policies to improve the supply of services to children.

Keywords: DENTAL SERVICES UTILIZATION; PRESCHOOLERS; LOGISTIC REGRESSION MODEL; MEXICO

Document Type: Research article

Publication date: 2006-05-01

More about this publication?

• Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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