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Multilevel Analysis of the Association of Dental-Hygienist-Related Factors on Regular Dental Check-Up Behavior

Author

Listed:
  • Yuko Inoue

    (Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Yoshihiro Shimazaki

    (Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Aichi 464-8650, Japan
    8020 Promotion Foundation, Tokyo 102-0073, Japan)

  • Akiko Oshiro

    (Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Takashi Zaitsu

    (Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Michiko Furuta

    (8020 Promotion Foundation, Tokyo 102-0073, Japan
    Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science Kyushu University, Fukuoka 812-8582, Japan)

  • Yuichi Ando

    (8020 Promotion Foundation, Tokyo 102-0073, Japan
    National Institute of Public Health, Saitama 351-0197, Japan)

  • Hideo Miyazaki

    (8020 Promotion Foundation, Tokyo 102-0073, Japan
    Meirin College, Niigata 950-2086, Japan)

  • Masaki Kambara

    (8020 Promotion Foundation, Tokyo 102-0073, Japan
    Department of Dentistry, Osaka Dental University, Osaka 573-1144, Japan)

  • Kakuhiro Fukai

    (8020 Promotion Foundation, Tokyo 102-0073, Japan
    Fukai Institute of Health Science, Saitama 341-0003, Japan)

  • Jun Aida

    (Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan
    8020 Promotion Foundation, Tokyo 102-0073, Japan
    Division for Regional Community Development, Liaison Center for Innovative Dentistry, Graduate School of Dentistry, Tohoku University, Miyagi 980-8575, Japan)

Abstract

Few studies have examined the factors related to dental clinics during dental check-ups. We examined the association between dental-hygienist-related factors and patients’ regular dental check-ups. This nationwide cross-sectional study was based on a survey conducted in Japan in 2014. The analyzed population included 12,139 patients from 1181 dental clinics. We used three-level Poisson regression analysis, considering patient‒clinic‒prefecture, to examine the association of dental-hygienist-related factors with dental check-up behavior. Patients attending treatment and regular check-ups constituted 63.0% and 37.0%, respectively. The adjusted prevalence ratios (PRs) for patients undergoing regular dental check-ups at dental clinics with dedicated dental hygienists’ units, spending ≥20 min in patient education (compared to 0 min), and with three or more dental hygienists (compared to 0 hygienists) available were 1.17 (95% confidence interval [CI]: 1.06–1.30), 1.25 (95%CI: 1.07–1.46), and 2.05 (95%CI: 1.64–2.56), respectively. The median PR indicates that when a patient randomly moves to another dental clinic with more regular dental check-ups, this prevalence increased 1.69 times. These results suggest that dental check-up behavior is determined not only by individual factors but also dental-clinic-level factors. Improving the dental-hygienist-related factors is necessary to encourage people to visit dentists for regular check-ups.

Suggested Citation

  • Yuko Inoue & Yoshihiro Shimazaki & Akiko Oshiro & Takashi Zaitsu & Michiko Furuta & Yuichi Ando & Hideo Miyazaki & Masaki Kambara & Kakuhiro Fukai & Jun Aida, 2021. "Multilevel Analysis of the Association of Dental-Hygienist-Related Factors on Regular Dental Check-Up Behavior," IJERPH, MDPI, vol. 18(6), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2816-:d:514381
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    References listed on IDEAS

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    1. Shiho Kino & Eduardo Bernabé & Wael Sabbah, 2019. "Social Inequalities in Use of Preventive Dental and Medical Services among Adults in European Countries," IJERPH, MDPI, vol. 16(23), pages 1-9, November.
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    Cited by:

    1. Etsuji Okamoto, 2021. "Japan’s Dental Care Facing Population Aging: How Universal Coverage Responds to the Changing Needs of the Elderly," IJERPH, MDPI, vol. 18(17), pages 1-12, September.

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