The role of healthcare system in dental check-ups in 27 European countries: multilevel analysis
The role of healthcare system in dental check-ups in 27 European countries: multilevel analysis
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DOI：
10.1111/jphd.12204
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发表时间：
2017-06-01
影响因子：
2.3
通讯作者：
Sabbah, Wael
中科院分区：
文献类型：
--
作者：
Kino, Shiho;Bernabe, Eduardo;Sabbah, Wael
目的探讨欧洲国家的公共健康支出和欧洲健康消费者指数（EHCI）是否与牙科检查相关。方法个人数据来自2009年欧洲晴雨表72.3对27个欧洲国家的跨国调查。符合资格的参与者是来自 27 个欧洲国家的 18 岁及以上人士。牙科检查反映了过去 12 个月内进行的口腔检查和获得口腔健康建议的情况。个人因素包括年龄、性别、婚姻状况、城市化程度、教育程度、主观社会地位以及支付账单的困难。公共卫生支出占国内生产总值 (GDP) 的百分比和 EHCI 被用作背景因素。采用一组多级逻辑回归模型来检验牙科检查与各项医疗保健支出和 EHCI 之间的关系，并根据人口因素、人均 GDP 和社会经济指标进行调整。结果分析中纳入的总人数为 23,842 人。在考虑了人口特征、人均 GDP 和所有社会经济指标后，医疗保健支出较高且 EHCI 得分较高的国家的参与者在过去 12 个月内报告牙科检查的可能性分别高出 1.17 倍（95% CI：1.03、1.32）和 1.30 倍（95% CI：1.04、1.64）。与日常看牙医有关。
ObjectiveTo examine whether public expenditure on health and Euro Health Consumer Index (EHCI) are associated with dental check-ups in European countries.MethodsIndividual data were from Eurobarometer 72.3, 2009 a cross-national survey of 27 European countries. Eligible participants were those aged 18 years and older in 27 European countries. Dental check-ups reflected dental visits for oral examination and getting advice on oral health in the last 12 months. Individual factors included age, gender, marital status, urbanisation, education, subjective social status, and difficulty in paying bills. Public expenditure on health as a percentage of gross domestic product (GDP) and EHCI were used as contextual factors. A set of multilevel logistic regression models was used to examine the relationship between dental check-ups and each of healthcare expenditure and EHCI adjusting for demographic factors, GDP per capita and socioeconomic indicators.ResultsTotal number included in the analysis was 23,842. Participants in countries with greater healthcare expenditure and higher score of EHCI were significantly 1.17 (95% CI: 1.03, 1.32) and 1.30 times (95% CI: 1.04, 1.64) more likely to report dental check-ups within the past 12 months after accounting for demographic characteristics, GDP per capita, and all socioeconomic indicators.ConclusionThe findings suggest that greater governmental support for the healthcare and better characteristics of healthcare system are positively associated with routine dental attendance.