Do dental anxiety and satisfaction with dental professionals modify the association between affordability and dental service use? A population-based longitudinal study of Australian adults

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-03-20 DOI:10.1111/jphd.12608

Mishel Shahid PhD, Santosh Kumar Tadakamadla PhD, Jeroen Kroon PhD, Marco A. Peres PhD

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Abstract

Objectives

This study aimed to assess the association between affordability in terms of difficulty paying dental bills in Australian dollars and dental service use in the presence of sociodemographic confounders, and to assess the role of dental anxiety and satisfaction with dental professionals as mediators. The second aim was to investigate how dental anxiety and satisfaction with dental professionals modify the association between affordability and use of dental services in Australian adults.

Methods

Longitudinal data from the Australian National Study of Adult Oral Health (2004–06 and 2017–18) was used. Poisson regression and path analysis were conducted to determine the association between affordability and frequency of use of dental services. Effect measure modification (EMM) analysis was performed by stratification of dental anxiety and satisfaction with dental professionals.

Results

The study included 1698 Australian adults and identified that the prevalence of low frequency of dental visits was 20% more for those who had difficulty paying dental bills. Adults with dental anxiety (prevalence ratio [PR] = 1.14) and those who were dissatisfied with dental professionals (PR = 1.17) had a higher prevalence of low frequency of dental visits in the presence of difficulty paying dental bills. This indicated that dental anxiety and dissatisfaction with dental professionals were effect modifiers on this pathway.

Conclusions

Adults who experience dental anxiety and dissatisfaction with dental professionals are more likely to avoid dental visits when faced with difficulty paying dental bills. However, it is important to note that these associations do not necessarily imply a causal relationship.

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牙科焦虑和对牙科专业人员的满意度会改变经济承受能力与牙科服务使用之间的关联吗？一项针对澳大利亚成年人的人口纵向研究。

研究目的本研究旨在评估在存在社会人口混杂因素的情况下，以澳元支付牙科账单的困难程度表示的可负担性与牙科服务使用之间的关联，并评估牙科焦虑和对牙科专业人员的满意度作为中介的作用。第二个目的是调查牙科焦虑和对牙科专业人员的满意度如何改变澳大利亚成年人支付牙科服务费用的能力与使用牙科服务之间的关联：方法：采用澳大利亚全国成人口腔健康研究（2004-06 年和 2017-18 年）的纵向数据。进行泊松回归和路径分析，以确定可负担性与牙科服务使用频率之间的关联。通过对牙科焦虑和对牙科专业人员的满意度进行分层，进行了效应测量修正（EMM）分析：研究包括 1698 名澳大利亚成年人，结果发现，支付牙科账单有困难的人看牙频率低的比例要高出 20%。患有牙科焦虑症（患病率比 [PR] = 1.14）和对牙科专业人员不满意（患病率比 = 1.17）的成年人，在支付牙科账单有困难的情况下，看牙频率低的发生率更高。这表明，牙科焦虑和对牙科专业人员的不满是这一路径的效应修饰因子：结论：有牙科焦虑和对牙科专业人员不满意经历的成年人在面临支付牙科账单困难时更有可能避免看牙医。但需要注意的是，这些关联并不一定意味着因果关系。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.