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Research article
Utilization of dental services and associated factors among preschool children in China
Yan Si
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6657-6550
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Oral Health.
Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen’s behavioural model to explore influencing factors, thereby providing a reference for future policy making. Methods: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016. Patient data were collected using a questionnaire, which was answered by the child’s parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchical logistic regression results were then analysed to find the factors associated with oral health service utilization. Results : The oral health service utilization prevalence during the prior 12 months were 9.5% (95%CI: 8.1%-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8%-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6%-19.4%) among 5-year-old children. “No dental diseases” (71.3%) and “dental disease was not severe” (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor’s degree or higher(OR: 2.29, 95%CI: 1.97-2.67, p <0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p <0.001), annual per capital income more than 25,000 CNY (OR: 1.40, 95%CI: 1.18-1.65, p <0.001),think their child have worse or bad oral health(OR: 3.54, 95%CI: 2.84-4.40, p <0.001), and children who often have toothaches (OR: 9.72 , 95%CI: 7.81-12.09, p <0.001) were more likely to go to the dentist in the past year. Conclusion: The prevalence of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.
Keywords
utilization of dental services; China; preschool children
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CURRENT STATUS: Published
Version 4
Posted 27 Dec, 2019
Published
On 08 Jan, 2020
No community comments so far
Editorial decision: Accept
On 24 Dec, 2019
Editor assigned
On 23 Dec, 2019
Submission checks complete
On 22 Dec, 2019
Editor invited
On 22 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 16 Dec, 2019
Review #1 received
Received 09 Dec, 2019
Reviewer #2 agreed
On 26 Nov, 2019
Review #2 received
Received 26 Nov, 2019
Editor assigned
On 25 Nov, 2019
Reviewers invited
Invitations sent on 25 Nov, 2019
Reviewer #1 agreed
On 25 Nov, 2019
Submission checks complete
On 24 Nov, 2019
Editor invited
On 24 Nov, 2019
No comments provided
Editorial decision: Minor revision
On 16 Nov, 2019
Review #1 received
Received 11 Nov, 2019
Reviewer #2 agreed
On 03 Nov, 2019
Review #2 received
Received 03 Nov, 2019
Reviewers invited
Invitations sent on 30 Oct, 2019
Reviewer #1 agreed
On 30 Oct, 2019
Editor assigned
On 29 Oct, 2019
Submission checks complete
On 28 Oct, 2019
Editor invited
On 28 Oct, 2019
No comments provided
Editorial decision: Major revision
On 02 Oct, 2019
Review #1 received
Received 25 Sep, 2019
Review #2 received
Received 18 Sep, 2019
Reviewer #3 agreed
On 10 Sep, 2019
Reviewer #2 agreed
On 09 Sep, 2019
Editor assigned
On 03 Sep, 2019
Reviewers invited
Invitations sent on 03 Sep, 2019
Reviewer #1 agreed
On 03 Sep, 2019
Submission checks complete
On 02 Sep, 2019
Editor invited
On 02 Sep, 2019
First submitted
On 24 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Head & Neck Surgery
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This preprint is under consideration at BMC Oral Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Utilization of dental services and associated factors among preschool children in China
Yan Si
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6657-6550
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 4
Posted 27 Dec, 2019
Published
On 08 Jan, 2020
No community comments so far
Editorial decision: Accept
On 24 Dec, 2019
Editor assigned
On 23 Dec, 2019
Submission checks complete
On 22 Dec, 2019
Editor invited
On 22 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 16 Dec, 2019
Review #1 received
Received 09 Dec, 2019
Reviewer #2 agreed
On 26 Nov, 2019
Review #2 received
Received 26 Nov, 2019
Editor assigned
On 25 Nov, 2019
Reviewers invited
Invitations sent on 25 Nov, 2019
Reviewer #1 agreed
On 25 Nov, 2019
Submission checks complete
On 24 Nov, 2019
Editor invited
On 24 Nov, 2019
No comments provided
Editorial decision: Minor revision
On 16 Nov, 2019
Review #1 received
Received 11 Nov, 2019
Reviewer #2 agreed
On 03 Nov, 2019
Review #2 received
Received 03 Nov, 2019
Reviewers invited
Invitations sent on 30 Oct, 2019
Reviewer #1 agreed
On 30 Oct, 2019
Editor assigned
On 29 Oct, 2019
Submission checks complete
On 28 Oct, 2019
Editor invited
On 28 Oct, 2019
No comments provided
Editorial decision: Major revision
On 02 Oct, 2019
Review #1 received
Received 25 Sep, 2019
Review #2 received
Received 18 Sep, 2019
Reviewer #3 agreed
On 10 Sep, 2019
Reviewer #2 agreed
On 09 Sep, 2019
Editor assigned
On 03 Sep, 2019
Reviewers invited
Invitations sent on 03 Sep, 2019
Reviewer #1 agreed
On 03 Sep, 2019
Submission checks complete
On 02 Sep, 2019
Editor invited
On 02 Sep, 2019
First submitted
On 24 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Head & Neck Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Oral Health.
Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen’s behavioural model to explore influencing factors, thereby providing a reference for future policy making. Methods: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016. Patient data were collected using a questionnaire, which was answered by the child’s parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchical logistic regression results were then analysed to find the factors associated with oral health service utilization. Results : The oral health service utilization prevalence during the prior 12 months were 9.5% (95%CI: 8.1%-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8%-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6%-19.4%) among 5-year-old children. “No dental diseases” (71.3%) and “dental disease was not severe” (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor’s degree or higher(OR: 2.29, 95%CI: 1.97-2.67, p <0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p <0.001), annual per capital income more than 25,000 CNY (OR: 1.40, 95%CI: 1.18-1.65, p <0.001),think their child have worse or bad oral health(OR: 3.54, 95%CI: 2.84-4.40, p <0.001), and children who often have toothaches (OR: 9.72 , 95%CI: 7.81-12.09, p <0.001) were more likely to go to the dentist in the past year. Conclusion: The prevalence of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.
Figure 1