Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/137271
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Type: | Journal article |
Title: | The effect of education on dental service utilization patterns in different sectors: A multiple mediation analysis |
Author: | Ghanbarzadegan, A. Mittinty, M. Brennan, D.S. Jamieson, L.M. |
Citation: | Community Dentistry and Oral Epidemiology, 2023; 51(6):1093-1099 |
Publisher: | Wiley |
Issue Date: | 2023 |
ISSN: | 0301-5661 1600-0528 |
Statement of Responsibility: | Arash Ghanbarzadegan, Murthy Mittinty, David S. Brennan, Lisa M. Jamieson |
Abstract: | OBJECTIVE: The aim of this study was to investigate how education level affects dental service utilization patterns in the Australian adult population. This study tested how education level mediated these service patterns through behavioural mediators such as smoking, tooth brushing and oral health status and investigated these mediation effects in different dental service providers. METHOD: Following the flexible mediation approach, the direct and indirect effects of education through behavioural mediators on dental service utilization patterns (time of last dental visit, reason for last dental visit and frequency of seeking dental care) were calculated for the South Australian population from the Dental Care and Oral Health Study. RESULTS: Participants with lower educational attainment were 33% (Odds Ratio: 0.67, 95% CI 0.56-0.78) and 38% (Odds Ratio: 0.62, 95% CI 0.53-0.74), less likely than their counterparts with higher education to visit a dentist or to receive dental care in the last 12 months, respectively. Low education was associated with a 23% increase in odds of receiving emergency and treatment services (Odds Ratio: 1.23, 95% CI 1.05-1.43) compared to routine dental check-ups or examinations. CONCLUSION: Low education, regardless of oral health behaviours and status, reduces the odds of dental service utilization in terms of frequency of seeking dental care and time of last dental visit. There is more tendency towards receiving emergency and treatment services compared to routine dental check-ups or examinations in participants with lower educational attainment. |
Keywords: | dentistry education health literacy oral health |
Description: | First published: 28 December 2022 |
Rights: | © 2022 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
DOI: | 10.1111/cdoe.12838 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1031310 |
Published version: | http://dx.doi.org/10.1111/cdoe.12838 |
Appears in Collections: | Dentistry publications |
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hdl_137271.pdf | Published version | 561.37 kB | Adobe PDF | View/Open |
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