Should we brush twice a day? Determinants of dental health among young adults in Finland
We explore the determinants of dental ill-health as measured by the occurrence of caries. A recursive bivariate probit model that was derived from health production and demand theory is employed to model caries, while taking account of dental care use. The data are from a follow-up questionnaire used in a longitudinal study of the Northern Finland 1966 Birth Cohort, with respondents aged 31 (n = 5020). The factors controlled for relate to family background and health behavior during their youth, current socioecononomic variables and dental health stock. The total effects on the occurrence of caries of the explanatory variables are computed. Among females, factors increasing caries are body mass index and intake of alcohol, sugar and soft drinks, and those reducing caries are birth weight and adolescent school achievement. Among males, caries is positively related to the metropolitan residence and negatively related to education and healthy diet. Smoking increases caries, whereas dental care use, regular dental attendance and brushing teeth at least twice a day decrease caries. To promote oral health, attention should focus on policies to improve dental health education and to reduce the impacts of common risk factors. Copyright © 2007 John Wiley & Sons, Ltd.
Volume (Year): 17 (2008)
Issue (Month): 2 ()
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- Karvonen, Sakari & Rimpelä, Arja, 1996. "Socio-regional context as a determinant of adolescents' health behaviour in Finland," Social Science & Medicine, Elsevier, vol. 43(10), pages 1467-1474, November.
- Smith, Richard J & Blundell, Richard W, 1986. "An Exogeneity Test for a Simultaneous Equation Tobit Model with an Application to Labor Supply," Econometrica, Econometric Society, vol. 54(3), pages 679-85, May.
- Sintonen, Harri & Linnosmaa, Ismo, 2000. "Economics of dental services," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 24, pages 1251-1296 Elsevier.
- Yule, Brian & Parkin, David, 1985. "The demand for dental care: An assessment," Social Science & Medicine, Elsevier, vol. 21(7), pages 753-760, January.
- Martin Schellhorn & Andreas E. Stuck & Christoph E. Minder & John C. Beck, 2000. "Health services utilization of elderly Swiss: evidence from panel data," Health Economics, John Wiley & Sons, Ltd., vol. 9(6), pages 533-545.
- Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
- Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, December.
- Manishi Prasad & Peter Wahlqvist & Rich Shikiar & Ya-Chen Tina Shih, 2004. "A," PharmacoEconomics, Springer Healthcare | Adis, vol. 22(4), pages 225-244.
- Lien Nguyen & Unto Häkkinen, 2006. "Choices and utilization in dental care," The European Journal of Health Economics, Springer, vol. 7(2), pages 99-106, June.
- Chen, Meei-Shia & Hunter, Peter, 1996. "Oral health and quality of life in New Zealand: A social perspective," Social Science & Medicine, Elsevier, vol. 43(8), pages 1213-1222, October.
- Michael Grossman, 2005.
"Education and Nonmarket Outcomes,"
NBER Working Papers
11582, National Bureau of Economic Research, Inc.
- Unto Häkkinen & Marjo-Riitta Järvelin & Gunnar Rosenqvist & Jaana Laitinen, 2006. "Health, schooling and lifestyle among young adults in Finland," Health Economics, John Wiley & Sons, Ltd., vol. 15(11), pages 1201-1216.
- Sintonen, Harri & Tuominen, Risto, 1989. "Exploring the determinants of periodontal treatment costs: A special focus on cigarette smoking," Social Science & Medicine, Elsevier, vol. 29(7), pages 835-844, January.
- Grytten, Jostein & Holst, Dorthe & Laake, Peter, 1990. "Supplier inducement : Its effect on dental services in Norway," Journal of Health Economics, Elsevier, vol. 9(4), pages 483-491, December.
- Harri Sintonen & Timo Maljanen, 1995. "Explaining the utilisation of dental care. Experiences from the finnish dental market," Health Economics, John Wiley & Sons, Ltd., vol. 4(6), pages 453-466, November.
- A. G. Holtmann & E. Odgers Olsen Jr., 1976. "The Demand for Dental Care: A Study of Consumption and Household Production," Journal of Human Resources, University of Wisconsin Press, vol. 11(4), pages 546-560.
- Robert A. Shakotko & Linda N. Edwards & Michael Grossman, 1980. "An Exploration of the Dynamic Relationship between Health and Cognitive Development in Adolescence," NBER Working Papers 0454, National Bureau of Economic Research, Inc.
- Hay, Joel W. & Bailit, Howard & Chiriboga, Douglas A., 1982. "The demand for dental health," Social Science & Medicine, Elsevier, vol. 16(13), pages 1285-1289, January.
- Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
- Propper, Carol, 2000. "The demand for private health care in the UK," Journal of Health Economics, Elsevier, vol. 19(6), pages 855-876, November.
- Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
- Leigh, J. Paul, 1983. "Direct and indirect effects of education on health," Social Science & Medicine, Elsevier, vol. 17(4), pages 227-234, January.
- Hugh R. Waters, 1999. "Measuring the impact of health insurance with a correction for selection bias-a case study of Ecuador," Health Economics, John Wiley & Sons, Ltd., vol. 8(5), pages 473-483.
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