Preventive and curative dental services utilization among children aged 12 years and younger in Tehran, Iran, based on the Andersen behavioral model: A generalized structural equation modeling
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| Publikašuvnnas: | PLoS One vol. 20, no. 1 (Jan 2025), p. e0312043 |
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| Eará dahkkit: | , , , |
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Public Library of Science
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| Liŋkkat: | Citation/Abstract Full Text Full Text - PDF |
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| 024 | 7 | |a 10.1371/journal.pone.0312043 |2 doi | |
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| 045 | 2 | |b d20250101 |b d20250131 | |
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| 100 | 1 | |a Amirian, Elaheh | |
| 245 | 1 | |a Preventive and curative dental services utilization among children aged 12 years and younger in Tehran, Iran, based on the Andersen behavioral model: A generalized structural equation modeling | |
| 260 | |b Public Library of Science |c Jan 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a World Health Organization invites the nations to progress towards universal health care coverage. This study evaluated preventive and curative dental services utilization among children aged 12 years and younger in Tehran, Iran, based on the Andersen behavioral model using a generalized structural equation modeling. A phone-based cross-sectional study was conducted in Tehran, Iran, on 886 children in 2023. Information on curative and preventive/consultation dental service utilization and associated factors was collected by a standard questionnaire. We used a generalized structural equation model (GSEM) to build a model based on Andersen’s behavioral model. Of 886 children, 22.1% used curative dental services, and 19.9% used preventive/consultation services in the past year. Among children aged 6 years and younger, age (OR = 1.87, p-value <0.001) and parent-perceived oral health need (OR = 54.77, p-value <0.001) predicted curative services utilization and age (OR = 1.45, p-value <0.001), knowledge (OR = 1.36, p-value <0.001), dental visit before the age of one (OR = 6.05, p-value = 0.04), and socioeconomic status (OR = 1.65, p-value = 0.03) predicted preventive/consultation services utilization. Regarding children aged 7 to 12, knowledge (OR = 1.28, p-value = 0.03), dental visit before the age of one (OR = 11.12, p-value = 0.02), socioeconomic status (OR = 2.53, p-value = 0.01), dental insurance (OR = 4.17, p-value <0.001), and parent-perceived oral health need (OR = 19.48, p-value <0.001) associated with curative dental services utilization, and dental visit before the age of one (OR = 10.05, p-value = 0.02), oral health behavior (OR = 1.25, p-value = 0.04), socioeconomic status (OR = 3.74, p-value <0.001), and parent-perceived oral health need (OR = 4.62, p-value <0.001) related to preventive/consultation services utilization. The findings of this study underscore the significant influence of predisposing, enabling, and need factors on dental services utilization among children aged 12 years and younger. These results provide a valuable perspective for policymakers, highlighting the modifiable determinants that could be targeted to improve dental services utilization in this age group. | |
| 651 | 4 | |a Iran | |
| 651 | 4 | |a Brazil | |
| 651 | 4 | |a Tehran Iran | |
| 653 | |a Parents & parenting | ||
| 653 | |a Oral hygiene | ||
| 653 | |a Socioeconomic factors | ||
| 653 | |a Dental insurance | ||
| 653 | |a Modelling | ||
| 653 | |a Structural equation modeling | ||
| 653 | |a Questionnaires | ||
| 653 | |a Families & family life | ||
| 653 | |a Age | ||
| 653 | |a Children | ||
| 653 | |a Quality of life | ||
| 653 | |a Sample size | ||
| 653 | |a Health behavior | ||
| 653 | |a Validity | ||
| 653 | |a Sustainable development | ||
| 653 | |a Variables | ||
| 653 | |a Socioeconomics | ||
| 653 | |a Missing data | ||
| 653 | |a Design | ||
| 653 | |a Data collection | ||
| 653 | |a Information processing | ||
| 653 | |a Utilization | ||
| 653 | |a Health services utilization | ||
| 653 | |a Dental caries | ||
| 653 | |a Social | ||
| 700 | 1 | |a Razeghi, Samaneh | |
| 700 | 1 | |a Molaei, Alireza | |
| 700 | 1 | |a Shamshiri, Ahmad R | |
| 700 | 1 | |a Mohebbi, Simin Z | |
| 773 | 0 | |t PLoS One |g vol. 20, no. 1 (Jan 2025), p. e0312043 | |
| 786 | 0 | |d ProQuest |t Health & Medical Collection | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3156418653/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text |u https://www.proquest.com/docview/3156418653/fulltext/embedded/6A8EOT78XXH2IG52?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3156418653/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch |