Determinants of dental care use in dentate adults: Six-monthly use during a 24-month period in the Florida dental care study
Determinants of dental care use in dentate adults: Six-monthly use during a 24-month period in the Florida dental care study
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DOI：
10.1016/s0277-9536(98)00148-8
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发表时间：
1998-09-01
影响因子：
5.4
通讯作者：
Vogel, WB
中科院分区：
文献类型：
--
作者：
Gilbert, GH;Duncan, RP;Vogel, WB
本研究的目的是描述一个不同的样本的成年人的发病率的牙齿护理的使用和易感性，使，需要相关的使用。佛罗里达牙科护理研究（FDCS）是一项前瞻性纵向队列研究，研究对象为基线时至少有一颗天然牙、45岁或以上、居住在美国北佛罗里达的人群。在基线时和基线后24个月进行面对面访谈和临床牙科检查，在这些时间之间每6个月进行一次电话访谈。77%的受试者在24个月的随访期间报告了一次或多次牙科就诊。六个月的使用率从46%到55%不等。事件认为需要护理和某些事件自我报告的口腔体征和症状是强烈预测事件的牙科护理使用。在口腔功能限制，口腔劣势，和自我评价的口腔健康下降预测护理bivariately少，但在多变量模型中并不显着，有两个显着的例外：两个措施相关的美学。结论是，某些措施的需要（感知需要和具体的自我报告的体征和症状）是重要的预测因素的事件牙科护理。然而，有需要的人确定的直接临床检查和需要的人确定的自我报告的递减在更远的口腔健康措施（口腔功能限制，口腔劣势，和自我评价的口腔健康），实际上不太可能寻求牙科保健。在预测使用美学的显着性是一致的横截面的研究结果，牙科美学线索是重要的口腔“健康”。典型的护理方法、牙科态度、支付护理费用的能力、种族和性别对于理解牙科护理使用事件也很重要，（C）1998年爱思唯尔科学有限公司版权所有。
The objective of this study is to describe for a diverse sample of dentate adults the incidence of dental care use and predisposing, enabling, and need correlates of that use. The Florida Dental Care Study (FDCS) is a prospective longitudinal cohort study of persons who at baseline had at least one natural tooth, were 45 years or older, and who resided in north Florida, U.S.A. An in-person interview and clinical dental examination were conducted at baseline and 24 months after baseline, with 6-monthly telephone interviews between those times. Seventy-seven percent of subjects reported one or more dental visits during the 24 months of follow-up. Six-monthly use ranged from 46% to 55%. Incident perceived need for care and certain incident self-reported oral signs and symptoms were strongly predictive of incident dental care use. Decrements in oral functional limitation, oral disadvantage, and self-rated oral health were predictive of less care bivariately, but were not salient in a multivariate model, with two notable exceptions: two measures related to esthetics.The conclusions are that certain measures of need (perceived need and specific self reported signs and symptoms) were important predictors of incident dental care. However, persons with need as determined by direct clinical examination and persons with need as determined by self-reported decrements in the more distal measures of oral health (oral functional limitation, oral disadvantage, and self-rated oral health) were actually less likely to seek dental care. The salience of esthetics in predicting use is consistent with cross-sectional findings that dental esthetic cues are important to oral "health". Typical approach to care, dental attitudes, ability to pay for care, race, and sex were also important for understanding incident dental care use, (C) 1998 Elsevier Science Ltd. All rights reserved.