Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Analysis of 5-Year-old children’s oral health service utilization and influencing factors in Guizhou Province, China (2019–2020)

Authors: Juanjuan Wu, Liming Chen, Min Guan, Taiming Dai, Reinhard E. Friedrich, Jiangling Sun, Wei Yang

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

This study aimed to investigate the utilization patterns and factors related to oral health care for 5-year-old preschoolers based on Andersen’s Behavioural Model in Guizhou Province, Western China.

Method

A cross-sectional study of 4,862 5-year-old preschoolers in 66 kindergartens was conducted in 2019 and 2020. A basic oral examination and a survey of parents and grandparents were conducted to gather data on oral health services. The results were analysed using chi-square tests and logistic regression analysis.

Result

The utilization rate of oral health services for children in Guizhou province was 20.5%. The dmft was 4.43, and the rate of caries was 72.2%. The average cost of a dental visit was higher in rural areas and higher for girls. Logistic regression analysis revealed that dmft ≥ 6 teeth, a history of toothache, starting toothbrushing at age ≤ 3 years and limited parental knowledge were the primary factors impacting dental visits.

Conclusion

Needs factors such as severe oral conditions and pain in children are the main reasons for the utilization of these services. This study underscores the urgency to actively promote the importance of oral health and expand insurance coverage for oral health services.
Literature
1.
2.
3.
Zheng FM, Yan IG, Duangthip D, Gao SS, Lo ECM, Chu CH. Prevalence of Untreated Early Childhood Caries of 5-Year-Old Children in Hong Kong: A Cross-Sectional Study. Int J Environ Res Public Health 2021, 18(22).
4.
Yang X, Ma Y, Guo W, Yang B, Tian W. Stem cells from human exfoliated deciduous teeth as an alternative cell source in bio-root regeneration. Theranostics. 2019;9(9):2694–711.CrossRefPubMedPubMedCentral
5.
Xu H, Tian J, Hao W, Zhang Q, Zhou Q, Shi W, Qin M, He X, Chen F. Oral Microbiome shifts from Caries-Free to Caries-Affected status in 3-Year-old chinese children: a longitudinal study. Front Microbiol. 2018;9:2009.CrossRefPubMedPubMedCentral
6.
Shi L, Jia J, Li C, Zhao C, Li T, Shi H, Zhang X. Relationship between preterm, low birth weight and early childhood caries: a meta-analysis of the case-control and cross-sectional study. Biosci Rep 2020, 40(8).
7.
Hu D. Preventive Dentistry The 6th Edition(in Chinese); 2012.
8.
Moffat SM, Foster Page LA, Thomson WM. New Zealand’s School Dental Service over the decades: its response to Social, Political, and Economic Influences, and the effect on oral health inequalities. Front Public Health. 2017;5:177.CrossRefPubMedPubMedCentral
9.
Hoeft KS, Barker JC, Masterson EE. Maternal beliefs and motivations for first dental visit by low-income mexican american children in California. Pediatr Dent. 2011;33(5):392–8.PubMedPubMedCentral
10.
X W. Report of the forth national oral health survey. CHINA: Beijing: People’s Medical Publishing House; 2018.
11.
Xu M, Yuan C, Sun X, Cheng M, Xie Y, Si Y. Oral health service utilization patterns among preschool children in Beijing, China. BMC Oral Health. 2018;18(1):31.CrossRefPubMedPubMedCentral
12.
Wang X, Yu H, Nie C, Zhou Y, Wang H, Shi X. Road traffic injuries in China from 2007 to 2016: the epidemiological characteristics, trends and influencing factors. PeerJ. 2019;7:e7423.CrossRefPubMedPubMedCentral
13.
Li J, Yin P, Wang H, Zeng X, Zhang X, Wang L, Liu J, Liu Y, You J, Zhao Z, et al. The disease burden attributable to 18 occupational risks in China: an analysis for the global burden of disease study 2017. Environ Health. 2020;19(1):21.CrossRefPubMedPubMedCentral
14.
Chen P, He G, Zou X, Wang M, Luo H, Yu L, Hu X, Xia M, Gao H, Yu J, et al. Genetic structure and polymorphisms of Gelao ethnicity residing in southwest china revealed by X-chromosomal genetic markers. Sci Rep. 2018;8(1):14585.CrossRefPubMedPubMedCentral
15.
He WC, Ju K, Gao YM, Zhang P, Zhang YX, Jiang Y, Liao WB. Spatial inequality, characteristics of internal migration, and pulmonary tuberculosis in China, 2011–2017: a spatial analysis. Infect Dis Poverty. 2020;9(1):159.CrossRefPubMedPubMedCentral
16.
Li YN, Nong DX, Wei B, Feng QM, Luo HY. The impact of predisposing, enabling, and need factors in utilization of health services among rural residents in Guangxi, China. BMC Health Serv Res. 2016;16(1):592.CrossRefPubMedPubMedCentral
17.
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 1995:1–10.
18.
Varpio L, Paradis E, Uijtdehaage S, Young M. The distinctions between theory, theoretical framework, and conceptual framework. Acad Med. 2020;95(7):989–94.CrossRefPubMed
19.
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. The Lancet. 2007;370(9596):1453–7.CrossRef
20.
Ebenstein A, Zhao Y. Tracking rural-to-urban migration in China: Lessons from the 2005 inter-census population survey. Popul Stud. 2015;69(3):337–53.CrossRef
21.
Chen W, Lv H, Liu S, Liu B, Zhu Y, Chen X, Yang G, Liu L, Zhang T, Wang H. National incidence of traumatic fractures in China: a retrospective survey of 512 187 individuals. The Lancet Global Health. 2017;5(8):e807–17.CrossRefPubMed
22.
WHO. : Oral Health Survey Basic Methods (Fifth Edition); 2013.
23.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977:159–74.
24.
Turp JC, Alt KW. Designating teeth: the advantages of the FDI’s two-digit system. Quintessence Int. 1995;26(7):501–4.PubMed
25.
Garbin CAS, Saliba TA, Teruel GP, Moimaz SAS, Garbin A. Caries experience in preschool children over a 10-year period. Oral Health Prev Dent. 2019;17(3):263–6.PubMed
26.
Grund K, Goddon I, Schüler IM, Lehmann T, Heinrich-Weltzien R. Clinical consequences of untreated dental caries in german 5-and 8-year-olds. BMC Oral Health. 2015;15(1):1–11.CrossRef
27.
Guan M, Nada OA, Wu JJ, Sun JL, Li N, Chen LM, Dai TM. Dental Caries and Associated factors in 3-5-year-old children in Guizhou Province, China: an epidemiological survey (2015–2016). Front Public Health. 2021;9:747371.CrossRefPubMedPubMedCentral
28.
SH H. Report of the forth national oral health survey in Guangdong province. CHINA: Southern Publishing and Media; 2020.
29.
Wang HMCH. Prevalence survey of oral health and Prevention of Common oral Diseases in Zhejiang Province. China: ZheJiang University Press(in Chinese); 2019.
30.
Xiao J, Huang X, Alkhers N, Alzamil H, Alzoubi S, Wu TT, Castillo DA, Campbell F, Davis J, Herzog K, et al. Candida albicans and Early Childhood Caries: a systematic review and Meta-analysis. Caries Res. 2018;52(1–2):102–12.CrossRefPubMed
31.
Martens L, Rajasekharan S, Jacquet W, Vandenbulcke J, Van Acker J, Cauwels R. Paediatric dental emergencies: a retrospective study and a proposal for definition and guidelines including pain management. Eur Archives Pediatr Dentistry. 2018;19(4):245–53.CrossRef
32.
Mansoori S, Mehta A, Ansari MI. Factors associated with oral Health Related Quality of Life of children with severe -early childhood caries. J Oral Biol Craniofac Res. 2019;9(3):222–5.CrossRefPubMedPubMedCentral
33.
Hiratsuka VY, Robinson JM, Greenlee R, Refaat A. Oral health beliefs and oral hygiene behaviours among parents of urban Alaska native children. Int J Circumpolar Health. 2019;78(1):1586274.CrossRefPubMedPubMedCentral
34.
Kohli R, Sehgal HS, Nelson S, Schwarz E. Oral health needs, dental care utilization, and quality of life perceptions among Oregonian seniors. Spec Care Dentist. 2017;37(2):85–92.CrossRefPubMed
35.
Hajek A, Kretzler B, Konig HH. Factors Associated with Dental Service Use based on the Andersen Model: a systematic review. Int J Environ Res Public Health 2021, 18(5).
36.
Gasoyan H, Safaryan A, Sahakyan L, Gasoyan N, Aaronson WE, Bagramian RA. School-Based preventive Dental Program in Rural Communities of the Republic of Armenia. Front Public Health. 2019;7:243.CrossRefPubMedPubMedCentral
37.
38.
Fisher J, Selikowitz HS, Mathur M, Varenne B. Strengthening oral health for universal health coverage. Lancet. 2018;392(10151):899–901.CrossRefPubMed
Metadata
Title
Analysis of 5-Year-old children’s oral health service utilization and influencing factors in Guizhou Province, China (2019–2020)
Authors
Juanjuan Wu
Liming Chen
Min Guan
Taiming Dai
Reinhard E. Friedrich
Jiangling Sun
Wei Yang
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03350-y

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue

Research

Effect of lactoferrin on enamel characteristics of primary and permanent teeth: an in-vitro study

Research

Dental care for older adults in home health care services - practices, perceived knowledge and challenges among Norwegian dentists and dental hygienists

Research

Sedative and adverse effect comparison between oral midazolam and nitrous oxide inhalation in tooth extraction: a meta-analysis

Research

Development and acceptability of behavioral interventions promoting mothers’ brushing of pre-school children’s teeth: The preparation phase of the multi-phase optimization strategy framework

Research

Revolutionising dental technologies: a qualitative study on dental technicians’ perceptions of Artificial intelligence integration

Research

Effects of DJK-5 and chlorhexidine on exopolysaccharide volume and pH in oral biofilms