Predictors of dental care utilization among working poor Canadians
Predictors of dental care utilization among working poor Canadians
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DOI：
10.1111/j.1600-0528.2009.00471.x
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发表时间：
2009-06-01
影响因子：
2.3
通讯作者：
Locker, D.
中科院分区：
文献类型：
--
作者：
Muirhead, V. E.;Quinonez, C.;Locker, D.
本研究采用盖尔伯格-安徒生弱势人口行为模型，以横断面分层抽样研究设计与电话调查方法，以1,049名年龄在18岁至之间的贫困在职人口为样本，探讨加拿大在职贫困人口牙科保健利用的预测因素。贫困在职人口每周工作20小时，非全日制学生，1年前有家庭年收入：男性(OR=1.63；P=0.005)，年龄25-34岁(OR=2.05；P=0.02)，用现金或信用卡支付牙科费用(OR=2.31；P<；0.001)，既往领取福利(OR=1.65；P=0.03)，<；21颗牙齿(OR=4.23；P<；0.001)和认为需要牙科治疗(OR=2.78；P<；0.001)。在过去的一年里，为了支付牙科治疗费用而牺牲商品或服务与去看牙医有关。单亲(OR=4.04；P<；0.001)、移民(OR=1.72；P=0.006)、用现金或信用卡支付牙科费用(OR=2.71；P<；0.001)、无牙科医疗史(OR=1.62；P=0.001)、口腔健康状况(OR=2.1；P<；0.001)、口腔健康状况(OR=2.1；P<；0.001)、口腔健康状况(OR=2.1；P<；0.001)；21(OR=2.58；P<；0.001)和对牙科治疗的感知需求(OR=2.99；P<；0.001)。这项研究发现了易患和易得性的脆弱性，这些脆弱性危及在职贫困人口的牙科保健实践。牙科护理的利用与放弃在其他商品和服务上的支出有关，这表明牙科护理的利用是经济困难的成年人的一种竞争性财务需求。
This study used the Gelberg-Andersen Behavioral Model for Vulnerable Populations to identify predictors of dental care utilization by working poor Canadians.A cross-sectional stratified sampling study design and telephone survey methodology was used to collect data from a nationally representative sample of 1049 working poor individuals aged 18 to 64 years. Working poor persons worked >= 20 h a week, were not full-time students and had annual family incomes 1 year ago: male gender (OR = 1.63; P = 0.005), aged 25-34 years (OR = 2.05; P = 0.02), paying for dental care with cash or credit (OR = 2.31; P < 0.001), past welfare recipients (OR = 1.65; P = 0.03), < 21 teeth (OR = 4.23; P < 0.001) and having a perceived need for dental treatment (OR=2.78; P < 0.001). Sacrificing goods or services to pay for dental treatment was associated with visiting the dentist within the past year. The predictors of visiting the dentist only when in pain/trouble were lone parent status (OR = 4.04; P < 0.001), immigrant status (OR = 1.72; P = 0.006), paying for dental care with cash or credit (OR = 2.71; P < 0.001), a history of an inability to afford dental care (OR = 1.62; P = 0.01), a satisfactory/poor/very poor self-rated oral health (OR = 2.10; P < 0.001), number of teeth < 21 (OR = 2.58; P < 0.001) and having a perceived need for dental treatment (OR = 2.99; P < 0.001).This study identified predisposing and enabling vulnerabilities that jeopardize the dental care-seeking practices of working poor persons. Dental care utilization was associated with relinquishing spending on other goods and services, which suggests that dental care utilization is a competing financial demand for economically constrained adults.