Factors associated with dental care utilization among Iranian adult populations based on Anderson model
Abstract Background The utilization of dental care is affected by different factors. Despite the importance of dental care, there are significant disparities in its utilization among various population groups. The aim of this study was to identify the main factors of dental care utilization and the...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-025-21540-x |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832585299804291072 |
|---|---|
| author | Ashkan Negintaji Zardak Mostafa Amini-Rarani Ibrahim Abdollahpour Faezeh Eslamipour Bahareh Tahani |
| author_facet | Ashkan Negintaji Zardak Mostafa Amini-Rarani Ibrahim Abdollahpour Faezeh Eslamipour Bahareh Tahani |
| author_sort | Ashkan Negintaji Zardak |
| collection | DOAJ |
| description | Abstract Background The utilization of dental care is affected by different factors. Despite the importance of dental care, there are significant disparities in its utilization among various population groups. The aim of this study was to identify the main factors of dental care utilization and the influences of the Health Transformation Plan (HTP) in Iran based on the Anderson model. Methods and materials This cross-sectional house-by-house study was conducted during Aug-Nov 2022 among 704 adult people in two cities under the coverage of the HTP and two cities out-side the plan using a multi-stage sampling method. Dental visit in the last year was considered as the utilization of the dental services. Independent Factors included the contextual, individual enabling, individual predisposing and individual need factors based on the Andersen model. Personal health behaviors were also assessed. Statistical analysis was conducted using Chi-square tests, simple and multivariable logistic regression models (α < 0.05). Results The 63.1% of the participants covered by the HTP and 57.7% of the population outside the plan sought dental care in the past year. In the final model individuals in the 35–44 age group (OR = 1.5, 95% CI = 1.02–2.2), males (OR = 1.7, 95% CI = 1.2–2.5), single individuals (OR = 1.4, 95% CI = 1.01-2) and those with the perception of need for dental treatment (OR = 2.1, 95% CI = 1.3–3.4) had higher chance of dental visit. Better perceived oral health status was associated with lower chance of visiting the dentist (OR = 0.9, 95% CI = 0.8–0.9). Being covered by the HTP was not significantly in association with the chance of dental visit in the last year (p value = 0.19, OR = 0.78, 95%CI = 0.55–1.12). Conclusion The predisposing factors including age, gender, marital status, and perceived oral health status and perceptions of dental need were the main factors in association with the dental utilization behavior among adults and the coverage by the HTP did not have significant effect on it. |
| format | Article |
| id | doaj-art-93c2557c54a040a58a339d0565e8ba10 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-93c2557c54a040a58a339d0565e8ba102025-01-26T12:55:42ZengBMCBMC Public Health1471-24582025-01-0125111210.1186/s12889-025-21540-xFactors associated with dental care utilization among Iranian adult populations based on Anderson modelAshkan Negintaji Zardak0Mostafa Amini-Rarani1Ibrahim Abdollahpour2Faezeh Eslamipour3Bahareh Tahani4Dental Public Health Department, Dental School, Yasuj University of Medical SciencesSocial Determinants of Health Research Center, Isfahan University of Medical SciencesChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical SciencesDepartment of Oral Public Health, Dental Research Center, Dental Research Institute, Dental School, Isfahan University of Medical SciencesDepartment of Oral Public Health, Dental Research Center, Dental Research Institute, Dental School, Isfahan University of Medical SciencesAbstract Background The utilization of dental care is affected by different factors. Despite the importance of dental care, there are significant disparities in its utilization among various population groups. The aim of this study was to identify the main factors of dental care utilization and the influences of the Health Transformation Plan (HTP) in Iran based on the Anderson model. Methods and materials This cross-sectional house-by-house study was conducted during Aug-Nov 2022 among 704 adult people in two cities under the coverage of the HTP and two cities out-side the plan using a multi-stage sampling method. Dental visit in the last year was considered as the utilization of the dental services. Independent Factors included the contextual, individual enabling, individual predisposing and individual need factors based on the Andersen model. Personal health behaviors were also assessed. Statistical analysis was conducted using Chi-square tests, simple and multivariable logistic regression models (α < 0.05). Results The 63.1% of the participants covered by the HTP and 57.7% of the population outside the plan sought dental care in the past year. In the final model individuals in the 35–44 age group (OR = 1.5, 95% CI = 1.02–2.2), males (OR = 1.7, 95% CI = 1.2–2.5), single individuals (OR = 1.4, 95% CI = 1.01-2) and those with the perception of need for dental treatment (OR = 2.1, 95% CI = 1.3–3.4) had higher chance of dental visit. Better perceived oral health status was associated with lower chance of visiting the dentist (OR = 0.9, 95% CI = 0.8–0.9). Being covered by the HTP was not significantly in association with the chance of dental visit in the last year (p value = 0.19, OR = 0.78, 95%CI = 0.55–1.12). Conclusion The predisposing factors including age, gender, marital status, and perceived oral health status and perceptions of dental need were the main factors in association with the dental utilization behavior among adults and the coverage by the HTP did not have significant effect on it.https://doi.org/10.1186/s12889-025-21540-xDental health servicesServices utilizationIranHealth care reformHealth policy |
| spellingShingle | Ashkan Negintaji Zardak Mostafa Amini-Rarani Ibrahim Abdollahpour Faezeh Eslamipour Bahareh Tahani Factors associated with dental care utilization among Iranian adult populations based on Anderson model BMC Public Health Dental health services Services utilization Iran Health care reform Health policy |
| title | Factors associated with dental care utilization among Iranian adult populations based on Anderson model |
| title_full | Factors associated with dental care utilization among Iranian adult populations based on Anderson model |
| title_fullStr | Factors associated with dental care utilization among Iranian adult populations based on Anderson model |
| title_full_unstemmed | Factors associated with dental care utilization among Iranian adult populations based on Anderson model |
| title_short | Factors associated with dental care utilization among Iranian adult populations based on Anderson model |
| title_sort | factors associated with dental care utilization among iranian adult populations based on anderson model |
| topic | Dental health services Services utilization Iran Health care reform Health policy |
| url | https://doi.org/10.1186/s12889-025-21540-x |
| work_keys_str_mv | AT ashkannegintajizardak factorsassociatedwithdentalcareutilizationamongiranianadultpopulationsbasedonandersonmodel AT mostafaaminirarani factorsassociatedwithdentalcareutilizationamongiranianadultpopulationsbasedonandersonmodel AT ibrahimabdollahpour factorsassociatedwithdentalcareutilizationamongiranianadultpopulationsbasedonandersonmodel AT faezeheslamipour factorsassociatedwithdentalcareutilizationamongiranianadultpopulationsbasedonandersonmodel AT baharehtahani factorsassociatedwithdentalcareutilizationamongiranianadultpopulationsbasedonandersonmodel |