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Oral Health Assessment by Lay Personnel for Older Adults
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Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis
Cornelia Melinda Adi Santoso1, Taufan Bramantoro2, Minh Chau Nguyen1
1Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, 4028 Debrecen, Hungary.
Summary
Most Indonesians (86.4%) do not visit the dentist. Dental service use is linked to individual factors like age and education, and community factors like social capital, highlighting the need for targeted oral health policies.
Area of Science:
- Public Health
- Social Epidemiology
- Health Services Research
Background:
- Low dental service utilisation is a significant public health issue in Indonesia.
- Understanding the social determinants of dental care access is crucial for improving oral health outcomes.
Purpose of the Study:
- To investigate the prevalence of dental service utilisation in Indonesia.
- To examine the association between individual and community-level social determinants and dental service utilisation.
Main Methods:
- Analysis of cross-sectional data from the 2014 Indonesian Family Life Survey (IFLS-5) involving 16,860 adults.
- Multilevel logistic regression models were employed to assess associations between various individual (age, sex, education, economic status, insurance, health status, etc.) and community (social capital, residential area) factors and dental service utilisation.
Main Results:
- A high prevalence of non-utilization of dental services was observed, with 86.4% of adults never having visited a dentist.
- Dental service utilisation was positively associated with older age, female sex, being not married, higher education and economic status, health insurance, presence of dental pain or mouth ulcers, met healthcare needs, non-smoking status, urban residence, and high community structural social capital.
Conclusions:
- Both individual socioeconomic status and broader community social capital significantly influence dental service utilisation in Indonesia.
- Findings underscore the importance of considering multifaceted social determinants in developing effective national oral health policies and programs to enhance dental care access.
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