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Andersen health care utilization model: A survey on factors affecting the utilization of dental health services among school children

Author

Listed:
  • Preethi Nagdev
  • Murali R Iyer
  • Sachin Naik
  • Sanjeev Balappa Khanagar
  • Mohammed Awawdeh
  • Abdulaziz Abdullah Al Kheraif
  • Sukumaran Anil
  • Majed M Alsarani
  • Sajith Vellappally
  • Omar Alsadon

Abstract

Background: Children’s quality of life, academic performance, and future achievement can all be negatively affected by poor dental health. The present study aimed to assess the need for dental health services and the factors influencing their utilization using the Andersen health care utilization model among school children. Methods: The current cross-sectional study was conducted among schoolchildren aged 13 to 15 in Bangalore, India (n = 1100). A questionnaire was developed using the concepts of the Andersen healthcare usage model. The parents of the children filled out the questionnaire. The factors were investigated using bivariate analysis and multivariate logistic regression analysis. Results: About 78.1% of the children did not utilize dental health services. Regarding the reasons for not visiting a dentist, 65.8% said they did not have a dental problem, and 22.2% said they could not afford it. Bivariate analysis showed that age, gender, education level, occupation of the family’s head of household, monthly family income, socioeconomic status, perceived oral health problems, accessibility of dental health facilities, and parental attitudes toward their children’s oral health were significantly associated with using dental health services (p

Suggested Citation

  • Preethi Nagdev & Murali R Iyer & Sachin Naik & Sanjeev Balappa Khanagar & Mohammed Awawdeh & Abdulaziz Abdullah Al Kheraif & Sukumaran Anil & Majed M Alsarani & Sajith Vellappally & Omar Alsadon, 2023. "Andersen health care utilization model: A survey on factors affecting the utilization of dental health services among school children," PLOS ONE, Public Library of Science, vol. 18(6), pages 1-14, June.
    • Handle: RePEc:plo:pone00:0286945
    DOI: 10.1371/journal.pone.0286945
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    References listed on IDEAS

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    1. Vargas, C.M. & Ronzio, C.R., 2002. "Relationship between children's dental needs and dental care utilization: United States, 1988-1994," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1816-1821.
    2. Allin, Sara & Farmer, Julie & Quiñonez, Carlos & Peckham, Allie & Marchildon, Gregory & Panteli, Dimitra & Henschke, Cornelia & Fattore, Giovanni & Lamloum, Demetrio & Holden, Alexander C.L. & Rice, T, 2020. "Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions," Health Policy, Elsevier, vol. 124(9), pages 998-1007.
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    1. Elaheh Amirian & Samaneh Razeghi & Alireza Molaei & Ahmad R Shamshiri & Simin Z Mohebbi, 2025. "Preventive and curative dental services utilization among children aged 12 years and younger in Tehran, Iran, based on the Andersen behavioral model: A generalized structural equation modeling," PLOS ONE, Public Library of Science, vol. 20(1), pages 1-19, January.

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