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Is poor access to dental care why people outside capital cities have poor oral health?

Citation

Crocombe, LA and Stewart, JF and Brennan, DS and Slade, GD and Spencer, AJ, Is poor access to dental care why people outside capital cities have poor oral health?, Australian Dental Journal, 57, (4) pp. 477-485. ISSN 1834-7819 (2012) [Refereed Article]

Copyright Statement

Copyright 2012 Australian Dental Association

DOI: doi:10.1111/adj.12000

Abstract

Background: Why oral health status outside capital cities is poorer than that in capital cities has not been satisfactorily explained. The aim of this study was to determine if the reason was poorer access to dental care.

Methods: Data were obtained from the Australian National Survey of Adult Oral Health (200406). Oral health status was measured by DMFT Index, and numbers of decayed, missing and filled teeth. A two-step analysis was undertaken: comparing the dependent variables by location, socio-demographic confounders and preventive dental behaviours, and then including six access to dental care variables.

Results: Of the 14 123 people interviewed, 5505 were examined, and 4170 completed the questionnaire. With socio-economic parameters in the first regression model, non-capital city people had higher DMFT (regression coefficient = 1.15, p < 0.01), more decayed (0.42, p < 0.01) and missing teeth (0.85, p < 0.01), but not filled teeth (−0.11, p = 0.71), than capital city based people. In the second step analysis, non-capital city people still had a greater DMFT (1.01, p < 0.01), more decayed (0.27, p = 0.03) and missing teeth (0.74, p < 0.01), but not filled teeth (0.00, p = 0.99) than capital city based people.

Conclusions: Access to dental care was not the only reason why people outside capital cities have poorer oral health than people living in capital cities.

Item Details

Item Type:Refereed Article
Keywords:access to care, allied health, epidemiology, utilization of health services, rural
Research Division:Medical and Health Sciences
Research Group:Dentistry
Research Field:Dentistry not elsewhere classified
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Dental Health
Author:Crocombe, LA (Associate Professor Leonard Crocombe)
ID Code:82186
Year Published:2012
Web of Science® Times Cited:9
Deposited By:Centre for Rural Health
Deposited On:2013-01-18
Last Modified:2017-11-06
Downloads:0

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