Geographical accessibility to dental care in the Japanese elderly
Geographical accessibility to dental care in the Japanese elderly
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DOI：
10.1922/cdh_2538hanibuchi08
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发表时间：
2011-06-01
影响因子：
1.7
通讯作者：
Kondo, K.
中科院分区：
文献类型：
--
作者：
Hanibuchi, T.;Aida, J.;Kondo, K.
目的：本研究旨在明确日本老年人获得牙科护理的相关因素，特别关注地理可及性。方法：样本取自日本65岁及以上的老年人，他们参与了2003年进行的邮政调查（n = 2192）。利用地理信息系统计算六种牙科诊所的地理可达性。以“定期看牙医”为因变量，以地理可及性为解释变量，进行Logistic回归分析。结果：结果显示，定期看牙医与女性的地理可达性之间存在关联。在单变量模型中，到最近牙科诊所的距离（OR=0.62 (95% CI: 0.43-0.90)）、学区级牙科诊所的数量（OR=1.14 (95% CI: 1.03-1.26)）、市级牙科诊所的数量（OR=1.02 (95% CI: 1.00-1.05)）和牙科诊所的密度分布（OR=1.56 (95% CI: 1.11-2.19)）与定期看牙医有显著关系。在控制了人口统计学、社会经济和健康相关变量后，只有牙科诊所的密度分布在5%的水平上表现出显著的关系，尽管牙科诊所的距离和数量保持了边际显著性。结论：本研究验证了地理可达性与女性获得牙科保健的相关关系，并且在地理可达性问题上存在较大的性别差异。
Objective: The current research aims to clarify the factors relevant to elderly people's access to dental care in Japan, particularly focusing on geographical accessibility. Methods: The sample was taken from among the Japanese elderly, aged 65 and over, who responded to a postal survey conducted in 2003 (n = 2,192). Six types of geographical accessibility to the dental clinics were calculated using Geographic Information Systems. Logistic regression analysis was conducted using 'having a regular dentist' as a dependent variable and geographical accessibility as an explanatory variable. Results: The results showed an association between having a regular dentist and geographical accessibility only for females. In the univariate model, distance to the closest dental clinics (OR=0.62 (95% CI: 0.43-0.90)), number of dental clinics at the school district level (OR=1.14 (95% CI: 1.03-1.26)), number of dental clinics at the municipality level (OR=1.02 (95% CI: 1.00-1.05)), and density distribution of dental clinics (OR=1.56 (95% CI: 1.11-2.19)) showed significant relations with having a regular dentist. After controlling for demographic, socioeconomic, and health related variables, only the density distribution of dental clinics showed significant relations at the 5% level, although distance and number of dental clinics kept a marginal significance. Conclusion: The current study verifies that geographical accessibility correlates with access to dental care among women, and that there were large gender differences concerning the issue of geographical access.