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Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Author

Listed:
  • André Hajek

    (Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Benedikt Kretzler

    (Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Hans-Helmut König

    (Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

Abstract

Background: A systematic review synthesizing studies examining the determinants of dental service use drawing on the (extended) Andersen model is lacking. Hence, our purpose was to fill this knowledge gap; Methods: Three established electronic databases (PubMed, PsycInfo, as well as CINAHL) were searched. Observational studies focusing on the determinants of dental service use drawing on the Andersen model were included; Results: In sum, 41 studies have been included (ten studies investigating children/adolescents and 31 studies investigating adults). Among children, particularly higher age (predisposing characteristic), higher income (enabling resource) and more oral health problems (need factor) were associated with increased dental service use. Among adults, findings are, in general, less consistent. However, it should be noted that one half of the studies found an association between increased education (predisposing characteristic) and increased dental service. In general, study quality was rather high. However, it should be noted that most studies did not report how they dealt with missing data; Conclusions: Our systematic review revealed that all components (i.e., predisposing characteristics, enabling resources and need factors) of the Andersen model tend to be associated with dental service use among children, whereas the findings are more mixed among adults. In conclusion, beyond need factors, dental service use also tend to be driven by other factors. This may indicate over—or, more likely—underuse of dental services and could enrich the inequality discussion in dental services research.

Suggested Citation

  • André Hajek & Benedikt Kretzler & Hans-Helmut König, 2021. "Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review," IJERPH, MDPI, vol. 18(5), pages 1-28, March.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2491-:d:509596
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    References listed on IDEAS

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    1. Ghazal Aarabi & Richelle Valdez & Kristin Spinler & Carolin Walther & Udo Seedorf & Guido Heydecke & Hans-Helmut König & André Hajek, 2019. "Determinants of Postponed Dental Visits Due to Costs: Evidence from the Survey of Health, Ageing, and Retirement in Germany," IJERPH, MDPI, vol. 16(18), pages 1-7, September.
    2. Fernando José Herkrath & Mario Vianna Vettore & Guilherme Loureiro Werneck, 2018. "Contextual and individual factors associated with dental services utilisation by Brazilian adults: A multilevel analysis," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    4. Seung-Hyun Lee & Jae-In Ryu & Se-Hwan Jung, 2020. "Differences in Utilization of Medical and Dental Services among Homeless People in South Korea," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    5. Richelle Valdez & Ghazal Aarabi & Kristin Spinler & Carolin Walther & Udo Seedorf & Guido Heydecke & Elzbieta Buczak-Stec & Hans-Helmut König & André Hajek, 2020. "Association between Subjective Well-Being and Frequent Dental Visits in the German Ageing Survey," IJERPH, MDPI, vol. 17(9), pages 1-10, May.
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    1. Anne-Charlotte Bas & Sylvie Azogui-Lévy, 2022. "Socio-Economic Determinants of Dental Service Expenditure: Findings from a French National Survey," IJERPH, MDPI, vol. 19(3), pages 1-10, January.

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