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Utilization of dental care in Finnish industrial population
Abstract
Ninety-three percent of the 300 employees of a paper mill in central-eastern Finland answered a questionnaire in the context of a clinical dental survey. One third had visited the dentist annually, 22% once in 2 years and the rest irregularly. Dental visit frequency of females was somewhat higher than that of males. People in younger age groups and higher income groups used more dental services, whereas those who had dentures used clearly less dental services than others. Subjective assessment of treatment need was the main reason for dental visits, more than half of the subjects had attended the dentist the last time because of self-assessed need. Thirty-eight percent went to the dentist because of toothache and only 9% for regular check-up. Although more than one third had gone to the dentist because of toothache only one third of those who had toothache during the preceding year had visited the dentist during that period. People without toothache, in fact, used more dental services than those who had had it.
... The higher incidence of visiting a dentist in this study were in accordance with the observations made by Beal et al (1977) who found that visiting a dentist in given population in England and Wales increased from 40.1% in 1968 to 52% in 1977. 19 Similar observations were made by Rajala et al. (1978) who reported 46.1% of industrial workers visited a dentist regularly, while 32.4% visited a dentist annually, and 21.5% visited a dentist once in two years. 20 Among the subjects of higher family income group, more persons visited in a private clinic (41.05%) and less visited at a hospital (33.33%) and the rest visited both. ...
... 19 Similar observations were made by Rajala et al. (1978) who reported 46.1% of industrial workers visited a dentist regularly, while 32.4% visited a dentist annually, and 21.5% visited a dentist once in two years. 20 Among the subjects of higher family income group, more persons visited in a private clinic (41.05%) and less visited at a hospital (33.33%) and the rest visited both. As the average family income per month decreased, there were more tendency towards availing of hospital facility. ...
Aim : To assess the prosthodontic needs and the availability of these needs by an average Indian population above 15 years of age in urban and semi-urban population in and around the city of Kolkata.
... Estudios realizados en África y Brasil mostraron que la visita al dentista fue mayor por parte de las mujeres (11). Contrariamente, en estudios realizados en Finlandia y Chile, se observó un predominio de acceso a los servicios odontológicos por parte del género masculino, con valores de 81% y 54,5%, respectivamente (9,14). ...
... Otra de las razones de la mayor utilización los servicios odontológicos por parte de las mujeres sería una mayor preocupación por su salud, en comparación con los hombres. Sin embargo, fueron los pacientes de sexo masculino los que presentaron una mayor proporción de utilización de servicios odontológicos, concordante con otros estudios (9,13). Es posible que los pocos, que utilizaron los servicios odontológicos posteriormente, hayan sido precisamente los que demandaron tratamiento de emergencia o de mayor complejidad y fueron atendidos en más de un servicio. ...
Objetivo: Evaluar algunos factores que podrían estar asociados con la utilización de los servicios de una clínica odontológica universitaria peruana. Material y método: El diseño del estudio fue retrospectivo y transversal, se evaluaron 91 fichas clínicas de pacientes que acudieron al Servicio de Diagnóstico de la Clínica Dental Docente de la Universidad Peruana Cayetano Heredia (UPCH) durante los meses de agosto 2009 a julio 2010. Se empleó la base de datos del Servicio de Diagnóstico para la recolección de la información, la cual fue procesada en el programa SPSS versión 10. Resultados: La proporción de pacientes evaluados en el Servicio de Diagnóstico, que utilizaron los servicios de la Clínica Docente de la UPCH fue de 61,5%, con una edad promedio de 29,1 años (d.s.=21,1; mín=2; máx=86), mayormente de sexo femenino (74,7%) y de ocupación estudiante (42,9%). El grupo etario evaluado en mayor proporción fue de 26 a 45 años de edad (29,7%), seguido de los menores o iguales a un año de edad (28,6%). Los factores asociados con la utilización de los servicios odontológicos fueron: edad (p=0,010) y última visita al dentista (p=0,047). Conclusiones: Los factores asociados encontrados fueron: edad del paciente y última visita al dentista. El tener empleo independiente y acudir por primera vez al dentista o antes de los 6 meses desde la última cita, fueron factores que predisponen a una mayor probabilidad de atención en los servicios odontológicos.
Abstract A sociological study was conducted in 1987 on a sample of 490 Hong Kong Chinese civil servants for the purpose of investigating factors which influenced their utilization of a freely available Government dental service. The proportions of regular, irregular and non-users of the denial service were 69, 18, and 13% respectively. Regular users had a higher educational standard and income level than the other two user-types. Most of the regular users attended the dental clinics for a check-up. The irregular users did not regularly utilize the service mainly because it took a long time to obtain an appointment. Non-users referred to the long wailing time to obtain an appointment and to their perception of not having dental problems when asked to give their main reasons for not utilizing the dental service. The majority of the user-types considered that shortening the waiting time and employing more dentists would increase the utilization of the Government denial service.
The information available on the rehabilitation with removable dentures among dentate subjects is contradictory. In the present study, the most common type of rehabilitation was a complete maxillary denture with or without a partial one. Nineteen per cent of men and 27% of women belonged to this category. Partial denture(s) without a complete one were worn by 11% of men and 15% of women.
The odds ratio of having partial denture(s) was significantly higher among women, among people with a medium level of income, with a regular dental attendance pattern, and with a shorter distance to the nearest dental clinic. The presence of a complete denture significantly decreased the odds ratio of having a partial denture. The effect of age was non-significant in the two youngest age categories.
The odds ratio of having a single complete denture was significantly higher among women, among people with a medium level of income and with a shorter distance to the nearest dental clinic. The presence of a partial denture and belonging to the oldest age bracket decreased the odds ratio significantly. Regularity of use of dental services had a non-significant effect.
The study deals with the frequency of using dental services and continuity of visting the same dentist by adults in Finland during the 5 years up to 1981. A representative sample of 17-65 year old Finnish adults was interviewed by telephone or when this was not possible, personally. The data were collected by the Central Statistical Office of Finland in autumn 1981. Twenty-two per cent of the subjects had not visited a dentist during the past 5 years. One-third had had more than three treatment courses during the same period. The number of treatment periods increased with higher educational and professional status. Half of the subjects who had had more than one treatment period had continued to attend the same dentist during different treatment periods. Young persons had changed dentist more often than older ones. The most common reason for changing dentist was change of residence. Nine percent did not wish to continue treatment with the same dentist. Income, age, profession and region of living accounted for 10% of the number of changes of dentist.
The aim of this study was to analyze the factors that affected the choice between public and private dental services in 1979, when 9% of adults had received their dental services in a public health center. In September 1979 the National Board of Health conducted a telephone interview among Finnish adults over 15 yr old. When a representative sample of 1992 adults was drawn, the response rate was 90.4%. All subjects over 17 yr of age who had used dental services within the last 5 yr were included in the study, making a final sample of 1368. According to the logistic function, the greatest differences were between rural and urban areas. Of the subjects living in urban areas, 18% had visited public health centers; and of those living in rural areas, 45% had visited health centers. Of the adults living in an urban setting, 70% and in rural areas 49% visited private dentists. Of the subjects who had used private dental services, nearly half were managers and upper white-collar workers; while of those using communal services, less than one third worked in such jobs. In urban areas managers and upper white-collar workers used private services twice as often as they used public services. In an urban setting, subjects who had visited a dentist during the last 2 yr had received treatment mainly in the private sector; and in a rural setting, subjects had been treated mainly in health centers.
Regardless of the length of this paper, developed by reporting so many family vignettes, a large amount of personal information has been presented for understanding the reactions of parents who try to get their children treated.
Poverty and nonpoverty adults have been screened in a program of Multiphasic Health Testing in which dental examinations were provided and in which information on dental care behavior was obtained through a health inventory using a video-terminal for recording replies. Findings of the dental examination indicate that, whatever measure of oral health was used, oral health of the poverty group was poorer than that of the nonpoverty group. The poverty group, for example, had more dental problems, and the problems they had were more severe. They also had lower levels of oral hygiene and less restorative treatment. The poverty group also was more likely to be edentulous, and to have higher levels of untreated decay and periodontal diseases. They had more missing teeth, and fewer restored teeth. Nearly all poverty-nonpoverty differences persisted when the data were controlled for age and sex. Information from the health inventory indicates that the poverty group is less likely than those in the nonpoverty group to seek dental care in general, and also specifically for rreventive dental services. Even among the nonpoverty group, however, one third stated that they never sought dental care for "cleanings or checkups." Daily toothbrushing, on the other hand, was generally reported by both poverty-status groups. Consistent relations were found between oral health practices and oral health in both poverty and nonpoverty groups...
The use of dental services was studied through personal interviews with 216 pensioners and welfare recipients aged 20–60 who had attended a subsidized dental health program. The respondents were living in a rural community in Norway, and the levels of education and income within the group were generally low. Eighty-four respondents had less than 5 remaining teeth. Only 20% of the group sought dental care regularly or occasionally, whereas 49% had not visited a dentist for at least 5 years. Regular treatment attenders were mostly to be found among respondents with 5 or more teeth, among women, among persons younger than 50, and among those with the highest income.
Denture services and extractions were the most common types of treatment sought by the greater number of respondents. Thirty-five per cent of the group stated that they had never had to have a tooth filled. High costs were declared to have been an obstacle to treatment attendance by 77% of the respondents.
abstract A sociologic survey of dental care practices and related attitudes and knowledge was conducted on 2071 16- to 45-year-old Danes in three selected areas. The complete findings were published in 1971 in a Danish thesis; only the findings on the frequency of dental visits (in childhood and at present), toothbrushing habits, and the selfreported number of teeth are presented here in detail. Particular emphasis is placed on the marked relationship of these factors to socio-economic status, the latter being determined by the respondents' education and occupation. Among the 35- to 45-year-olds, 84 % of the “high” SES group made regular dental visits, as opposed to 55% of the “middle” and 37 % of the “low” SES group. Similar trends were demonstrated in all age groups and for all the parameters investigated.
Insured dental care. Group Flealth Dental Insurance
- H H Avnet
- M K Niktas
AvNET, H. H. & NiKtAS, M. K.: Insured dental care. Group Flealth Dental Insurance, New York 1967.
Elakcturva ja toimccntulo
- Pm
- T -N Kkint
Pm.KKiNt-.N, T.: Elakcturva ja toimccntulo. WSOY, Porvoo 1969.
Utilizatioti of dental services in a dis-advantaged nnal ]5opulation
- L A Hr
Hr.t.ot:, L. A.: Utilizatioti of dental services in a dis-advantaged nnal ]5opulation. Acta Odontol, Scand. 1973: 31: 3-12.
Hannnaslaakarin ])alvelusten kaytto ja hampaiden knnto. Kan.saneldkclaitokscn julk
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NvM.\N, K.: Hannnaslaakarin ])alvelusten kaytto ja hampaiden knnto. Kan.saneldkclaitokscn julk. 1975: A:12.
Demand and need for dental care
- Bui
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- N D St
- A< T
- G L Wn
- A J Octcs
Bui.MAN, J. S., Ric.ttAt^t)s, N. D., St,A<;t<, G. L. & Wn.r.octcs, A. J.: Demand and need for dental care. Oxford University Press, London 1968.
Hampaiden hoidon psyykkiset ja sosiaali-set tekijat. Froc. Finn Sairastavuus ja liiakin-tiipalvelnsten kaytto Helsingissa ja lahikntmissa
- H A Siikit
- I Aho
- S.-L Purola
- Kai Imo
- H Kro
- S Kaitaranta
SiiKit.A, H.: Hampaiden hoidon psyykkiset ja sosiaali-set tekijat. Froc. Finn. Dent. Soc. 1966: 62: Suppl. 1. VAANANEN, I., AHO, S.-L., PUROLA, T., KAI.IMO, E., H.KRO, S. & KAITARANTA, H.: Sairastavuus ja liiakin-tiipalvelnsten kaytto Helsingissa ja lahikntmissa. Kaii-.sanetdketa.itoksen julk. 197I:M:21.
Haminaslääkärin palvelusten käyttö ja hampaiden kunto.Kansaneläkeläitoksen julk
- K Nyman
Dental health survey in southwest Finland IV
- Rantanen T.
Hampaiden hoidon psyykkiset ja sosiaali‐set tekijät
- Siirilä H.