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Disparities in Dental Service Utilization among Adults in Chinese Megacities: Do Health Insurance and City of Residence Matter?

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  • Xiaomin Qu

    (School of Social Development, East China University of Political Science and Law, 555 Longyuan Road Songjiang District, Shanghai 201620, China)

  • Xiang Qi

    (Rory Meyer College of Nursing, New York University, 433 First Avenue, New York, NY 10010, USA)

  • Bei Wu

    (Rory Meyer College of Nursing, NYU Aging Incubator, New York University, 433 First Avenue, New York, NY 10010, USA)

Abstract

The aims of the study were to present the prevalence of dental service utilization among adults (age between 18 and 65) in Chinese megacities and to examine the associations of health insurance and city of residence with dental visits. This study was a cross-sectional analysis of the 2019 New Era and Living Conditions in Megacities Survey data with a sample of 4835 participants aged 18–65 from 10 different megacities in China. The data including gross domestic product (GDP) per capita of each megacity obtained from the National Bureau of Statistics of China as a city-level characteristic. After adjusting sampling weights, approximately 24.28% of the participants had at least one dental visit per year. Findings from multilevel mixed-effects linear models showed that participants residing in megacities with higher GDP per capita (β = 0.07, p < 0.001) who had Urban Employee Basic Medical Insurance (β = 0.25, p < 0.001) or Urban Resident Basic Medical Insurance (β = 0.19, p < 0.01) had more frequent dental visits after adjusting demographic characteristics, socioeconomic status, health status, health behavior and attitude, and oral health indicators. Margins post-estimation model results demonstrated disparities in the predicted probability of having never visited a dentist by types of health insurance and city of residence. In conclusion, the prevalence of dental visits in China was found to be low. This study highlights socioeconomic inequalities in dental service utilization. There is a great need to develop more dental care programs and services and expand health insurance to cover dental care in China.

Suggested Citation

  • Xiaomin Qu & Xiang Qi & Bei Wu, 2020. "Disparities in Dental Service Utilization among Adults in Chinese Megacities: Do Health Insurance and City of Residence Matter?," IJERPH, MDPI, vol. 17(18), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6851-:d:416055
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    References listed on IDEAS

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    1. Akemi Nishide & Misuzu Fujita & Yasunori Sato & Kengo Nagashima & Sho Takahashi & Akira Hata, 2017. "Income-Related Inequalities in Access to Dental Care Services in Japan," IJERPH, MDPI, vol. 14(5), pages 1-10, May.
    2. Grignon, Michel & Hurley, Jeremiah & Wang, Li & Allin, Sara, 2010. "Inequity in a market-based health system: Evidence from Canada's dental sector," Health Policy, Elsevier, vol. 98(1), pages 81-90, November.
    3. Miltiades, Helen B. & Wu, Bei, 2008. "Factors affecting physician visits in Chinese and Chinese immigrant samples," Social Science & Medicine, Elsevier, vol. 66(3), pages 704-714, February.
    4. Wu, B. & Plassman, B.L. & Liang, J. & Wei, L., 2007. "Cognitive function and dental care utilization among community-dwelling older adults," American Journal of Public Health, American Public Health Association, vol. 97(12), pages 2216-2221.
    5. Imade J. Ayo-Yusuf & Olalekan A. Ayo-Yusuf & Bukola G. Olutola, 2013. "Health Insurance, Socio-Economic Position and Racial Disparities in Preventive Dental Visits in South Africa," IJERPH, MDPI, vol. 10(1), pages 1-14, January.
    6. Reda, S.F. & Reda, S.M. & Murray Thomson, W. & Schwendicke, F., 2018. "Inequality in Utilization of Dental Services: A Systematic Review and Meta-analysis," American Journal of Public Health, American Public Health Association, vol. 108(2), pages 1-7.
    7. Richard G Watt & Georgios Tsakos & Cesar de Oliveira & Mark Hamer, 2012. "Tooth Loss and Cardiovascular Disease Mortality Risk – Results from the Scottish Health Survey," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-7, February.
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    Cited by:

    1. Xin Xu & Yuan Zhao & Danan Gu & Yaolin Pei & Bei Wu, 2021. "Health Behaviors and Self-Reported Oral Health among Centenarians in Nanjing, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(14), pages 1-13, July.

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