Analysis of the willingness of community residents of Chengdu city to participate in various modes of family dental services and the factors influencing their decision

doi:10.7518/hxkq.2022.01.012

West China Journal of Stomatology ›› 2022, Vol. 40 ›› Issue (1): 80-85.doi: 10.7518/hxkq.2022.01.012

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Analysis of the willingness of community residents of Chengdu city to participate in various modes of family dental services and the factors influencing their decision

Sun Guofang¹(), Wu Kan², Hu Tao¹, Bao Chongyun³, Zhong Yisi⁴, Yin Wei¹()

^1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
^2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Medical Affairs, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
^3.State Key Laboratory of Oral Disea-ses & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
^4.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of General and Emergency Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2020-12-26 Revised:2021-09-27 Online:2022-02-01 Published:2022-02-07
Contact: Yin Wei E-mail:scusgf@qq.com;Yinwei-hxkqyfk@qq.com
Supported by:
Exploration and R&D Project of West China Hospital of Stomatology, Sichuan University(RD-01-202001);National Key Research and Development Program(2020YFC2009005);Major Technology Application Demonstration Project in Chengdu(2019-YF09-00109-SN);Correspondence: Yin Wei, E-mail: Yinwei-hxkqyfk@qq.com

Abstract

Abstract: Objective

To determine the various modes of family dental services available in Chengdu city, China and to analyze the willingness of community residents to sign the contract for these services and the factors influencing their decision to do so.

Methods

From September 2020 to October 2020, nine communities in Chengdu city were sampled via stratified multiple-stage random sampling and surveyed by sending questionnaires. The questionnaire sought to gather information on the residents’ sociodemographic characteristics, their intention to participate in family dental services, and determine their knowledge of oral health cognition and behavior.

Results

A total of 1 227 valid questionnaires were collected. Among the community residents surveyed, 24.78% stated that they were willing to participate in family dental services. Binary logistic regression analysis revealed that the factors affecting the residents’ willingness to participate in various modes of family dental services were age (OR=0.571, P<0.05), type of medical insurance (OR=1.534, P<0.05), level of oral health knowledge (OR=1.363, P<0.05), oral health behavior [including the number of time they brush their teeth (OR=1.464, P<0.05), and the frequency of seeking oral medical treatment(OR=1.780, 2.174, P<0.05)].

Conclusion

The demand of community residents for the family dental services needs to be improved. Young and middle-aged people showed more enthusiasm than older adults to seek family dental services. The type of medical insurance they have and the level of their health literacy were the primary factors that influence their decision to seek such services. Information and education campaigns on oral health should be strengthened to enhance the public’s knowledge of this important aspect of hygiene and overall health and promote the development of various modes of family dental services.

Key words: family dental service, community residents, willingness to participate, influencing factors

CLC Number:

R 780.1

Sun Guofang, Wu Kan, Hu Tao, Bao Chongyun, Zhong Yisi, Yin Wei. Analysis of the willingness of community residents of Chengdu city to participate in various modes of family dental services and the factors influencing their decision[J]. West China Journal of Stomatology, 2022, 40(1): 80-85.

Figures/Tables 6

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References 10

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项目	人数（n）	构成比/%
性别
男	579	47.19
女	648	52.81
年龄
30岁以下	239	19.48
31~40岁	613	49.96
41~50岁	293	23.88
50岁以上	82	6.68
文化程度
小学及以下	166	13.53
初高中	735	59.90
大专及本科	273	22.25
研究生	53	4.32
家庭人均年收入/万元
＜1	378	30.81
1~4.9	726	59.17
5~9.9	88	7.17
≥10	35	2.85
医疗保险类型
城镇职工医疗保险	347	28.28
城镇居民医疗保险	306	24.94
新农合	354	28.85
其他	220	17.93

变量	参与意愿/ n（%）		χ2值	P值
变量	不愿意	愿意	χ2值	P值
性别			0.209	0.647
男	439（75.82）	140（24.18）
女	484（74.69）	164（25.31）
年龄			17.208	0.001**
30岁以下	155（64.85）	84（35.15）
31~40岁	478（77.98）	135（22.02）
41~50岁	226（77.13）	67（22.87）
50岁以上	64（78.05）	18（21.95）
文化程度			27.714	0.000**
小学及以下	133（80.12）	33（19.88）
初高中	579（78.78）	156（21.22）
大专及本科	180（65.93）	93（34.07）
研究生	31（58.49）	22（41.51）
家庭人均年收入/万元			19.935	0.000**
<1	309（81.75）	69（18.25）
1~4.9	537（73.97）	189（26.03）
5~9.9	56（63.64）	32（36.36）
≥10	21（60.00）	14（40.00）
医疗保险类型			9.579	0.023*
城镇职工医疗保险	254（73.20）	93（26.80）
城镇居民医疗保险	215（70.26）	91（29.74）
新农合	282（79.66）	72（20.34）
其他	172（78.18）	48（21.82）

变量	参与意愿/n（%）		χ2值	P值
变量	不愿意	愿意	χ2值	P值
口腔健康知识			14.657	0.000**
一般（≤4分）	400（80.97）	94（19.03）
良好（＞4分）	523（71.35）	210（28.65）
口腔健康态度			9.844	0.002**
消极（≤2分）	118（86.13）	19（13.87）
积极（＞2分）	805（73.85）	285（26.15）

变量	参与意愿/n（%）		χ2值	P值
变量	不愿意	愿意	χ2值	P值
吸烟			0.045	0.833
是	218（75.69）	70（24.31）
否	705（75.08）	234（24.92）
饮酒			1.476	0.224
是	158（78.61）	43（21.39）
否	765（74.56）	261（25.44）
每日刷牙次数			13.370	0.000**
≤1次	258（82.96）	53（17.04）
≥2次	665（72.60）	251（27.4）
进甜食频率			1.723	0.423
从不	376（77.21）	111（22.79）
较少	286（73.71）	102（26.29）
经常	261（74.15）	91（25.85）
口腔就医频率			28.437	0.000**
从不	382（83.59）	75（16.41）
偶尔	415（71.18）	168（28.82）
定期检查	126（67.38）	61（32.62）

项目	B	SE	Wald	df	P	OR	95%CI
年龄段（30岁以下）			8.550	3	0.036
31~40	-0.561	0.192	8.508	1	0.004	0.571	0.392~0.832
41~50	-0.434	0.223	3.771	1	0.052	0.648	0.418~1.004
50岁以上	-0.467	0.322	2.093	1	0.148	0.627	0.333~1.180
医疗保险类型（城镇职工）			9.500	3	0.023
城镇居民医疗保险	0.428	0.189	5.125	1	0.024	1.534	1.059~2.222
新农合	0.086	0.201	0.185	1	0.667	1.090	0.735~1.616
其他	-0.204	0.220	0.856	1	0.355	0.816	0.530~1.256
口腔健康知识（≤4分）	0.310	0.153	4.099	1	0.043	1.363	1.010~1.841
每日刷牙次数（≤1次）	0.381	0.176	4.683	1	0.030	1.464	1.037~2.067
口腔就医频率（从不）			17.364	2	0.000
偶尔	0.576	0.163	12.546	1	0.000	1.780	1.294~2.448
定期	0.776	0.210	13.679	1	0.000	2.174	1.440~3.280

Analysis of the willingness of community residents of Chengdu city to participate in various modes of family dental services and the factors influencing their decision

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