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Dental visiting trajectory patterns and their antecedents


Crocombe, LA and Broadbent, JM and Thompson, WM and Brennan, DS and Slade, GD and Poulton, R, Dental visiting trajectory patterns and their antecedents, Journal of Public Health Dentistry, 71, (1) pp. 23-31. ISSN 0022-4006 (2011) [Refereed Article]

Copyright Statement

Copyright 2010 American Association of Public Health Dentistry

DOI: doi:10.1111/j.1752-7325.2010.00196.x


Objective: This study aimed to test whether socioeconomic status (SES) in childhood may affect dental visiting patterns between ages 18 and 32 years.

Methods: Using data from a complete birth cohort, childhood SES status was measured (using the New Zealand Elley-Irving index) at each study stage between birth and 15 years. Longitudinal dental visiting data were available for 833 study participants from ages 15, 18, 26, and 32, and these were analyzed by trajectory analysis.

Results: Three separate dental visiting trajectories were identified; these were categorized as opportunists (13.1%), decliners (55.9%),and routine attenders (30.9%). Bivariate analyses showed low SES in childhood, male sex, and dental anxiety to be associated with membership of the "opportunist" dental visiting trajectory. Multinomial logistic regression showed that low childhood SES and dental anxiety were statistically significant predictors for membership in the opportunist or decliner trajectories after accounting for potential confounding variables.

Conclusion: Individuals who grew up experiencing low childhood SES were less likely to adopt a routine dental visiting trajectory in adulthood than those with a high childhood SES. Dental anxiety was also an important predictor of dental visiting patterns.

Item Details

Item Type:Refereed Article
Keywords:longitudinal study; dental visiting; trajectory analysis; cohort study.
Research Division:Biomedical and Clinical 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
UTAS Author:Crocombe, LA (Associate Professor Leonard Crocombe)
ID Code:85914
Year Published:2011
Web of Science® Times Cited:35
Deposited By:UTAS Centre for Rural Health
Deposited On:2013-08-14
Last Modified:2017-11-06

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