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Open AccessArticle

Multilevel Analysis of the Association of Dental-Hygienist-Related Factors on Regular Dental Check-Up Behavior

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Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan
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Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Aichi 464-8650, Japan
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8020 Promotion Foundation, Tokyo 102-0073, Japan
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Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science Kyushu University, Fukuoka 812-8582, Japan
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National Institute of Public Health, Saitama 351-0197, Japan
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Meirin College, Niigata 950-2086, Japan
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Department of Dentistry, Osaka Dental University, Osaka 573-1144, Japan
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Fukai Institute of Health Science, Saitama 341-0003, Japan
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Division for Regional Community Development, Liaison Center for Innovative Dentistry, Graduate School of Dentistry, Tohoku University, Miyagi 980-8575, Japan
*
Author to whom correspondence should be addressed.
Academic Editor: Hiroko Miura
Int. J. Environ. Res. Public Health 2021, 18(6), 2816; https://doi.org/10.3390/ijerph18062816
Received: 4 February 2021 / Revised: 4 March 2021 / Accepted: 8 March 2021 / Published: 10 March 2021
(This article belongs to the Special Issue Health Services Research on Dentistry in Aged Society)
Few studies have examined the factors related to dental clinics during dental check-ups. We examined the association between dental-hygienist-related factors and patients’ regular dental check-ups. This nationwide cross-sectional study was based on a survey conducted in Japan in 2014. The analyzed population included 12,139 patients from 1181 dental clinics. We used three-level Poisson regression analysis, considering patient‒clinic‒prefecture, to examine the association of dental-hygienist-related factors with dental check-up behavior. Patients attending treatment and regular check-ups constituted 63.0% and 37.0%, respectively. The adjusted prevalence ratios (PRs) for patients undergoing regular dental check-ups at dental clinics with dedicated dental hygienists’ units, spending ≥20 min in patient education (compared to 0 min), and with three or more dental hygienists (compared to 0 hygienists) available were 1.17 (95% confidence interval [CI]: 1.06–1.30), 1.25 (95%CI: 1.07–1.46), and 2.05 (95%CI: 1.64–2.56), respectively. The median PR indicates that when a patient randomly moves to another dental clinic with more regular dental check-ups, this prevalence increased 1.69 times. These results suggest that dental check-up behavior is determined not only by individual factors but also dental-clinic-level factors. Improving the dental-hygienist-related factors is necessary to encourage people to visit dentists for regular check-ups. View Full-Text
Keywords: dental clinic; dental hygienist; dental visit; oral health; regular dental check-ups dental clinic; dental hygienist; dental visit; oral health; regular dental check-ups
MDPI and ACS Style

Inoue, Y.; Shimazaki, Y.; Oshiro, A.; Zaitsu, T.; Furuta, M.; Ando, Y.; Miyazaki, H.; Kambara, M.; Fukai, K.; Aida, J. Multilevel Analysis of the Association of Dental-Hygienist-Related Factors on Regular Dental Check-Up Behavior. Int. J. Environ. Res. Public Health 2021, 18, 2816. https://doi.org/10.3390/ijerph18062816

AMA Style

Inoue Y, Shimazaki Y, Oshiro A, Zaitsu T, Furuta M, Ando Y, Miyazaki H, Kambara M, Fukai K, Aida J. Multilevel Analysis of the Association of Dental-Hygienist-Related Factors on Regular Dental Check-Up Behavior. International Journal of Environmental Research and Public Health. 2021; 18(6):2816. https://doi.org/10.3390/ijerph18062816

Chicago/Turabian Style

Inoue, Yuko; Shimazaki, Yoshihiro; Oshiro, Akiko; Zaitsu, Takashi; Furuta, Michiko; Ando, Yuichi; Miyazaki, Hideo; Kambara, Masaki; Fukai, Kakuhiro; Aida, Jun. 2021. "Multilevel Analysis of the Association of Dental-Hygienist-Related Factors on Regular Dental Check-Up Behavior" Int. J. Environ. Res. Public Health 18, no. 6: 2816. https://doi.org/10.3390/ijerph18062816

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