Abstract:
OBJECTIVES:There are few studies of dental service expenditure in Australia. Although dental insurance status is strongly associated with a higher probability of dental visiting, some studies indicate that there is little variation in expenditure by insurance status among those who attend for care. Our objective was to assess the overall impact of insurance on expenditures by modelling the association between insurance and expenditure accounting for variation in the probability of incurring expenses, that is dental visiting. METHODS:A sample of 3000 adults (aged 30-61 years) was randomly selected from the Australian electoral roll. Dental service expenditures were collected prospectively over 2 years by client-held log books. Questionnaires collecting participant characteristics were administered at baseline, 12 months and 24 months. Unadjusted and adjusted ratios of expenditure were estimated using marginalized two-part log-skew-normal models. Such models accommodate highly skewed data and estimate effects of covariates on the overall marginal mean while accounting for the probability of incurring expenses. RESULTS:Baseline response was 39%; of these, 40% (n = 438) were retained over the 2-year period. Only participants providing complete data were included in the analysis (n = 378). Of these, 68.5% were insured, and 70.9% accessed dental services of which nearly all (97.7%) incurred individual dental expenses. The mean dental service expenditure for the total sample (those who did and did not attend) for dental care was AUS$788. Model-adjusted ratios of mean expenditures were higher for the insured (1.61; 95% CI 1.18, 2.20), females (1.38; 95% CI 1.06, 1.81), major city residents (1.43; 95% CI 1.10, 1.84) and those who brushed their teeth twice or more a day (1.50; 95% CI 1.15, 1.96) than their respective counterparts. CONCLUSION:Accounting for the probability of incurring dental expenses, and other explanatory factors, insured working-aged adults had (on average) approximately 60% higher individual dental service expenditures than uninsured adults. The analytical approach adopted in this study is useful for estimating effects on dental expenditure when a variable is associated with both the probability of visiting for care, and with the types of services received.
journal_name
Community Dent Oral Epidemioljournal_title
Community dentistry and oral epidemiologyauthors
Teusner D,Smith V,Gnanamanickam E,Brennan Ddoi
10.1111/cdoe.12264subject
Has Abstractpub_date
2017-04-01 00:00:00pages
101-111issue
2eissn
0301-5661issn
1600-0528journal_volume
45pub_type
杂志文章abstract::Interviews investigating factors influencing dental visiting were held with a nationally drawn (England + Wales) random sample of 690 16--20-year-olds. The results presented relate specifically to the last reported dental visit, the balance of self and professional dental care, knowledge and acceptability of charges f...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1980.tb01305.x
更新日期:1980-10-01 00:00:00
abstract::A Dutch version of the Dental Visit Satisfaction Scale has been developed. The DVSS consists of 10 items, measuring three aspects of patient satisfaction with the dentist. Item and scale characteristics of the Dutch version and the English version compared rather well. Likewise, the factor structure of the Dutch and t...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1992.tb00697.x
更新日期:1992-12-01 00:00:00
abstract::The purpose of the investigation was to determine the prevalence of occlusal anomalies in relation to dental stages (DS) in Icelandic schoolchildren, and to compare it with results from other Scandinavian countries and Ireland found on the basis of the same method. The material consisted of 1,641 randomly selected chi...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1976.tb02111.x
更新日期:1976-05-01 00:00:00
abstract:OBJECTIVE:To compare patient attendance rates 1 year before and after the introduction of free primary dental health services in Soweto, South Africa. METHODS:Monthly clinic records for clinic attendance, both casual and booked, and number of dental operators were recorded 1 year either side of April 1996. RESULTS:Pa...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1034/j.1600-0528.2003.00006.x
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVES:To compare two methods of allocating general dentists to Canadian Armed Forces (CAF) dental detachments: a dentist-to-population ratio model and a needs-based model. METHODS:Data obtained from CAF sources were analysed to compare models. Times assigned to treatment plan procedures were used as a proxy for t...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12277
更新日期:2017-06-01 00:00:00
abstract::608 12-yr-old children in Harare, and 556 in rural areas of Mashonaland and Central Province, Zimbabwe, were examined for dental caries in 1985. 27.6% of children in the urban area, and 20.9% in the rural, had caries (P less than 0.01). The mean DMFT in urban and rural areas was 0.57 (+/- 1.13) and 0.49 (+/- 1.42), re...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1989.tb01822.x
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVES:To describe the relationship between acculturation and oral health status, oral health knowledge and frequency of dental visits in subjects of Vietnamese background, 18 years or older, living in Melbourne, Australia. METHODS:Oral health status was measured using the DMFS index. Oral health knowledge was est...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2001.290205.x
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:To investigate the risk indicators for root caries in institutionalized elders. METHODS:Nonfrail elders living in 21 residential elderly homes who had at least 5 teeth with exposed roots were examined in this cross-sectional study. The dental examinations were conducted by one trained dentist in the elderly ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12104
更新日期:2014-10-01 00:00:00
abstract::The purpose of this retrospective study was to analyze, by age and sex, the prevalence of traumatic injuries to permanent incisors and canines, and their distribution according to type in children from private and public schools. The samples consisted of 1,200 children aged 7-16 yr old enrolled in 12 private and publi...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1986.tb01074.x
更新日期:1986-10-01 00:00:00
abstract:OBJECTIVE:To compare the magnitude of relative oral health inequalities between Indigenous and non-Indigenous persons from Brazil, New Zealand and Australia. METHODS:Data were from surveys in Brazil (2010), New Zealand (2009) and Australia (2004-06 and 2012). Participants were aged 35-44 years and 65-74 years. Indigen...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12307
更新日期:2017-10-01 00:00:00
abstract::Bacteriologic and clinical studies suggest that sealants can be used therapeutically on incipient caries of the enamel. The present study was designed to explore this approach further by determining whether there is a difference in retention rates on sound or carious tooth surfaces sealed for the first time as well as...
journal_title:Community dentistry and oral epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1600-0528.1987.tb00470.x
更新日期:1987-02-01 00:00:00
abstract:OBJECTIVES:To investigate the relationship between dental fluorosis, polymorphisms in the COL1A2 gene, and serum calciotropic hormone levels. METHODS:We conducted a case-control study among children between 8 and 12 years of age with (n = 75) and without (n = 165) dental fluorosis in two counties in Henan Province, Ch...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2007.00424.x
更新日期:2008-12-01 00:00:00
abstract::The validity of self-examination information regarding the number and distribution of remaining teeth, the presence of dentures and the validity of molar support construed professionally from the self-examination data was assessed from 93 persons. This was done by comparing self-examination information with data from ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1986.tb01067.x
更新日期:1986-10-01 00:00:00
abstract::A controlled evaluation of a 3-week teacher mediated dental health education curriculum package was undertaken in 35 English secondary schools in three Area Health Authorities. 4500 13-14-year-old adolescents were involved. The package emphasized self-care potential and combined a scientifically accurate message with ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1981.tb00329.x
更新日期:1981-10-01 00:00:00
abstract::Of a random sample of dentists in Norway (n = 741), 83% responded to a questionnaire about their use of radiographs in and their opinions and knowledge about the diagnosis of approximal caries. There was great disparity in criteria for initiation of restorative treatment of approximal caries based on radiographic appe...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1985.tb00414.x
更新日期:1985-02-01 00:00:00
abstract::The oral health education (OHE) given in Finnish health centers is mostly implemented by dental assistants and hygienists. However, there is no exact information concerning the distribution of OHE work and the working methods among individual health educators. The aims of this study were to assess 1) the time used for...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1995.tb00213.x
更新日期:1995-04-01 00:00:00
abstract::One hundred and fifty 55-year-old edentulous subjects (104 women and 46 men) were interviewed. Materials, conditions, functional stabilities, and occlusions of complete dentures, and resorption of alveolar crests were recorded and assessed. The dentures were in good condition in 52% of subjects. Occlusion was correct ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1994.tb01588.x
更新日期:1994-04-01 00:00:00
abstract:OBJECTIVES:To investigate ethnic-specific deprivation gradients in early childhood dental caries experience considering different domains of deprivation. METHODS:We used cross-sectional near whole population-level data on 318 321 four-year-olds attending the "B4 School check," a national health and development check i...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12364
更新日期:2018-06-01 00:00:00
abstract::4505 Swedish children aged 4-11 yr were surveyed regarding dental behavior management problems (BMP) and dental health. Dental charts were retrieved from clinics in the Public Dental Service in Göteborg, and data were then compiled regarding BMP, action against BMP, caries, fillings, use of local anesthetics, and numb...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1994.tb01841.x
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVES:To evaluate the role of partial recording protocols (PRPs) in reporting prevalence and severity of dental fluorosis and assess whether prevalence/severity estimates derived from PRPs differ by race/ethnicity. METHODS:Data from the National Health and Nutrition Examination Survey (NHANES) for the years 1999-...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12115
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:Patient satisfaction and dissatisfaction are critical dimensions leading to favorable or unfavorable treatment outcomes. Although impacted third molar (ITM) surgery is one of the most common dental surgical procedures, it is a challenging operation because of numerous potential complications and patients gen...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2010.00532.x
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To investigate the prevalence and incidence of dental erosion in children and adolescents. METHODS:Lesions were registered for all tooth surfaces of primary and permanent teeth using pre-orthodontic study models. A total of 1,000 individuals (mean age 11.4+/-3.3 years) were included; 265 of them were followe...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1034/j.1600-0528.2001.290405.x
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVES:To assess the hierarchical associations between children's school performance and condition-specific (CS) oral health-related quality of life (OHRQoL), school absence, oral status, sociodemographic and economic status (SDES) and social capital; and to investigate the associations between CS OHRQoL and relate...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12361
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:To assess the accuracy of HIV/AIDS patients' self-diagnosis of common HIV-related oral opportunistic infections. METHODS:245 HIV/AIDS patients were interviewed regarding the current presence of oral candidiasis (OC), oral hairy leukoplakia (OHL), and oral ulcers prior to an oral examination by an oral medic...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:
更新日期:2001-02-01 00:00:00
abstract::This study compared the periodontal health of patients with SLE with that of healthy controls. Patients with systemic lupus erythematosus had significantly lower periodontal probing depths compared with healthy controls. It is possible that systemic drugs such as corticosteroids and NSAIDS may be responsible for these...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1993.tb00742.x
更新日期:1993-06-01 00:00:00
abstract::Recently qualified dentists from a dental school in Stockholm, Sweden (n = 259) and the dental school in Kuopio, Finland (n = 103) were sent a questionnaire designed to obtain information concerning the perceived relevance of their undergraduate education to the practice of dentistry. The response rate was 71% for Sto...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1988.tb00561.x
更新日期:1988-06-01 00:00:00
abstract::The purpose of the study was to determine whether the presence of dentofacial anomaly in a child would unfavourably bias a schoolteacher's expectations of the child's scholastic potential, social relationships or personality. Black and white portrait photographs of an attractive boy and girl and an unattractive boy an...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1982.tb00401.x
更新日期:1982-12-01 00:00:00
abstract:OBJECTIVES:Patients with temporomandibular disorders (TMDs) often report increased pain in response to changes in weather conditions. Nevertheless, scientific evidence supporting this relationship is scarce. The aim of this study was to assess a potential relationship between pain intensity and meteorological factors, ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2011.00667.x
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:To identify how to translate dental public health surveillance and broader research into policy and practice. METHODS:Via a literature review to identify both the potential uses of surveillance data and key elements in the policy making process. Then through a consideration of Australian dental public healt...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2012.00725.x
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:The primary aim of this study was to investigate the impact of reduced sugar consumption on caries experience among 12-year-old Libyan schoolchildren during the Libyan conflict, in comparison to preconflict data collected in the same water-fluoridated setting from a similar age group. A further aim was to in...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12526
更新日期:2020-06-01 00:00:00