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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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Gepubliceerd in:PLoS One vol. 20, no. 1 (Jan 2025), p. e0312043
Hoofdauteur: Amirian, Elaheh
Andere auteurs: Razeghi, Samaneh, Molaei, Alireza, Shamshiri, Ahmad R, Mohebbi, Simin Z
Gepubliceerd in:
Public Library of Science
Onderwerpen:
Iran
Brazil
Tehran Iran
Parents & parenting
Oral hygiene
Socioeconomic factors
Dental insurance
Modelling
Structural equation modeling
Questionnaires
Families & family life
Age
Children
Quality of life
Sample size
Health behavior
Validity
Sustainable development
Variables
Socioeconomics
Missing data
Design
Data collection
Information processing
Utilization
Health services utilization
Dental caries
Social
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Samenvatting: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.
ISSN:1932-6203
DOI:10.1371/journal.pone.0312043
Bron:Health & Medical Collection