Dental service utilization in the general adult population in Bangladesh

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-05-28 DOI:10.1111/jphd.12616

Supa Pengpid DrPH, Karl Peltzer PhD

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Abstract

Objectives

With the help of a national community-based survey, the analysis aimed to estimate the number of adults in Bangladesh who used dental services (DSU).

Methods

The 8185 participants (18–69 years old) in the Bangladesh cross-sectional STEPS survey in 2018 provided national data for analysis. Predisposing, enabling, and need factors for DSU were included in the interview data, physical examinations, and biochemical analyses. To estimate the DSU (last 12 months) predictors, Poisson regression was employed.

Results

Seven out of 10 participants (71.0%) had never DSU, 13.2% within the past 12 months, and 15.9% more than 12 months ago. In terms of predisposing factors, the final model showed a negative relationship between past 12-month DSU and living in the northern region (adjusted prevalence ratio-APR: 0.75, 95% CI: 0.59, 0.96). The enabling factors of living in an urban area (APR: 1.19, 95% CI: 1.01, 1.41) and seeing a doctor or other healthcare provider within the previous year (APR: 1.37, 95% CI: 1.08, 1.74) were positively correlated with DSU. In terms of need factors, dental pain (APR: 15.37, 95% CI: 9.68, 24.40), multimorbidity (APR: 1.26, 95% CI: 1.02, 1.55), oral health impact (OHI) speech problem (APR: 1.35, 95% CI: 1.13, 1.63), and OHI felt tense (APR: 1.34, 95% CI: 1.10, 1.64) were positively associated with DSU.

Conclusions

A low proportion of participants had DSU in the past 12 months and several associated factors were identified.

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孟加拉国普通成年人的牙科服务使用情况。

目的：借助一项全国性社区调查，分析旨在估算孟加拉国使用牙科服务（DSU）的成年人数量：借助一项基于社区的全国性调查，分析旨在估算孟加拉国使用牙科服务（DSU）的成年人数量：2018 年孟加拉国横断面 STEPS 调查的 8185 名参与者（18-69 岁）为分析提供了全国数据。DSU的诱发因素、有利因素和需求因素均包含在访谈数据、体检和生化分析中。为了估计 DSU（过去 12 个月）的预测因素，采用了泊松回归法：结果：10 位参与者中有 7 位（71.0%）从未有过 DSU，13.2% 在过去 12 个月内，15.9% 超过 12 个月。在易感因素方面，最终模型显示，过去 12 个月的 DSU 与居住在北部地区之间存在负相关（调整患病率比-APR：0.75，95% CI：0.59，0.96）。居住在城市地区（APR：1.19，95% CI：1.01，1.41）和在过去一年中看过医生或其他医疗服务提供者（APR：1.37，95% CI：1.08，1.74）这两个有利因素与 DSU 呈正相关。在需求因素方面，牙痛（APR：15.37，95% CI：9.68，24.40）、多病（APR：1.26，95% CI：1.02，1.55）、口腔健康影响（OHI）语言问题（APR：1.35，95% CI：1.13，1.63）和口腔健康影响感觉紧张（APR：1.34，95% CI：1.10，1.64）与 DSU 呈正相关：结论：在过去 12 个月中，有较低比例的参与者患有 DSU，并确定了几个相关因素。

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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.