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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis
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Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis

机译：影响印度尼西亚牙科服务利用的因素：基于人群的多级分析

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摘要

This study aimed to examine the prevalence of dental service utilisation in Indonesia and its association with social determinants at individual and community levels. Cross-sectional data from the 2014 Indonesian Family Life Survey (IFLS-5) was analysed. Individual independent variables included age, sex, marital status, educational attainment, economic status, health insurance, dental pain, self-reported mouth ulcers, self-rated health status, unmet healthcare needs and smoking status, while community independent variables included cognitive, structural social capital and residential area. Multilevel logistic regressions were performed to explore the associations between independent variables at different levels and the outcome of dental service utilisation. Of the total sample of 16,860 adults aged 15 years or older in our study, around 86.4% never visited a dentist. Dental service utilisation was associated with older age, female, currently not married, higher education level and economic status, health insurance, dental pain, self-reported mouth ulcers, met healthcare needs, never smoking, living in urban areas and communities with high structural social capital. Both individual and broader social determinants influenced dental service utilisation in Indonesia. These factors should be considered in the formulation of oral health policies and programmes aiming to improve dental service utilisation in the country.
机译：本研究旨在探讨印度尼西亚牙科服务利用的普遍性及其与个人和社区层面的社会决定因素的关系。分析了2014年印度尼西亚家庭生活调查（IFLS-5）的横断面数据。个人独立变量包括年龄，性别，婚姻状况，教育程度，经济状况，健康保险，牙痛，自我报告的口腔溃疡，自我评价的健康状况，未满足的医疗保健需求和吸烟状态，而社区独立变量包括认知，结构社会资本和住宅区。进行多级逻辑回归，以探索不同级别的独立变量与牙科服务利用结果之间的关联。在我们研究中为15岁或以上的16,860名成年人的总样品，大约86.4％从未访问过牙医。牙科服务利用率与年龄较大，女性，目前没有结婚，高等教育水平和经济状况，健康保险，牙痛，自我报告的口腔溃疡，达到医疗保健需求，从不吸烟，生活在城市地区和社区的高结构社会资本。个人和更广泛的社会决定因素都影响了印度尼西亚的牙科服务利用率。在制定口腔卫生政策和计划的制定中，应考虑这些因素，旨在提高该国牙科服务利用的方案。

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