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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology

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Published on: August 22, 2022

Dental visiting trajectory patterns and their antecedents.

Leonard A Crocombe¹, Jonathan M Broadbent, W Murray Thomson

¹Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide. leonard.crocombe@adelaide.edu.au

Journal of Public Health Dentistry

|October 1, 2010

Summary

Childhood socioeconomic status (SES) significantly impacts adult dental visiting habits. Low SES is linked to less routine dental care, with dental anxiety also playing a key role.

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Area of Science:

Public Health
Dental Epidemiology
Socioeconomic Determinants of Health

Background:

Socioeconomic status (SES) is a critical determinant of health outcomes.
Understanding the long-term impact of childhood SES on health behaviors, such as dental visiting patterns, is essential for public health interventions.
Longitudinal studies are crucial for tracking developmental trajectories of health behaviors.

Purpose of the Study:

To investigate the association between childhood socioeconomic status (SES) and dental visiting patterns in adulthood.
To identify distinct trajectories of dental visiting behavior from adolescence to early adulthood.
To determine if childhood SES predicts membership in specific dental visiting trajectories.

Main Methods:

Utilized data from a complete birth cohort, measuring childhood SES using the New Zealand Elley-Irving index from birth to 15 years.
Analyzed longitudinal dental visiting data for 833 participants from ages 15 to 32 years using trajectory analysis.
Employed bivariate analyses and multinomial logistic regression to identify predictors of dental visiting trajectories.

Main Results:

Identified three distinct dental visiting trajectories: opportunists (13.1%), decliners (55.9%), and routine attenders (30.9%).
Low childhood SES, male sex, and dental anxiety were associated with the 'opportunist' trajectory.
Low childhood SES and dental anxiety were significant predictors for the 'opportunist' or 'decliner' trajectories, even after controlling for confounders.

Conclusions:

Individuals with low childhood SES were less likely to become routine dental attenders in adulthood compared to those with high childhood SES.
Childhood socioeconomic status is a significant predictor of long-term dental visiting patterns.
Dental anxiety emerged as another crucial factor influencing adult dental care utilization.