Factors associated with oral health check-up in working adults: the 8th Thai National Oral Health Survey 2017
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Abstract
This study assessed factors associated with oral health check-ups among Thai working-age adults. Secondary data analysis based on the 8th Thai National Oral Health survey 2017. The analysis framework is based on Andersen’s behavioural model. The results showed that only 6.6 percent of 4,574 participants visited the dentist for oral health check-ups during the past year. Logistic regression showed individual factors associated with oral health check-ups consisted of 1) predisposing factors were education and smoking behaviour 2) Enabling factors were monthly income and health insurance scheme and 3) need factor was oral health satisfaction. Contextual factors associated with oral health check-ups were: 1) residential area 2) dentists:100,000 population and 3) index of transportation and communication at the provincial level. Individuals who had the highest education, income, and oral health satisfaction level were 2.90 (95% CI= 1.55-5.42), 3.22 (95% CI=1.10-9.45), and 3.02 (95% CI=2.06-4.42) times more likely to have oral health check-ups compared to individuals who had the lowest education, income, and oral health satisfaction respectively. Individuals who were current smokers and living in Bangkok were 0.49 (95% CI=0.31-0.79) and 0.32 (95% CI=0.14-0.75) times less likely to have oral health check-up than individuals who had never smoked and were living outside municipal areas. In conclusion, this study reported associations between oral health check-ups and individual and contextual factors. Therefore, improving oral health services, supporting structures, and expanding an oral health package benefit should be a priority to enhance the preventive dental visit.
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