Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students
Abstract
1. Introduction
2. Materials and Methods
Data Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Davidovich, E.; Grender, J.; Zini, A. Factors Associated with Dental Plaque, Gingivitis, and Caries in a Pediatric Population: A Records-Based Cross-Sectional Study. Int. J. Environ. Res. Public Health 2020, 17, 8595. [Google Scholar] [CrossRef] [PubMed]
- Patel, R. The State of Oral Health in Europe. Report Commissioned by the Platform for Better Oral Health in Europe. 2015. Available online: http://www.oralhealthplatform.eu/wp-content/uploads/2015/09/Report-the-State-of-Oral-Health-in-Europe.pdf (accessed on 5 September 2018).
- Pourat, N.; Choi, M.K.; Chen, X. Evidence of effectiveness of preventive dental care in reducing dental treatment use and related expenditures. J. Public Health Dent. 2018, 78, 203–213. [Google Scholar] [CrossRef] [PubMed]
- Alhabdan, Y.A.; Albeshr, A.G.; Yenugadhati, N.; Jradi, H. Prevalence of dental caries and associated factors among primary school children: A population-based cross-sectional study in Riyadh, Saudi Arabia. Environ. Health Prev. Med. 2018, 23, 60. [Google Scholar] [CrossRef] [PubMed]
- Anil, S.; Anand, P.S. Early childhood caries: Prevalence, risk factors, and prevention. Front. Pediatr. 2017, 5, 157. [Google Scholar] [CrossRef]
- Bhaskar, V.; McGraw, K.A.; Divaris, K. The importance of preventive dental visits from a young age: Systematic review and current perspectives. Clin. Cosmet. Investig. Dent. 2014, 6, 21–27. [Google Scholar] [CrossRef]
- Athavale, P.; Khadka, N.; Roy, S.; Mukherjee, P.; Chandra Mohan, D.; Turton, B.B.; Sokal-Gutierrez, K. Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India. Int. J. Environ. Res. Public Health 2020, 17, 8629. [Google Scholar] [CrossRef]
- Birch, S.; Bridgman, C.; Brocklehurst, P.; Elwood, R.; Gomez, J.; Helgeson, M.; Ismail, A.; Macey, R.; Mariotii, A.; Twetman, S.; et al. Prevention in practice—A summary. BMC Oral Health 2015, 15 (Suppl. S1), S12. [Google Scholar] [CrossRef]
- World Health Organization. Data and Statistics. 2016. Available online: http://www.euro.who.int/en/health-topics/disease-prevention/oral-health/data-and-statistics (accessed on 1 October 2016).
- Center for Disease Control and Prevention. Division of Adolescent and School Health. 2016. Available online: https://www.cdc.gov/healthyyouth/about/pdf/strategic_plan/dash_strategic_plan.pdf (accessed on 1 December 2016).
- Institute of Medicine (US) and National Research Council (US) Committee on the Science of Adolescence. The Science of Adolescent Risk-Taking: Workshop Report; National Academies Press (US): Washington, DC, USA, 2011; p. 144. [Google Scholar]
- Jaworska, N.; MacQueen, G. Adolescence as a unique developmental period. J. Psychiatry Neurosci. 2015, 40, 291–293. [Google Scholar] [CrossRef]
- Vrbič, V.; Vrbič, M.; Petersen, P.E. Epidemiology of dental caries and disease prevention among 12-year-olds in Slovenia over thirty years (1987–2017). Oral Health Prev. Dent. 2020, 18, 185–196. [Google Scholar] [CrossRef]
- European Commission. Special Eurobarometer 330. 2009. Available online: https://www.data.europa.eu/euodp/en/data/dataset/S795_72_3_EBS330 (accessed on 24 September 2009).
- National Center for Health Information. Health Yearbook of the Slovak Republic. 2019. Available online: http://www.nczisk.sk/Documents/rocenky/2018/Zdravotnicka_rocenka_Slovenskej_republiky_2018.pdf (accessed on 30 January 2019). (In Slovak).
- Yu, S.M.; Bellamy, H.A.; Schwalberg, R.H.; Drum, M.A. Factors associated with use of preventive dental and health services among U.S. adolescents. J. Adolesc. Health 2001, 29, 395–405. [Google Scholar] [CrossRef]
- Ronis, D.L.; Lang, W.P.; Farghaly, M.M.; Passow, E. Tooth brushing, flossing, and preventive dental visits by Detroit-area residents in relation to demographic and socioeconomic factors. J. Public Health Dent. 1993, 53, 138–145. [Google Scholar] [CrossRef] [PubMed]
- Shaban, R.; Kassim, S.; Sabbah, W. Socioeconomic inequality in the provision of specific preventive dental interventions among children in the UK: Children’s Dental Health Survey 2003. Br. Dent. J. 2017, 222, 865–869. [Google Scholar] [CrossRef] [PubMed]
- Fonseca, E.P.D.; Frias, A.C.; Mialhe, F.L.; Pereira, A.C.; Meneghim, M.C. Factors associated with last dental visit or not to visit the dentist by Brazilian adolescents: A population-based study. PLoS ONE 2017, 12, e0183310. [Google Scholar] [CrossRef] [PubMed]
- Michalak, E.; Łoboda, J.; Chomyszyn-Gajewska, M. Reasons for patients’ visits in the dental offices of Cracow in the years 2005–2006 and 2013–2014. Przegl. Epidemiol. 2015, 69, 787–794. [Google Scholar]
- Timková, S.; Kolarčik, P.; Gecková, A.M. Self-Reported Oral Health Related Behaviour and Gum Bleeding of Adolescents in Slovakia in Relation to Socioeconomic Status of Their Parents: Cross-Sectional Study Based on Representative Data Collection. Int. J. Environ. Res. Public Health 2019, 16, 2484. [Google Scholar] [CrossRef]
- Xu, F.; Mawokomatanda, T.; Flegel, D.; Pierannunzi, C.; Garvin, W.; Chowdhury, P.; Salandy, S.; Crawford, C.; Town, M. Surveillance for certain health behaviors among states and selected local areas—Behavioral risk factor surveillance system, United States, 2011. MMWR Surveill. Summ. 2014, 63, 1–149. [Google Scholar]
- Kann, L.; Kinchen, S.; Shanklin, S.L.; Flint, K.H.; Kawkins, J.; Harris, W.A.; Lowry, R.; Olsen, E.O.; MCManus, T.; Chyen, D.; et al. Youth risk behavior surveillance—The United States, 2013. MMWR Suppl. 2014, 63, 1–168. [Google Scholar]
- Babjakova, J.; Vondrova, D.; Jurkovicova, J.; Samohyl, M.; Filova, A.; Janko, Z.; Stefanikova, Z.; Hirosova, K.; Weitzman, M.; Argalasova, L. Risk behavioral survey in the sample of Slovak adolescents. Bratisl. Lek. Listy 2019, 120, 899–907. [Google Scholar] [CrossRef]
- Argalasova, L.; Vondrova, D.; Babjakova, J.; Hirosova, K.; Filova, A.; Samohyl, M.; Kachutova, I.; Jurkovicova, J.; Weitzman, M. Behavioural, psychosocial and life-style risk factors in a sample of Slovak adolescents. J. Infec. Dis. Treat. 2019, 5, 36. [Google Scholar]
- Aalsma, M.C.; Gilbert, A.L.; Xiao, S.; Rickert, V.I. Parent and adolescent views on barriers to adolescent preventive health care utilization. J. Pediatr. 2016, 169, 140–145. [Google Scholar] [CrossRef]
- Wilkes, M.S.; Anderson, M. A primary care approach to adolescent health care. West. J. Med. 2000, 172, 177–182. [Google Scholar] [CrossRef] [PubMed]
- Salam, R.A.; Das, J.K.; Lassi, Z.S.; Bhutta, Z.A. Adolescent health interventions: Conclusions, evidence gaps, and research priorities. J. Adolesc. Health 2016, 59, S88–S92. [Google Scholar] [CrossRef] [PubMed]
- Krasnik, A.; Sawitz, A.; Keiding, N.; Hansen, E. Determinants of general practice utilization in Denmark. Dan. Med. Bull. 1997, 44, 542–546. [Google Scholar] [PubMed]
- Anderson, J. The impact of family structure on the health of children: Effects of divorce. Linacre Q. 2014, 81, 378–387. [Google Scholar] [CrossRef] [PubMed]
Variables | N (%) | |
---|---|---|
Gender | Male | 195 (37.9) |
Female | 320 (62.1) | |
Age groups (yrs) | 15–16 | 106 (20.6) |
16–17 | 157 (30.5) | |
17–18 | 119 (23.1) | |
18–19 | 79 (15.3) | |
19+ | 59 (10.5) | |
Nationality * | Slovak | 469 (91.1) |
Other | 46 (8.9) | |
Type of school | Grammar | 209 (40.5) |
Vocational | 126 (24.3) | |
Secondary | 182 (35.2) | |
Siblings | Yes | 425 (82.5) |
No | 90 (17.5) | |
Residence | Urban | 306 (59.4) |
Rural | 209 (40.6) | |
Family | Complete | 363 (71.3) |
Incomplete | 146 (28.7) | |
Father’s education † | Primary | 8 (2.8) |
Secondary | 186 (64.1) | |
University degree | 96 (33.1) | |
Mother’s education † | Primary | 9 (2.3) |
Secondary | 243 (62.5) | |
University degree | 137 (35.2) | |
Employment status father † | Employed | 454 (93.8) |
Unemployed | 30 (6.2) | |
Employment status mother † | Employed | 470 (91.3) |
Unemployed | 45 (8.7) |
Variables | Study Group 1 | Control Group 2 | p-Value | |
---|---|---|---|---|
N (%) † (n = 57) | N (%) † (n = 458) | |||
Gender | Male | 31 (54.4) | 164 (35.8) | 0.010 |
Female | 26 (45.6) | 294 (64.2) | ||
Age groups (yrs) | x ± SD | 17.2 ± 1.5 | 16.6 ± 1.3 | 0.004 |
15–16 | 5 (9.1) | 100 (22.1) | 0.025 | |
16–17 | 16 (29.1) | 140 (30.9) | ||
17–18 | 11 (20) | 107 (23.6) | 0.018 4 | |
18–19 | 12 (21.8) | 65 (14.3) | ||
19+ | 11 (20) | 41 (9.1) | 0.011 | |
Type of school | Grammar | 18 (31.6) | 191 (41.7) | 0.309 |
Vocational | 18 (31.6) | 106 (23.1) | ||
Secondary | 21 (36.8) | 161 (35.2) | ||
Residence | Urban | 35 (61.4) | 271 (59.2) | 0.747 |
Rural | 22 (38.6) | 187 (40.8) | ||
Family | Complete | 25 (43.9) | 338 (74.8) | <0.001 |
Incomplete | 32 (56.1) | 114 (25.2) | ||
Stress at home | Yes | 10 (17.5) | 29 (6.5) | 0.037 |
No | 47 (82.5) | 420 (93.5) | ||
Stress at school | Yes | 31 (54.4) | 223 (48.7) | 0.422 |
No | 26 (45.6) | 235 (51.3) | ||
Healthy feeling | Yes | 38 (67.9) | 397 (86.9) | 0.005 |
No | 18 (32.1) | 60 (13.1) | ||
Pediatric preventive care 3 | Yes | 36 (65.5) | 421 (91.5) | <0.001 |
No | 19 (34.5) | 39 (8.5) |
Selected Variables in Mothers | Study Group 1 | Control Group 2 | p-Value | |
---|---|---|---|---|
N (%) † (n = 35) | N (%) † (n = 355) | |||
Age groups (yrs) | x ± SD | 42.4 ± 4.4 | 43.6 ± 5.1 | 0.183 |
30–50 | 33 (94.3) | 321 (90.4) | 0.371 | |
51–71 | 2 (5.7) | 34 (9.6) | ||
Mother’s educational level | Primary school | 2 (5.7) | 7 (2.0) | 0.259 |
High school | 23 (65.7) | 220 (62.1) | ||
University | 10 (28.6) | 127 (35.9) | ||
Marital status | Single | 4 (11.4) | 25 (7.0) | 0.034 |
Married | 16 (45.7) | 263 (74.1) | ||
Divorced | 13 (37.1) | 58 (16.3) | ||
Widow | 2 (5.8) | 9 (2.6) | ||
Residence | Urban | 22 (62.9) | 217 (61.1) | 0.843 |
Rural | 13 (37.1) | 138 (38.9) | ||
Employment | Yes | 30 (88.2) | 317 (89.8) | 0.789 |
No | 4 (11.8) | 36 (10.2) | ||
Household income (EUR) | ≤900 | 19 (55.9) | 115 (35.6) | 0.031 |
>900 | 15 (44.1) | 208 (64.4) | ||
Stress at work | Yes | 24 (75.0) | 244 (73.5) | 0.854 |
No | 8 (25.0) | 88 (26.5) | ||
Healthy feeling | Yes | 29 (82.9) | 291 (84.3) | 0.826 |
No | 6 (17.1) | 54 (15.7) | ||
Preventive care 3 | Yes | 23 (67.6) | 309 (88.5) | 0.017 |
No | 11 (32.4) | 40 (11.5) | ||
Dental preventive care | Yes | 17 (73.9) | 293 (95.1) | 0.034 |
No | 6 (26.1) | 15 (4.9) |
Variables | AOR | 95%CI | ||
---|---|---|---|---|
Selected variables in students | Gender | Female | 1 | - |
Male | 2.11 | 1.09, 4.03 * | ||
Age groups (yrs) | 15–18 | 1 | - | |
19+ | 1.19 | 0.51, 2.78 | ||
Type of school | Grammar | 1 | - | |
Secondary/Vocational | 1.32 | 0.65, 2.70 | ||
Residence | Rural | 1 | - | |
Urban | 0.77 | 0.08, 7.64 | ||
Family | Complete | 1 | - | |
Incomplete | 3.26 | 1.68, 6.30 *** | ||
Stress at home | No | 1 | - | |
Yes | 1.71 | 0.62, 4.68 | ||
Stress at school | No | 1 | - | |
Yes | 1.18 | 0.61, 2.28 | ||
Healthy feeling | Yes | 1 | - | |
No | 1.13 | 0.49, 2.60 | ||
Pediatric preventive care 1 | Yes | 1 | - | |
No | 5.14 | 2.40, 10.99 *** | ||
Selected variables in mothers | Age group (yrs) | 30–50 | 1 | - |
51–71 | 0.40 | 0.05, 3.21 | ||
Mother’s educational level | High school diploma/University | 1 | - | |
Primary/High school without a diploma | 1.20 | 0.40, 3.62 | ||
Marital status | Married/in relationship | 1 | - | |
Single/divorced/widowed | 2.20 | 0.91, 5.32 | ||
Residence | Rural | 1 | - | |
Urban | 1.10 | 0.45, 2.66 | ||
Employment | Yes | 1 | - | |
No | 0.42 | 0.04, 4.41 | ||
Household income (EUR) | >900 | 1 | - | |
≤ 900 | 1.51 | 0.63, 3.63 | ||
Stress at work | No | 1 | - | |
Yes | 0.97 | 0.67, 2.54 | ||
Healthy feeling | Yes | 1 | - | |
No | 0.86 | 0.25, 2.98 | ||
Preventive care 2 | Yes | 1 | - | |
No | 1.95 | 0.69, 5.46 | ||
Dental preventive care | Yes | 1 | - | |
No | 4.19 | 1.50, 11.71 ** | ||
Selected variables in fathers | Age group (yrs) | 32–44 | 1 | - |
45–76 | 0.50 | 0.19, 1.27 | ||
Father’s educational level | High school diploma/University | 1 | - | |
Primary/High school without a diploma | 1.50 | 0.56, 4.02 | ||
Marital status | Married/in relationship | 1 | - | |
Single/divorced/widowed | 3.73 | 1.21, 11.54 * | ||
Residence | Rural | 1 | - | |
Urban | 0.91 | 0.34, 2.46 | ||
Employment | Yes | 1 | - | |
No | - | - | ||
Household income (EUR) | >900 | 1 | - | |
≤900 | 0.48 | 0.14, 1.57 | ||
Stress at work | No | 1 | - | |
Yes | 0.47 | 0.18, 1.24 | ||
Healthy feeling | Yes | 1 | - | |
No | 1.98 | 0.56, 6.98 | ||
Preventive care 3 | Yes | 1 | - | |
No | 1.23 | 0.43, 3.50 | ||
Dental preventive care | Yes | 1 | - | |
No | 3.41 | 1.24, 9.32 * |
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Samohyl, M.; Babjakova, J.; Vondrova, D.; Jurkovicova, J.; Stofko, J.; Kollar, B.; Hirosova, K.; Filova, A.; Argalasova, L. Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students. Int. J. Environ. Res. Public Health 2021, 18, 1295. https://doi.org/10.3390/ijerph18031295
Samohyl M, Babjakova J, Vondrova D, Jurkovicova J, Stofko J, Kollar B, Hirosova K, Filova A, Argalasova L. Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students. International Journal of Environmental Research and Public Health. 2021; 18(3):1295. https://doi.org/10.3390/ijerph18031295
Chicago/Turabian StyleSamohyl, Martin, Jana Babjakova, Diana Vondrova, Jana Jurkovicova, Juraj Stofko, Branislav Kollar, Katarina Hirosova, Alexandra Filova, and Lubica Argalasova. 2021. "Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students" International Journal of Environmental Research and Public Health 18, no. 3: 1295. https://doi.org/10.3390/ijerph18031295
APA StyleSamohyl, M., Babjakova, J., Vondrova, D., Jurkovicova, J., Stofko, J., Kollar, B., Hirosova, K., Filova, A., & Argalasova, L. (2021). Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students. International Journal of Environmental Research and Public Health, 18(3), 1295. https://doi.org/10.3390/ijerph18031295