The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  25 (2024)
Volume  24 (2023)
Volume  23 (2022)
Volume  22 (2021)
Volume  21 (2020)
Volume  20 (2019)
Volume  19 (2018)
Volume  18 (2017)
Volume  17 (2016)
Volume  16 (2015)
Volume  15 (2014)
Volume  14 (2013)
Volume  13 (2012)
Volume  12 (2011)
Volume  11 (2010)
Volume  10 (2009)
Volume  9 (2008)
Volume  8 (2007)
Volume  7 (2006)
Volume  6 (2005)
Volume  5 (2004)
Volume  4 (2003)
Volume  3 (2002)
Volume  2 (2001)
Volume  1 (1999)
Related articles

VOLUME 25 , ISSUE 11 ( November, 2024 ) > List of Articles

ORIGINAL RESEARCH

The Barriers in Using Oral Health Services of People Aged 18 or Over in Danang in 2023: A Cross-sectional Study

Anh PV Khuong, Duc A Pham, Hien TM Nguyen, My NY Phan, An Duong Chieu Le, Tung D Nguyen

Keywords : Barriers, Dental health services, Health promotion, Oral care, Public health dentistry

Citation Information : Khuong AP, Pham DA, Nguyen HT, Phan MN, Le AD, Nguyen TD. The Barriers in Using Oral Health Services of People Aged 18 or Over in Danang in 2023: A Cross-sectional Study. J Contemp Dent Pract 2024; 25 (11):1009-1014.

DOI: 10.5005/jp-journals-10024-3776

License: CC BY-NC 4.0

Published Online: 27-01-2025

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aims: This study aims to identify the barriers associated with access to oral health services among individuals aged 18 or over in Danang city. Materials and methods: A cross-sectional descriptive study using a self-completed questionnaire with 29 questions built on the theoretical framework of Jean-Frederic Levesque and the modified dental anxiety scale (MDAS) was conducted on 386 people aged 18 years and older living in Danang city through face-to-face interviews. The study responses were closed after achieving the target sample size, with the sample collection period recorded as 3 months from October 2023 to January 2024. Data were analyzed using SPSS 20.0 software. Factors influencing the decision to use dental services among individuals who have either never used or have used oral care services more than 12 months ago were analyzed in univariate analysis and multivariate logistic regression analysis. Results: The proportion of participants who have either never utilized dental services or had last used them more than 12 months ago was 57.5%. Factors linked to the decision to seek dental care include personal dental hygiene practices, knowledge of oral health, accessibility to information, recommendations from peers, the process of scheduling appointments, examination duration, and income level, with odds ratio (OR) of 2.011–15.394 (p < 0.05). Conclusion: A large proportion of adults in Danang lack the habit of utilizing dental care services. The prevalent barriers include physical accessibility to dental facilities (such as locating, scheduling, and arranging appointments), affordability, and a deficiency in individual skills and knowledge regarding the importance of regular oral healthcare. Clinical significance: The analysis of factors such as knowledge of oral health and service accessibility provides crucial insights for developing strategies to enhance community engagement in oral care. The clinical translational value of this research lies in its potential to support the development of more effective educational programs and healthcare policies, thereby encouraging regular oral health practices and improving the oral health of the community.

PDF Share
  1. Ministry of Health. [Project to improve the capacity of oral and maxillofacial medical examination and treatment and prevention oral diseases in the community for the period of 2021–2030] [Internet]. Nguyen TS (VN): Vietnamese Government, Ministry of Health. 2021 Dec 09;Decision No:5628/QĐ-BYT. Vietnamese. Available from: https://thuvienphapluat.vn/van-ban/The-thao-Y-te/Quyet-dinh-5628-QD-BYT-2021-De-an-Nang-cao-nang-luc-kham-chua-benh-Rang-Ham-Mat-497582.aspx
  2. De-Rubeis V, Jiang Y, De-Groh M, et al. Barriers to oral care: A cross-sectional analysis of the Canadian longitudinal study on aging (CLSA). BMC Oral Health 2023;23(1):294–304. DOI: 10.1186/s12903-023-02 967-3.
  3. Ngo TMH, Ngo DK. Oral care habit of population living in District 5, Hochiminh City 2009;13(2):74–85. Available from: https://tapchiyhoctphcm.vn/articles/8956.
  4. Pham HP, Tran QK, Le TTH. Assessing knowledge and practice of patients on oral health care at 108 Military Central Hospital in 2019. J 108 - Clin Med Pharm 2019;14(6):36–44. Available from: https://tcydls108.benhvien108.vn/index.php/YDLS/article/view/106.
  5. Wen P-C, Lee CB, Chang Y-H, et al. Demographic and rural–urban variations in dental service utilization in Taiwan. Rural Remote Health 2017;17(3):1–7. DOI: 10.22605/RRH4161.
  6. Marshman Z, Porritt J, Dyer T, et al. What influences the use of dental services by adults in the UK?. Community Dent Oral Epidemiol 2012; 40(4):306–314. DOI: 10.1111/j.1600-0528.2012.00675.x.
  7. Listl S, Moeller J, Manski R. A multi-country comparison of reasons for dental non-attendance. Eur J Oral Sci 2014;122(1):62–69. DOI:10.1111/eos.12096.
  8. Freeman R. Barriers to accessing dental care: patient factors. Br Dent J 1999;187(3):141–144. DOI: 10.1038/sj.bdj.4800224.
  9. Herkrath FJ, Vettore MV, Werneck GL. Utilisation of dental services by Brazilian adults in rural and urban areas: a multi-group structural equation analysis using the Andersen behavioural model. BMC Public Health 2020; 20(1):953. DOI: 10.1186/s12889-020-09100-x.
  10. Alfaraj A, Halawany HS, Al-Hinai MT, et al. Barriers to dental care in individuals with special healthcare needs in Qatif, Saudi Arabia: A caregiver's perspective. Patient Prefer Adherence 2021;(15):69–76. DOI: 10.2147/PPA.S291255.
  11. Tennstedt SL, Brambilla DL, Jette AM, et al. Understanding dental service use by older adults: sociobehavioral factors vs need. J Public Health Dent 1994;54(4):211–219. DOI: 10.1111/j.1752-7325.1994.tb01217.x.
  12. Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent 2016;(8):35–50. DOI: 10.2147/CCIDE.S63626.
  13. Levesque J-F, Harris MF, Russell G. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health 2013;12(1):18. DOI: 10.1186/1475-9276-12-18.
  14. Humphris GM, Morrison T, Lindsay SJE. The modified dental anxiety scale: validation and United Kingdom norms. Community Dent Health 1995;12(3):143–150. PMID: 7584581.
  15. Jordão LMR, Malta DC, Freire MDCM. Clustering patterns of oral and general health-risk behaviours in Brazilian adolescents: findings from a national survey. Community Dent Oral Epidemiol 2017;00:1–9. DOI:10.1111/cdoe.12354.
  16. Olsen JA, Inglehart MR. Malocclusions and perceptions of attractiveness, intelligence, and personality, and behavioral intentions. Am J Orthod Dentofacial Orthop 2011;140(5):669–679. DOI: 10.1016/j.ajodo.2011.02.025.
  17. Agnisarman S, Ponathil A, Lopes S, et al. An investigation of consumer's choice of a healthcare facility when user-generated anecdotal information is integrated into healthcare public reports. Int J Ind Ergon 2018;66:206–220. DOI: 10.1016/j.ergon.2018.03. 003.
  18. Hassan BH, Moniem MMAE, Dawood SS, et al. Dental Anxiety and Oral-Health-Related Quality of Life among Rural Community-Dwelling Older Adults. Int J Environ Res Public Health 2022;19(13):7643. DOI: 10.3390/ijerph19137643.
  19. Stapleton S, Finlayson TL, Ohmit A, et al. Correlates of past year dental health visits: findings from the Indiana black men's health study. J Public Health Dent 2015;76(2);157–165. DOI: 10.1111/jphd. 12128.
  20. Da Nang Statistics Department. [Press release socio-economic situation of Da Nang city in 2023] [Internet]. Tran T (VN): General Statistics Office, Da Nang Statistics Department. 2023 Dec 29. Vietnamese. Available from: https://cucthongke.danang.gov.vn/chi-tiet-tin-tuc?dinhdanh=186501&cat=3.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.