Skip to main content
Top
Published in: BMC Oral Health 1/2018

Open Access 01-12-2018 | Research article

Oral health service utilization patterns among preschool children in Beijing, China

Authors: Mengru Xu, Chao Yuan, Xiangyu Sun, Menglin Cheng, Yanyi Xie, Yan Si

Published in: BMC Oral Health | Issue 1/2018

Login to get access

Abstract

Background

The utilization of oral health services in children remains at a relatively low level in China. However, little is known about the utilization patterns and related factors. The objective of this study was to explore the patterns of oral health service utilization and to determine the related factors among preschool children in Beijing, China, based on the Andersen behavioral model.

Methods

A cross-sectional study of 1425 preschool children aged 2 to 6 years was carried out in five kindergartens in Beijing, China. A questionnaire investigation of parents/caregivers was performed to collect information on oral health service utilization. Oral health needs were evaluated through oral health examinations. Chi-square tests, t-tests, multivariate logistic regression and negative binomial regression were used in this study to identify the variables associated with oral health service utilization.

Results

In total, 648 (45.5%) children had utilized oral health services in the past 12 months, while 24.3% had utilized preventive oral health services. Routine checkups and receiving preventive measures accounted for 63.2% of the children who utilized oral health services in the past 12 months. Children were more likely to have utilized oral health services in the past 12 months if they attended kindergartens with regular oral health care resources, if their oral health status as perceived by their parents/parents was “fair” or “poor”, if they had more decayed, missing and filled teeth (dmft) and if they had experienced more dental pain. In addition, children with more dental pain and more access to oral health services, whose oral health status was perceived by parents/caregivers as worse tended to have utilized oral health services more frequently in the past 12 months.

Conclusions

In conclusion, we found a strong association between access to regular oral health care resources and oral health service utilization among preschool children. Children whose oral health status was perceived by parents/caregivers as worse and who had more dental pain were more likely to have utilized oral health services in China.
Appendix
Available only for authorised users
Literature
1.
go back to reference Zhang X, Yang S, Liao Z, Xu L, Li C, Zeng H, Song J, Zhang L. Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987-2013. Sci Rep. 2016;6:18897.CrossRefPubMedPubMedCentral Zhang X, Yang S, Liao Z, Xu L, Li C, Zeng H, Song J, Zhang L. Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987-2013. Sci Rep. 2016;6:18897.CrossRefPubMedPubMedCentral
3.
go back to reference Gao J, Ruan J, Zhao L, Zhou H, Huang R, Tian J. Oral health status and oral health knowledge, attitudes and behavior among rural children in Shaanxi, western China: a cross-sectional survey. BMC Oral Health. 2014;14(1):144.CrossRefPubMedPubMedCentral Gao J, Ruan J, Zhao L, Zhou H, Huang R, Tian J. Oral health status and oral health knowledge, attitudes and behavior among rural children in Shaanxi, western China: a cross-sectional survey. BMC Oral Health. 2014;14(1):144.CrossRefPubMedPubMedCentral
4.
go back to reference Cong F, Zhang GY. The investigation into 12-year old students' oral health status and oral health behaviors in primary schools from Shenyang city. Chin J Prac Stom. 2012;5(3):160–72. Cong F, Zhang GY. The investigation into 12-year old students' oral health status and oral health behaviors in primary schools from Shenyang city. Chin J Prac Stom. 2012;5(3):160–72.
5.
go back to reference Wang WQ, Jin C, Wang HY. Dental caries and oral health behavior of 5-y ear·old children in Hangzhou city. Stomatology. 2010;30(12):749–50. Wang WQ, Jin C, Wang HY. Dental caries and oral health behavior of 5-y ear·old children in Hangzhou city. Stomatology. 2010;30(12):749–50.
6.
go back to reference Cao B, Liu CJ, Ji P, Zhang XH, Zhang J. Investigating oral health behaviors and health care utilization of local and rural-urban migrant primary school students in Pudong new area of Sanghai. Chin Primary Health Care. 2013;29(9):30–1,4. Cao B, Liu CJ, Ji P, Zhang XH, Zhang J. Investigating oral health behaviors and health care utilization of local and rural-urban migrant primary school students in Pudong new area of Sanghai. Chin Primary Health Care. 2013;29(9):30–1,4.
7.
go back to reference Guo HJ, Zhang PR, Luo M, Chen H, Luo L. Sample survey on related behaviors of oral health among children under 5 years in Mianyang city. Maternal and Child Health Care of Chin. 2011;26:4567–9. Guo HJ, Zhang PR, Luo M, Chen H, Luo L. Sample survey on related behaviors of oral health among children under 5 years in Mianyang city. Maternal and Child Health Care of Chin. 2011;26:4567–9.
8.
go back to reference Lei YJ, Wei HP, Tan MH, Huang H, Huang GM, Li XJ, He KX. Sampled investigation of oral health behavior in 12-years--old children in Guangxi. Stomatology. 2010;30(3):170–3. Lei YJ, Wei HP, Tan MH, Huang H, Huang GM, Li XJ, He KX. Sampled investigation of oral health behavior in 12-years--old children in Guangxi. Stomatology. 2010;30(3):170–3.
9.
go back to reference American Academy on Pediatric, Dentistry. & American Academy of Pediatrics. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2016;38(6):52–4. American Academy on Pediatric, Dentistry. & American Academy of Pediatrics. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2016;38(6):52–4.
10.
go back to reference 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 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
11.
go back to reference Petersen PE. World Health Organization global policy for improvement of oral health – world health assembly 2007. Int Dent J. 2008;58:115–21.CrossRefPubMed Petersen PE. World Health Organization global policy for improvement of oral health – world health assembly 2007. Int Dent J. 2008;58:115–21.CrossRefPubMed
12.
go back to reference Listl S. Inequalities in dental attendance throughout the life-course. J Dent Res. 2012;91(7 Suppl):91–7.CrossRef Listl S. Inequalities in dental attendance throughout the life-course. J Dent Res. 2012;91(7 Suppl):91–7.CrossRef
13.
go back to reference Qi XQ. Report of the third national oral health survey. Beijing: People’s Medical Publishing House; 2008. Qi XQ. Report of the third national oral health survey. Beijing: People’s Medical Publishing House; 2008.
15.
go back to reference Slack-Smith LM. Dental visits by Australian preschool children. J Paediatr Child Health. 2003;39(6):442–5.CrossRefPubMed Slack-Smith LM. Dental visits by Australian preschool children. J Paediatr Child Health. 2003;39(6):442–5.CrossRefPubMed
16.
go back to reference Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W. Prevalence of dental caries in 5-year-old Greek children and the use of dental services: evaluation of socioeconomic, behavioural factors and living conditions. Int Dent J. 2013;63(2):72–9.CrossRefPubMed Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W. Prevalence of dental caries in 5-year-old Greek children and the use of dental services: evaluation of socioeconomic, behavioural factors and living conditions. Int Dent J. 2013;63(2):72–9.CrossRefPubMed
17.
go back to reference Kim J, Kaste LM. Associations of the type of childcare with reported preventive medical and dental care utilization for 1- to 5-year-old children in the United States. Community Dent Oral Epidemiol. 2013;41(5):432–40.PubMed Kim J, Kaste LM. Associations of the type of childcare with reported preventive medical and dental care utilization for 1- to 5-year-old children in the United States. Community Dent Oral Epidemiol. 2013;41(5):432–40.PubMed
18.
go back to reference Leroy R, Bogaerts K, Hoppenbrouwers K, Martens LC, Declerck D. Dental attendance in preschool children - a prospective study. Int J Paediatr Dent. 2013;23(2):84–93.CrossRefPubMed Leroy R, Bogaerts K, Hoppenbrouwers K, Martens LC, Declerck D. Dental attendance in preschool children - a prospective study. Int J Paediatr Dent. 2013;23(2):84–93.CrossRefPubMed
19.
go back to reference Machry RV, Tuchtenhagen S, Agostini BA, da Silva Teixeira CR, Piovesan C, Mendes FM, Socioeconomic ATM. Psychosocial predictors of dental healthcare use among Brazilian preschool children. Bmc Oral Health. 2013;13(1):60.CrossRefPubMedPubMedCentral Machry RV, Tuchtenhagen S, Agostini BA, da Silva Teixeira CR, Piovesan C, Mendes FM, Socioeconomic ATM. Psychosocial predictors of dental healthcare use among Brazilian preschool children. Bmc Oral Health. 2013;13(1):60.CrossRefPubMedPubMedCentral
20.
go back to reference Granville-Garcia AF, Clementino MA, Gomes MC, Costa EM, Pinto-Sarmento TC, Paiva SM. Influence of oral problems and biopsychosocial factors on the utilization of dental services by preschool children. J Dent Child. 2015;82(2):76–83. Granville-Garcia AF, Clementino MA, Gomes MC, Costa EM, Pinto-Sarmento TC, Paiva SM. Influence of oral problems and biopsychosocial factors on the utilization of dental services by preschool children. J Dent Child. 2015;82(2):76–83.
21.
go back to reference Medina-Solís CE, Maupomé G, Avila-Burgos L, Hijar-Medina M, Segovia-Villanueva A, Pérez-Núñez R. Factors influencing the use of dental health services by preschool children in Mexico. Pediatr Dent. 2006;28(3):285–92.PubMed Medina-Solís CE, Maupomé G, Avila-Burgos L, Hijar-Medina M, Segovia-Villanueva A, Pérez-Núñez R. Factors influencing the use of dental health services by preschool children in Mexico. Pediatr Dent. 2006;28(3):285–92.PubMed
22.
go back to reference Naidu R, Nunn J, Forde M. Oral healthcare of preschool children in Trinidad: a qualitative study of parents and caregivers. BMC Oral Health. 2012;12(1):27.CrossRefPubMedPubMedCentral Naidu R, Nunn J, Forde M. Oral healthcare of preschool children in Trinidad: a qualitative study of parents and caregivers. BMC Oral Health. 2012;12(1):27.CrossRefPubMedPubMedCentral
23.
go back to reference Sohn W, Ismail A, Amaya A, Lepkowski J. Determinants of dental care visits among low-income African-American children. J Am Dent Assoc. 2007;138(3):309–18.CrossRefPubMed Sohn W, Ismail A, Amaya A, Lepkowski J. Determinants of dental care visits among low-income African-American children. J Am Dent Assoc. 2007;138(3):309–18.CrossRefPubMed
24.
go back to reference Baldani MH, Mendes YB, Lawder JA, de Lara AP, Rodrigues MM, Antunes JL. Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants. J Public Health Dent. 2011;71(1):46–53.CrossRefPubMed Baldani MH, Mendes YB, Lawder JA, de Lara AP, Rodrigues MM, Antunes JL. Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants. J Public Health Dent. 2011;71(1):46–53.CrossRefPubMed
25.
go back to reference Medina-Solis CE, Maupomé G, del Socorro HM, Pérez-Núñez R, Avila-Burgos L, Lamadrid-Figueroa H. Dental health services utilization and associated factors in children 6 to 12 years old in a low-income country. J Public Health Dent. 2008;68(1):39–45.CrossRefPubMed Medina-Solis CE, Maupomé G, del Socorro HM, Pérez-Núñez R, Avila-Burgos L, Lamadrid-Figueroa H. Dental health services utilization and associated factors in children 6 to 12 years old in a low-income country. J Public Health Dent. 2008;68(1):39–45.CrossRefPubMed
26.
go back to reference Shahrabani S, Benzion U, Machnes Y, Gal A. The use of dental services for children: implications of the 2010 dental reform in Israel. Health Policy. 2015;119(2):117–26.CrossRefPubMed Shahrabani S, Benzion U, Machnes Y, Gal A. The use of dental services for children: implications of the 2010 dental reform in Israel. Health Policy. 2015;119(2):117–26.CrossRefPubMed
28.
go back to reference Finlayson TL, Gansky SA, Shain SG, Weintraub JA. Dental utilization by children in Hispanic agricultural worker families in California. J Dent Oral Craniofac Epidemiol. 2014;2(1–2):15–24.PubMedPubMedCentral Finlayson TL, Gansky SA, Shain SG, Weintraub JA. Dental utilization by children in Hispanic agricultural worker families in California. J Dent Oral Craniofac Epidemiol. 2014;2(1–2):15–24.PubMedPubMedCentral
29.
go back to reference Amin MS, Perez A, Nyachhyon P. Barriers to utilization of dental services for children among low-income families in Alberta. J Can Dent Assoc. 2014;80:e51.PubMed Amin MS, Perez A, Nyachhyon P. Barriers to utilization of dental services for children among low-income families in Alberta. J Can Dent Assoc. 2014;80:e51.PubMed
30.
go back to reference Christian B, Young D, Gibbs L, de Silva A, Gold L, Riggs E, et al. Exploring child dental service use among migrant families in metropolitan Melbourne, Australia. Aust Dent J. 2015;60(2):200–4.CrossRefPubMed Christian B, Young D, Gibbs L, de Silva A, Gold L, Riggs E, et al. Exploring child dental service use among migrant families in metropolitan Melbourne, Australia. Aust Dent J. 2015;60(2):200–4.CrossRefPubMed
31.
go back to reference Anderson RM. Revisiting the behavioral model and access to medical care:does it matter? J Health Soc Behav. 1995;36(1):1–10.CrossRef Anderson RM. Revisiting the behavioral model and access to medical care:does it matter? J Health Soc Behav. 1995;36(1):1–10.CrossRef
32.
go back to reference Isong U, Weintraub JA. Determinants of dental service utilization among 2 to 11-year-old California children. J Public Health Dent. 2005;65(3):138–45.CrossRefPubMed Isong U, Weintraub JA. Determinants of dental service utilization among 2 to 11-year-old California children. J Public Health Dent. 2005;65(3):138–45.CrossRefPubMed
33.
go back to reference Liu L, Zhang Y, Wu W, Cheng R. Characteristics of dental care-seeking behavior and related sociodemographic factors in a middle-aged and elderly population in Northeast China. BMC Oral Health. 2015;15:66.CrossRefPubMedPubMedCentral Liu L, Zhang Y, Wu W, Cheng R. Characteristics of dental care-seeking behavior and related sociodemographic factors in a middle-aged and elderly population in Northeast China. BMC Oral Health. 2015;15:66.CrossRefPubMedPubMedCentral
34.
go back to reference Yuan C, Zhu L, Li YL, Liu M, Si Y, Zhang F. Oral health services utilization and influencing factors in downtown community residents older than 15 years in Beijing. Chin J Stomatol. 2011;46(3):182–5. Yuan C, Zhu L, Li YL, Liu M, Si Y, Zhang F. Oral health services utilization and influencing factors in downtown community residents older than 15 years in Beijing. Chin J Stomatol. 2011;46(3):182–5.
36.
go back to reference World Health Organization. Oral health surveys-basic methods. 5th ed. Geneva: World Health Organization; 2013. World Health Organization. Oral health surveys-basic methods. 5th ed. Geneva: World Health Organization; 2013.
37.
go back to reference Romaire MA, Bell JF, Huebner CE. Variations in children's dental service use based on four national health surveys. Pediatrics. 2012;130(5):e1182–9.CrossRefPubMed Romaire MA, Bell JF, Huebner CE. Variations in children's dental service use based on four national health surveys. Pediatrics. 2012;130(5):e1182–9.CrossRefPubMed
38.
go back to reference Villalobos-Rodelo JJ, Medina-Solís CE, Maupomé G, Lamadrid-Figueroa H, Casanova-Rosado AJ, Casanova-Rosado JF, Márquez-Corona Mde L. Dental needs and socioeconomic status associated with utilization of dental services in the presence of dental pain: a case-control study in children. J Orofac Pain. 2010;24(3):279–86.PubMed Villalobos-Rodelo JJ, Medina-Solís CE, Maupomé G, Lamadrid-Figueroa H, Casanova-Rosado AJ, Casanova-Rosado JF, Márquez-Corona Mde L. Dental needs and socioeconomic status associated with utilization of dental services in the presence of dental pain: a case-control study in children. J Orofac Pain. 2010;24(3):279–86.PubMed
39.
go back to reference Qiu RM, Tao Y, Zhou Y, Zhi QH, Lin HC. The relationship between children’s oral health-related behaviors and their caregiver’s social support. BMC Oral Health. 2016;16(1):86.CrossRefPubMedPubMedCentral Qiu RM, Tao Y, Zhou Y, Zhi QH, Lin HC. The relationship between children’s oral health-related behaviors and their caregiver’s social support. BMC Oral Health. 2016;16(1):86.CrossRefPubMedPubMedCentral
40.
go back to reference John JR, Mannan H, Nargundkar S, D’Souza M, Do LG, Arora A. Predictors of dental visits among primary school children in the rural Australian community of Lithgow. BMC Health Serv Res. 2017;17(1):264.CrossRefPubMedPubMedCentral John JR, Mannan H, Nargundkar S, D’Souza M, Do LG, Arora A. Predictors of dental visits among primary school children in the rural Australian community of Lithgow. BMC Health Serv Res. 2017;17(1):264.CrossRefPubMedPubMedCentral
41.
go back to reference Schulz M, Kunst AE, Brockmann H. High educational attainment moderates the association between dental health-care supply and utilization in Europe. Eur J Oral Sci. 2016;124(1):52–61.CrossRefPubMed Schulz M, Kunst AE, Brockmann H. High educational attainment moderates the association between dental health-care supply and utilization in Europe. Eur J Oral Sci. 2016;124(1):52–61.CrossRefPubMed
42.
go back to reference Berra S, Tebé C, Erhart M, Ravens-Sieberer U, Auquier P, Detmar S, Herdman M, Alonso J, Rajmil L. Correlates of use of health services by children and adolescents from 11 European countries. Med Care. 2009;47(2):161–7.CrossRefPubMed Berra S, Tebé C, Erhart M, Ravens-Sieberer U, Auquier P, Detmar S, Herdman M, Alonso J, Rajmil L. Correlates of use of health services by children and adolescents from 11 European countries. Med Care. 2009;47(2):161–7.CrossRefPubMed
43.
go back to reference Baker SR. Applying Andersen's behavioural model to oral health: what are the contextual factors shaping perceived oral health outcomes? Community Dent Oral Epidemiol. 2009;37(6):485–94.CrossRefPubMed Baker SR. Applying Andersen's behavioural model to oral health: what are the contextual factors shaping perceived oral health outcomes? Community Dent Oral Epidemiol. 2009;37(6):485–94.CrossRefPubMed
Metadata
Title
Oral health service utilization patterns among preschool children in Beijing, China
Authors
Mengru Xu
Chao Yuan
Xiangyu Sun
Menglin Cheng
Yanyi Xie
Yan Si
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2018
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-018-0494-6

Other articles of this Issue 1/2018

BMC Oral Health 1/2018 Go to the issue