دورية أكاديمية

Dental healthcare costs of children living in Amsterdam and associated socio-demographic characteristics.

التفاصيل البيبلوغرافية
العنوان: Dental healthcare costs of children living in Amsterdam and associated socio-demographic characteristics.
المؤلفون: van Ligten TS; Department of Cariology, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands., Schmitz D; Department of Research, Information and Statistics, City of Amsterdam, Amsterdam, The Netherlands., Volgenant CMC; Department of Cariology, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands.; Department of Preventive Dentistry, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands., Donken R; Department of Epidemiology and Data Science, Amsterdam UMC, location Vrije Universiteit, Amsterdam, The Netherlands., van der Heijden GMJG; Department of Oral Public Health, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands., Duijster D; Department of Oral Public Health, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands.
المصدر: Community dentistry and oral epidemiology [Community Dent Oral Epidemiol] 2023 Jun; Vol. 51 (3), pp. 535-546. Date of Electronic Publication: 2023 Apr 12.
نوع المنشور: Observational Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Munksgaard International Publishers Country of Publication: Denmark NLM ID: 0410263 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0528 (Electronic) Linking ISSN: 03015661 NLM ISO Abbreviation: Community Dent Oral Epidemiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Copenhagen : Munksgaard International Publishers
Original Publication: Copenhagen, Munksgaard.
مواضيع طبية MeSH: Dental Caries*/epidemiology, Humans ; Child ; Child, Preschool ; Adolescent ; Oral Health ; Cross-Sectional Studies ; Ethnicity ; Health Care Costs
مستخلص: Objectives: The aim of this study was to assess associations between socio-demographic characteristics and dental costs of children living in Amsterdam. Having incurred dental costs was an indicator for having visited the dentist. Having incurred low or high dental costs may indicate the type of dental care provided (periodic examination, preventive care or restorative treatment).
Methods: This study followed a cross-sectional, observational design. The research population contained all children up until 17 years living in Amsterdam in 2016. Dental costs from all Dutch healthcare insurance companies were obtained via Vektis, and socio-demographic data were obtained from Statistics Netherlands (CBS). The study population was stratified into age groups: 0-4 and 5-17 years. Dental costs were classified as no dental costs (0 euros), low dental costs (>0 to <100 euros) or high dental costs (≥100 euros). Univariable and multivariable logistic regression analyses were performed to study the distribution of dental costs and associations with socio-demographic child and parent variables.
Results: In the population of 142 289 children, 44 887 (31.5%) incurred no dental costs, 32 463 (22.8%) incurred low dental costs and 64 939 (45.6%) incurred high dental costs. Among children of 0-4 years, a much larger proportion (70.2%) incurred no dental costs, compared to those of 5-17 years (15.8%). In both age groups, migration background (adjusted Odds Ratio (aOR) range 1.23-1.98), low(er) household income (aOR range 0.45-0.93), low(er) parental educational level (aOR range 0.51-0.87) and living in a single-parent household (aOR range 0.89-0.91) were strongly associated with incurring high (vs. low) dental costs. Furthermore, in 5-17-year-old children, a lower level of secondary or vocational education (aOR range 1.12-1.17) and living in households receiving social benefits (aOR 1.23) were associated with incurring high dental costs.
Conclusions: Among children living in Amsterdam in 2016, one in three children did not visit a dentist. For children that did visit a dentist, those with a migration background, low parental educational level and from a low household income were more likely to incur high dental costs, which could be indicative for additional restorative treatment. Hence, patterns of oral healthcare consumption, specified by type of dental care over time, and their association with oral health status, are targets for future research.
(© 2023 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.)
References: Kieft T. Tienduizenden Amsterdamse kinderen niet naar de tandarts [Tens of thousands of Amsterdam children do not go to the dentist]. Het Parool 2017.
Boere R. Tandartsen waarschuwen: honderdduizenden kinderen gaan nooit naar de tandarts [Dentists warn: hundreds of thousands of children never go to the dentist]. Het Parool 2016.
Richtlijn Mondzorg voor jeugdigen [Guideline oral health care for children]. KNMT and NVvK 2013.
Advies Cariëspreventie [Advice Caries Prevention]. Ivoren Kruis. 2011.
Klaassen MA, Veerkamp JS, Hoogstraten J. Dental fear, communication, and behavioural management problems in children referred for dental problems. Int J Paediatr Dent. 2007;17(6):469-477.
van Gemert-Schriks MCM, Bildt MM. Dental treatment of fearful children: subjection, denyal or guidance? Ned Tijdschr Tandheelkd. 2017;124(4):215-221.
Verrips GH, Kalsbeek H, Frencken JE, ter Horst G, Filedt Kok-Weimar TL. Caries in children from ethnic groups. An investigation in five-year-old children in Amsterdam and their parents concerning risk indicators and factors. Ned Tijdschr Tandheelkd. 1993;100(2):71-74.
Verrips GH, Frencken JE, Kalsbeek H, Filedt Kok-Weimar TL. Oral health and dental behaviour in 11-year-old children of different ethnic groups. Community Dent Health. 1993;10(1):41-48.
Truin GJ, van Rijkom HM, Mulder J, van't Hof MA. Dental caries and dental erosion among 5- and 6-year old and 11- and 12-year old school children in the Hague, The Netherlands. Changing prevalences? Ned Tijdschr Tandheelkd. 2004;111(3):74-79.
Duijster D, Verrips GH, van Loveren C. The role of family functioning in childhood dental caries. Community Dent Oral Epidemiol. 2014;42(3):193-205.
van der Tas JT, Kragt L, Veerkamp JJ, et al. Ethnic disparities in dental caries among six-year-old children in The Netherlands. Caries Res. 2016;50(5):489-497.
van der Tas JT, Kragt L, Elfrink MEC, et al. Social inequalities and dental caries in six-year-old children from The Netherlands. J Dent. 2017;62:18-24.
Amsterdam Armoede Dashboard [Amsterdam Poverty Dashboard]. Gemeente Amsterdam [City of Amsterdam]. 2018.
Mackenbach JP, Stronks K. Volksgezondheid en gezondheidszorg (6e herziene druk) [Public health and health care (6th revised edition)]. Reed Business; 2012.
Factsheet Jeugd [Factsheet Youth]. Gemeente Amsterdam [City of Amsterdam]. 2020.
van der Wouden P, den Dekker J, van der Heijden G. Costs and financing of oral healthcare in The Netherlands. Ned Tijdschr Tandheelkd. 2019;126(6):335-340.
Zorgcijfersdatabank.nl [Healthcaredatabank.nl]. Zorginstituut Nederland [National Health Care Institute]. 2016.
Zorgthermometer - verzekerden in beeld [Thermometer healthcare insurance]. Vektis Intelligence; 2018.
Berkel E. De lijst met prestaties en tarieven: zo komt hij tot stand [list of Dutch dental performance codes]. KNMT 2018.
Migratieachtergrond [Migration background]. CBS [Statistics Netherlands]. 2021.
Opleidingsniveau [Educational level]. CBS [Statistics Netherlands]. 2020.
Dong Y, Peng CY. Principled missing data methods for researchers. Springerplus. 2013;2(1):222.
Schafer JL. Multiple imputation: a primer. Stat Methods in Med. 1999;8(1):3-15. doi:10.1191/096228099671525676.
Gezinsdynamiek, ouderlijk opleidingsniveau en schoolniveau van vijftienjarigen [family dynamics, parental educational level and school level of 15-year-olds]. CBS [Statistics Netherlands] 2015.
Mika A, Mitus-Kenig M, Zeglen A, Drapella-Gasior D, Rutkowska K, Josko-Ochojska J. The child's first dental visit. Age, reasons, oral health status and dental treatment needs among children in southern Poland. Eur J Paediatr Dent. 2018;19(4):265-270.
Duane B, McGovern E, Ni Chaollai A, FitzGerald K. First tooth, first visit, zero cavities: a review of the evidence as it applies to Ireland. J Ir Dent Assoc. 2017;63(2):105-111.
Hall-Scullin E, Whitehead H, Milsom K, Tickle M, Su TL, Walsh T. Longitudinal study of caries development from childhood to adolescence. J Dent Res. 2017;96(7):762-767.
Hummel R, Akveld NAE, Bruers JJM, van der Sanden WJM, Su N, van der Heijden G. Caries progression rates revisited: a systematic review. J Dent Res. 2019;98(7):746-754.
Broadbent JM, Foster Page LA, Thomson WM, Poulton R. Permanent dentition caries through the first half of life. Br Dent J. 2013;215(7):E12.
Julihn A, Ekbom A, Modeer T. Migration background: a risk factor for caries development during adolescence. Eur J Oral Sci. 2010;118(6):618-625.
Wigen TI, Wang NJ. Caries and background factors in Norwegian and immigrant 5-year-old children. Community Dent Oral Epidemiol. 2010;38(1):19-28.
Lambert MJ, Vanobbergen JSN, Martens LC, de Visschere LMJ. Socioeconomic inequalities in caries experience, care level and dental attendance in primary school children in Belgium: a cross-sectional survey. BMJ Open. 2017;7(7):e015042.
Kloosterman JG. Social background and children's educational careers. The primary and secondary effects of social background over transitions and over time in the Netherlands. 2010.
Vereniging van Nederlandse Gemeenten [The Association of Netherlands Municipalities]. 2016-2021. https://www.waarstaatjegemeente.nl/dashboard/dashboard/gezondheid.
Brennan DS, Spencer AJ. Childhood oral health and SES predictors of caries in 30-year-olds. Caries Res. 2014;48(3):237-243.
Castilho AR, Mialhe FL, Barbosa TS, Puppin-Rontani RM. Influence of family environment on children's oral health: a systematic review. J Pediatr (Rio J). 2013;89(2):116-123.
فهرسة مساهمة: Keywords: dental caries; dental costs; dental healthcare; ethnicity; prevention; socioeconomic status
تواريخ الأحداث: Date Created: 20230412 Date Completed: 20230522 Latest Revision: 20230523
رمز التحديث: 20231215
DOI: 10.1111/cdoe.12863
PMID: 37042520
قاعدة البيانات: MEDLINE
الوصف
تدمد:1600-0528
DOI:10.1111/cdoe.12863