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<title xml:lang="en">A multi-country comparison of reasons for dental non-attendance</title>
<author>
<name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name>
<affiliation>
<nlm:aff id="A1"> University of Heidelberg, Department of Conservative Dentistry, Heidelberg, Germany</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Munich Center for the Economics of Aging, Max-Planck-Institute for Social Law and Social Policy, Munich, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Moeller, John" sort="Moeller, John" uniqKey="Moeller J" first="John" last="Moeller">John Moeller</name>
<affiliation>
<nlm:aff id="A3"> Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Manski, Richard" sort="Manski, Richard" uniqKey="Manski R" first="Richard" last="Manski">Richard Manski</name>
<affiliation>
<nlm:aff id="A3"> Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore, MD, USA</nlm:aff>
</affiliation>
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<idno type="pmid">24147428</idno>
<idno type="pmc">3947257</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3947257</idno>
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<idno type="doi">10.1111/eos.12096</idno>
<date when="2013">2013</date>
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<title xml:lang="en" level="a" type="main">A multi-country comparison of reasons for dental non-attendance</title>
<author>
<name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name>
<affiliation>
<nlm:aff id="A1"> University of Heidelberg, Department of Conservative Dentistry, Heidelberg, Germany</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Munich Center for the Economics of Aging, Max-Planck-Institute for Social Law and Social Policy, Munich, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Moeller, John" sort="Moeller, John" uniqKey="Moeller J" first="John" last="Moeller">John Moeller</name>
<affiliation>
<nlm:aff id="A3"> Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Manski, Richard" sort="Manski, Richard" uniqKey="Manski R" first="Richard" last="Manski">Richard Manski</name>
<affiliation>
<nlm:aff id="A3"> Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">European journal of oral sciences</title>
<idno type="ISSN">0909-8836</idno>
<idno type="eISSN">1600-0722</idno>
<imprint>
<date when="2013">2013</date>
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<p id="P1">The purpose of this study was to describe cross-country differences with respect to the reasons for dental non-attendance by Europeans currently aged 50 yr and older. The analyses were based on retrospective life-history data from the Survey of Health, Ageing and Retirement in Europe and included information about various reasons why respondents from 13 European countries had never had regular dental visits in their lifetimes. A series of logistic regression models was estimated to identify reasons for dental non-attendance across different welfare state regimes. The highest percentage of respondents without any regular dental attendance throughout their lifetimes was found for the Southern welfare state regime, followed by the Eastern, the Bismarckian, and the Scandinavian welfare state regimes. Factors such as patients’ perception that regular dental treatment is ‘not necessary’ or ‘not usual’ appear to be the predominant reason for non-attendance in all welfare state regimes. Within the Southern, Eastern, and Bismarckian welfare state regimes, the health system level factor ‘no place to receive this type of care close to home’ and the perception of regular dental treatment as ‘not necessary’ were more often referred to than in Scandinavia. This could be relevant information for health care decision makers in order to prioritize interventions towards increasing rates of regular dental attendance.</p>
</div>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<journal-id journal-id-type="nlm-journal-id">9504563</journal-id>
<journal-id journal-id-type="pubmed-jr-id">8729</journal-id>
<journal-id journal-id-type="nlm-ta">Eur J Oral Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">Eur. J. Oral Sci.</journal-id>
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<journal-title>European journal of oral sciences</journal-title>
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<issn pub-type="ppub">0909-8836</issn>
<issn pub-type="epub">1600-0722</issn>
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<article-id pub-id-type="pmid">24147428</article-id>
<article-id pub-id-type="pmc">3947257</article-id>
<article-id pub-id-type="doi">10.1111/eos.12096</article-id>
<article-id pub-id-type="manuscript">NIHMS529669</article-id>
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<subject>Article</subject>
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<article-title>A multi-country comparison of reasons for dental non-attendance</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Listl</surname>
<given-names>Stefan</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author">
<name>
<surname>Moeller</surname>
<given-names>John</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
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<contrib contrib-type="author">
<name>
<surname>Manski</surname>
<given-names>Richard</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
University of Heidelberg, Department of Conservative Dentistry, Heidelberg, Germany</aff>
<aff id="A2">
<label>2</label>
Munich Center for the Economics of Aging, Max-Planck-Institute for Social Law and Social Policy, Munich, Germany</aff>
<aff id="A3">
<label>3</label>
Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore, MD, USA</aff>
<author-notes>
<corresp id="CR1">Stefan Listl, Department of Conservative Dentistry, University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany
<email>stefan.listl@med.uni-heidelberg.de</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>15</day>
<month>11</month>
<year>2013</year>
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<pub-date pub-type="epub">
<day>23</day>
<month>10</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub">
<month>2</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>2</month>
<year>2015</year>
</pub-date>
<volume>122</volume>
<issue>1</issue>
<fpage>62</fpage>
<lpage>69</lpage>
<pmc-comment>elocation-id from pubmed: 10.1111/eos.12096</pmc-comment>
<abstract>
<p id="P1">The purpose of this study was to describe cross-country differences with respect to the reasons for dental non-attendance by Europeans currently aged 50 yr and older. The analyses were based on retrospective life-history data from the Survey of Health, Ageing and Retirement in Europe and included information about various reasons why respondents from 13 European countries had never had regular dental visits in their lifetimes. A series of logistic regression models was estimated to identify reasons for dental non-attendance across different welfare state regimes. The highest percentage of respondents without any regular dental attendance throughout their lifetimes was found for the Southern welfare state regime, followed by the Eastern, the Bismarckian, and the Scandinavian welfare state regimes. Factors such as patients’ perception that regular dental treatment is ‘not necessary’ or ‘not usual’ appear to be the predominant reason for non-attendance in all welfare state regimes. Within the Southern, Eastern, and Bismarckian welfare state regimes, the health system level factor ‘no place to receive this type of care close to home’ and the perception of regular dental treatment as ‘not necessary’ were more often referred to than in Scandinavia. This could be relevant information for health care decision makers in order to prioritize interventions towards increasing rates of regular dental attendance.</p>
</abstract>
<kwd-group>
<kwd>dental non-attendance</kwd>
<kwd>affordability</kwd>
<kwd>health insurance</kwd>
<kwd>time constraints</kwd>
<kwd>oral health literacy</kwd>
<kwd>value of oral health</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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