1
|
Cai Y, Zeng S, Hu Y, Xiao L, Liao Y, Yan Z, Zha W, Gu J, Wang Q, Hao M, Wu C. Factors associated with oral health service utilization among young people in southern China. BMC Oral Health 2024; 24:289. [PMID: 38418980 PMCID: PMC10903069 DOI: 10.1186/s12903-024-03994-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 02/07/2024] [Indexed: 03/02/2024] Open
Abstract
OBJECTIVES To identify the patterns and influencing factors of oral health service utilization among college students, and further to provide scientific evidence for policy making on oral health education and behavioral interventions for the college population. METHODS The study population was college students in Southern China. Totally 678 students participated in the survey. A self-designed questionnaire based on Anderson's model (predisposing factors, enabling factors, need factors) was used to survey college students. Descriptive statistics, χ2 test, and logistic regression were used to analyze influence factors of oral health service utilization among college students. RESULTS The utilization rate of oral health service in the past 12 months was 30.2%. The primary type of oral health service was treatment (59.6%), and only 12.8% were for prevention. There were 39% of the participants having oral health diseases, of which dental caries (25.7%) and oral bleeding (22.2%) were the main problems. The results from logistic regression analysis revealed that students with better beliefs (OR = 1.84, 95% CI:=1.02-3.43), frequent consumption of sugary drinks (OR = 2.90, 95% CI:=1.90-4.47), teeth brushing frequency > = 2 times per day (OR = 2.09, 95% CI = 1.24-3.61), frequent floss utilization (OR = 2.63, 95% CI = 1.21-5.76), dental caries (OR = 2.07, 95% CI = 1.35-3.17) used oral health services higher, while those lived in rural areas (OR:0.52, 95% CI = 0.34-0.80), and had only a fair concern (OR = 0.48, 95% CI = 0.31-0.74) or no concern (OR = 0.26, 95% CI = 0.08-0.67) on oral health utilized oral health services lower. CONCLUSIONS Chinese college students demonstrate some knowledge and attitudes towards oral health. However, they tend to neglect oral hygiene and have limited understanding of their own oral issues. Furthermore, the utilization of oral services, such as treatment, remains remarkably low, despite the availability of long-term and favorable health insurance policies. The utilization of oral health services among college students is influenced by various factors, including residing in rural areas, consuming sugary beverages on a daily basis, brushing teeth at least twice a day, and practicing flossing.
Collapse
Affiliation(s)
- Yunquan Cai
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China
| | - Shaobo Zeng
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China
- Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases of Ministry of Education, Gannan Medical University, Ganzhou, 341000, China
| | - Yimei Hu
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China
| | - Lingfeng Xiao
- School of Public Health, China Medical University, Shenyang, Liaoning, China
| | - Yanqing Liao
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China
| | - Zihui Yan
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China
| | - Wenxiang Zha
- Department of Public Health Surveillance, Linping Center for Disease Control and Prevention, Hangzhou, 311103, China
| | - Junwang Gu
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China
- Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases of Ministry of Education, Gannan Medical University, Ganzhou, 341000, China
| | - Qi Wang
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China
- Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases of Ministry of Education, Gannan Medical University, Ganzhou, 341000, China
| | - Ming Hao
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China
- Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases of Ministry of Education, Gannan Medical University, Ganzhou, 341000, China
| | - Chunmei Wu
- School of Public Health and Health Management, Gannan Medical University, No. 1 Yixueyuan Road, Ganzhou, Jiangxi, 341000, China.
- Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases of Ministry of Education, Gannan Medical University, Ganzhou, 341000, China.
| |
Collapse
|
2
|
Pawinska M, Kondrat A, Jamiolkowski J, Paszynska E. Dental Status and Oral Health Behaviors of Selected 45-74-Year-Old Men from Northeastern Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6005. [PMID: 37297608 PMCID: PMC10252836 DOI: 10.3390/ijerph20116005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 05/12/2023] [Accepted: 05/24/2023] [Indexed: 06/12/2023]
Abstract
The aim of this study was to assess the dental status and oral health behaviors of selected 45-74-year-old men from northeastern Poland. A total of 419 men were included. A questionnaire on demographic data, socioeconomic status and oral health behaviors was conducted. Dental caries experience (DMFT index), oral hygiene (AP index) and a number of edentulous subjects were evaluated clinically. More than half of the respondents (53.2%) brushed their teeth once a day. Nearly half of respondents (45.6%) reported for check-up visits more rarely than once in two years. Active nicotinism affected 26.7% of males. The prevalence of decay, the mean DMFT, the mean API and the prevalence of edentulism were, respectively, 100%, 21.4 ± 5.5, 77% and 10.3%. Increased DMFT values and MT were significantly correlated with older age (p < 0.001). Subjects of high educational status showed significantly lower values of DMFT and MT (p < 0.001). An increase in per capita family income was accompanied by a significant decrease in the API (p = 0.024), and an increase in DMFT (p = 0.031). This study demonstrated low health awareness and unsatisfactory dental status among the examined males. Dental and oral hygiene status were associated with sociodemographic and behavioral determinants. The poor oral health condition of the study population indicates the need to intensify pro-health education among seniors about oral care.
Collapse
Affiliation(s)
- Malgorzata Pawinska
- Department of Integrated Dentistry, Medical University of Bialystok, M. Sklodowska-Curie Str. 24A, 15-276 Bialystok, Poland
| | - Anna Kondrat
- Dental Clinic—NZOZ Dent-Plast, Radzyminska Str. 5, 15-863 Bialystok, Poland
| | - Jacek Jamiolkowski
- Department of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, Waszyngton Str. 13A, 15-269 Bialystok, Poland
| | - Elzbieta Paszynska
- Department of Integrated Dentistry, Poznan University of Medical Sciences, Bukowska Str. 70, 60-812 Poznan, Poland
| |
Collapse
|