Dental insurance, attitudes to dental care, and dental visiting
Identifieur interne : 005077 ( Istex/Corpus ); précédent : 005076; suivant : 005078Dental insurance, attitudes to dental care, and dental visiting
Auteurs : Dana N. Teusner ; David S. Brennan ; A. John SpencerSource :
- Journal of Public Health Dentistry [ 0022-4006 ] ; 2013-03.
English descriptors
- KwdEn :
- American association, Attitude factors, Attitudinal, Attitudinal factor, Attitudinal factors, Australian research centre, Baseline questionnaire, Bivariate associations, Cohort study, Covariates, Covariates model, Current study, Cynicism factor, Cynicism scale, Dental, Dental care, Dental care attitude factors, Dental care attitudes, Dental care attitudinal factors, Dental insurance, Dental insurance status, Dental service, Dental service data collection, Dental services, Dental visit, Dentistry, Effectiveness factor, Eventuality, Factor analysis, General treatment, General treatment plans, Health insurance, Health service, Health services, Household income, Household income group, Importance factor, Index category, Insurance status, John spencer, Likert scale, Oral health, Oral health problems, Participant characteristics, Personal factor, Population estimates, Positive association, Prevalence ratio, Prevalence ratios, Private health insurance, Prospective cohort study, Public health dentistry, Public health dentistry teusner, Quality importance eventuality effectiveness cost cynicism, Recent visit, Reference group, Regular visits, Study period, Study population, Teusner, Total design method, Unadjusted associations, Uninsured, Unknown insurance status, Valid responses.
- Teeft :
- American association, Attitude factors, Attitudinal, Attitudinal factor, Attitudinal factors, Australian research centre, Baseline questionnaire, Bivariate associations, Cohort study, Covariates, Covariates model, Current study, Cynicism factor, Cynicism scale, Dental, Dental care, Dental care attitude factors, Dental care attitudes, Dental care attitudinal factors, Dental insurance, Dental insurance status, Dental service, Dental service data collection, Dental services, Dental visit, Dentistry, Effectiveness factor, Eventuality, Factor analysis, General treatment, General treatment plans, Health insurance, Health service, Health services, Household income, Household income group, Importance factor, Index category, Insurance status, John spencer, Likert scale, Oral health, Oral health problems, Participant characteristics, Personal factor, Population estimates, Positive association, Prevalence ratio, Prevalence ratios, Private health insurance, Prospective cohort study, Public health dentistry, Public health dentistry teusner, Quality importance eventuality effectiveness cost cynicism, Recent visit, Reference group, Regular visits, Study period, Study population, Teusner, Total design method, Unadjusted associations, Uninsured, Unknown insurance status, Valid responses.
Abstract
Objective: Dental insurance status is strongly associated with service use. In models of dental visiting, insurance is typically included as an enabling factor. However, in Australia, people self‐select into health insurance (privately purchased) and levels of cover for dental services are modest. Rather than enabling access, insurance status may be a “marker” for unmeasured predisposing attitudes. This study aims to explore associations between dental insurance status and visiting while adjusting for dental care attitudes.
Url:
DOI: 10.1111/j.1752-7325.2012.00345.x
Links to Exploration step
ISTEX:A175F85378E4506DCBEA8AC03837453B5DB6B097Le document en format XML
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Brennan</name><affiliation><mods:affiliation>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia</mods:affiliation></affiliation></author><author><name sortKey="Spencer, A John" sort="Spencer, A John" uniqKey="Spencer A" first="A. John" last="Spencer">A. 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In models of dental visiting, insurance is typically included as an enabling factor. However, in Australia, people self‐select into health insurance (privately purchased) and levels of cover for dental services are modest. Rather than enabling access, insurance status may be a “marker” for unmeasured predisposing attitudes. 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Teusner BA</name><affiliations><json:string>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia</json:string><json:string>E-mail: dana.teusner@adelaide.edu.au</json:string></affiliations></json:item><json:item><name>David S. Brennan BA (Hons), Grad Dip, MPH, PhD</name><affiliations><json:string>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia</json:string></affiliations></json:item><json:item><name>A. John Spencer MDSc, MPH, PhD</name><affiliations><json:string>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>dental health services</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental insurance</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>attitude to health</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental service use</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral health behaviors</value></json:item></subject><articleId><json:string>JPHD345</json:string></articleId><arkIstex>ark:/67375/WNG-Q33DT7QW-J</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Objective: Dental insurance status is strongly associated with service use. In models of dental visiting, insurance is typically included as an enabling factor. However, in Australia, people self‐select into health insurance (privately purchased) and levels of cover for dental services are modest. Rather than enabling access, insurance status may be a “marker” for unmeasured predisposing attitudes. This study aims to explore associations between dental insurance status and visiting while adjusting for dental care attitudes.</abstract><qualityIndicators><score>7.888</score><pdfWordCount>5000</pdfWordCount><pdfCharCount>33264</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>610.651 x 790.254 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>74</abstractWordCount><abstractCharCount>529</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Dental insurance, attitudes to dental care, and dental visiting</title><pmid><json:string>22747628</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Journal of Public Health Dentistry</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1752-7325</json:string></doi><issn><json:string>0022-4006</json:string></issn><eissn><json:string>1752-7325</json:string></eissn><publisherId><json:string>JPHD</json:string></publisherId><volume>73</volume><issue>2</issue><pages><first>103</first><last>111</last><total>9</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>ORIGINAL ARTICLE</value></json:item></subject></host><namedEntities><unitex><date><json:string>2011</json:string><json:string>4/15/2012</json:string><json:string>1960s</json:string><json:string>2013</json:string><json:string>2008</json:string><json:string>2004</json:string><json:string>7/27/2011</json:string></date><geogName></geogName><orgName><json:string>Private Health Insurance Administration Council</json:string><json:string>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA</json:string><json:string>Private Health Insurance Ombudsman (PHIO) Australian Government</json:string><json:string>American Association of Public Health Dentistry However</json:string><json:string>University of Adelaide Research</json:string><json:string>American Association of Public Health Dentistry</json:string><json:string>American Association of Public Health Dentistry Dental</json:string><json:string>Australian Bureau of Statistics</json:string><json:string>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide</json:string><json:string>Foundation</json:string><json:string>Research Triangle Institute, Research Triangle Park, NC, USA</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Beverley Ellis</json:string><json:string>David S. Brennan</json:string><json:string>Dana N. Teusner</json:string><json:string>John Spencer</json:string><json:string>Kaye Roberts-Thomson</json:string></persName><placeName><json:string>Australia</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>D.N. Teusner et al.</json:string><json:string>Gilbert et al. (1997)</json:string><json:string>NHMRC project grants: 250316, 627037</json:string><json:string>Gilbert et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-Q33DT7QW-J</json:string></ark><categories><wos><json:string>1 - social science</json:string><json:string>2 - public, environmental & occupational health</json:string><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Public Health, Environmental and Occupational Health</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - General Dentistry</json:string></scopus></categories><publicationDate>2013</publicationDate><copyrightDate>2013</copyrightDate><doi><json:string>10.1111/j.1752-7325.2012.00345.x</json:string></doi><id>A175F85378E4506DCBEA8AC03837453B5DB6B097</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/A175F85378E4506DCBEA8AC03837453B5DB6B097/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/A175F85378E4506DCBEA8AC03837453B5DB6B097/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/A175F85378E4506DCBEA8AC03837453B5DB6B097/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Dental insurance, attitudes to dental care, and dental visiting</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><availability><licence>© 2012 American Association of Public Health Dentistry</licence></availability><date type="published" when="2013-03"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Dental insurance, attitudes to dental care, and dental visiting</title><title level="a" type="short">Dental insurance, attitudes to dental care, and dental visiting</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Dana N.</forename><surname>Teusner</surname><roleName type="degree">BA</roleName></persName><affiliation>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia<address><country key="AU"></country></address></affiliation><affiliation>Ms. Dana N. Teusner, Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA 5005, Australia. Tel.: 61 8 8303 4227; Fax: 61 8 8303 3070; e‐mail: dana.teusner@adelaide.edu.au. Dana N. Teusner, David S. Brennan, and A. John Spencer are with the Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide.</affiliation></author><author xml:id="author-0001"><persName><forename type="first">David S.</forename><surname>Brennan</surname><roleName type="degree">BA (Hons), Grad Dip, MPH, PhD</roleName></persName><affiliation>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">A. John</forename><surname>Spencer</surname><roleName type="degree">MDSc, MPH, PhD</roleName></persName><affiliation>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia<address><country key="AU"></country></address></affiliation></author><idno type="istex">A175F85378E4506DCBEA8AC03837453B5DB6B097</idno><idno type="ark">ark:/67375/WNG-Q33DT7QW-J</idno><idno type="DOI">10.1111/j.1752-7325.2012.00345.x</idno><idno type="unit">JPHD345</idno><idno type="toTypesetVersion">file:JPHD.JPHD345.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Public Health Dentistry</title><title level="j" type="alt">JOURNAL OF PUBLIC HEALTH DENTISTRY</title><idno type="pISSN">0022-4006</idno><idno type="eISSN">1752-7325</idno><idno type="book-DOI">10.1111/(ISSN)1752-7325</idno><idno type="book-part-DOI">10.1111/jphd.2013.73.issue-2</idno><idno type="product">JPHD</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">73</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="103">103</biblScope><biblScope unit="page" to="111">111</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2013-03"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Objective:</hi> Dental insurance status is strongly associated with service use. In models of dental visiting, insurance is typically included as an enabling factor. However, in Australia, people self‐select into health insurance (privately purchased) and levels of cover for dental services are modest. Rather than enabling access, insurance status may be a “marker” for unmeasured predisposing attitudes. This study aims to explore associations between dental insurance status and visiting while adjusting for dental care attitudes.</p><p><hi rend="bold">Methods:</hi> Participants (South Australians aged 45‐54 years) of a 2‐year prospective cohort study (2005‐2007) investigating dental service use were surveyed on their attitudes to dental care and insurance status. Six attitudinal factors were assessed using a 23‐item Likert scale. Bivariate associations between insurance, attitudes, visiting, and other known covariates (age, sex, and household income) were explored. A series of regression models assessed whether prevalence ratios of visiting were attenuated after controlling for attitudinal factors.</p><p><hi rend="bold">Results:</hi> Response rate was 85.0 percent. Analysis was limited to dentate adults with known dental insurance status (<hi rend="italic">n</hi> = 529). The majority had dental insurance (75.2%) and made <hi rend="italic">regular visits</hi> (63.7%). Insurance status, visiting, and attitudinal factors were significantly associated. Controlling for covariates, insured adults, compared with the uninsured, were 57 percent more likely to make <hi rend="italic">regular visits</hi>. After adjusting for attitudinal factors, the significant association between insurance and visiting persisted.</p><p><hi rend="bold">Conclusion:</hi> Dental care attitudes did not confound the association between dental insurance and visiting, indicating that dental insurance status was not a “marker” for predisposing attitudes.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">dental health services</term><term xml:id="k2">dental insurance</term><term xml:id="k3">attitude to health</term><term xml:id="k4">dental service use</term><term xml:id="k5">oral health behaviors</term></keywords><keywords rend="tocHeading1"><term>ORIGINAL ARTICLES</term></keywords><keywords rend="articleCategory"><term>ORIGINAL ARTICLE</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/A175F85378E4506DCBEA8AC03837453B5DB6B097/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Inc</publisherName><publisherLoc>Malden, USA</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1752-7325</doi><issn type="print">0022-4006</issn><issn type="electronic">1752-7325</issn><idGroup><id type="product" value="JPHD"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF PUBLIC HEALTH DENTISTRY">Journal of Public Health Dentistry</title></titleGroup></publicationMeta><publicationMeta level="part" position="03102"><doi>10.1111/jphd.2013.73.issue-2</doi><copyright ownership="thirdParty">© 2013 American Association of Public Health Dentistry</copyright><numberingGroup><numbering number="73" type="journalVolume">73</numbering><numbering type="journalIssue">2</numbering></numberingGroup><coverDate startDate="2013-03">Spring 2013</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="40" status="forIssue"><doi origin="wiley">10.1111/j.1752-7325.2012.00345.x</doi><idGroup><id type="unit" value="JPHD345"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL ARTICLES</title><title type="articleCategory">ORIGINAL ARTICLE</title></titleGroup><copyright>© 2012 American Association of Public Health Dentistry</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.2.2 mode:FullText" date="2013-05-20"></event><event date="2013-05-21" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-07-02"></event><event type="firstOnline" date="2012-07-02"></event><event type="publishedOnlineFinalForm" date="2013-05-23"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-02"></event></eventGroup><numberingGroup><numbering type="pageFirst">103</numbering><numbering type="pageLast">111</numbering></numberingGroup><correspondenceTo>Ms. Dana N. Teusner, Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA 5005, Australia. Tel.: 61 8 8303 4227; Fax: 61 8 8303 3070; e‐mail: <email>dana.teusner@adelaide.edu.au</email>. Dana N. Teusner, David S. Brennan, and A. John Spencer are with the Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide.</correspondenceTo><objectNameGroup><objectName elementName="appendix">Appendix</objectName></objectNameGroup><linkGroup><link type="toTypesetVersion" href="file:JPHD.JPHD345.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received: 7/27/2011; accepted: 4/15/2012.</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="7"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="16"></count><count type="wordTotal" number="4329"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Dental insurance, attitudes to dental care, and dental visiting</title><title type="shortAuthors">D.N. Teusner <i>et al</i>.</title><title type="short">Dental insurance, attitudes to dental care, and dental visiting</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Dana N.</givenNames><familyName>Teusner</familyName><degrees>BA</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>David S.</givenNames><familyName>Brennan</familyName><degrees>BA (Hons), Grad Dip, MPH, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>A. John</givenNames><familyName>Spencer</familyName><degrees>MDSc, MPH, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="AU"><unparsedAffiliation>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">dental health services</keyword><keyword xml:id="k2">dental insurance</keyword><keyword xml:id="k3">attitude to health</keyword><keyword xml:id="k4">dental service use</keyword><keyword xml:id="k5">oral health behaviors</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Objective:</b> Dental insurance status is strongly associated with service use. In models of dental visiting, insurance is typically included as an enabling factor. However, in Australia, people self‐select into health insurance (privately purchased) and levels of cover for dental services are modest. Rather than enabling access, insurance status may be a “marker” for unmeasured predisposing attitudes. This study aims to explore associations between dental insurance status and visiting while adjusting for dental care attitudes.</p><p><b>Methods:</b> Participants (South Australians aged 45‐54 years) of a 2‐year prospective cohort study (2005‐2007) investigating dental service use were surveyed on their attitudes to dental care and insurance status. Six attitudinal factors were assessed using a 23‐item Likert scale. Bivariate associations between insurance, attitudes, visiting, and other known covariates (age, sex, and household income) were explored. A series of regression models assessed whether prevalence ratios of visiting were attenuated after controlling for attitudinal factors.</p><p><b>Results:</b> Response rate was 85.0 percent. Analysis was limited to dentate adults with known dental insurance status (<i>n</i> = 529). The majority had dental insurance (75.2%) and made <i>regular visits</i> (63.7%). Insurance status, visiting, and attitudinal factors were significantly associated. Controlling for covariates, insured adults, compared with the uninsured, were 57 percent more likely to make <i>regular visits</i>. After adjusting for attitudinal factors, the significant association between insurance and visiting persisted.</p><p><b>Conclusion:</b> Dental care attitudes did not confound the association between dental insurance and visiting, indicating that dental insurance status was not a “marker” for predisposing attitudes.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Dental insurance, attitudes to dental care, and dental visiting</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Dental insurance, attitudes to dental care, and dental visiting</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Dental insurance, attitudes to dental care, and dental visiting</title></titleInfo><name type="personal"><namePart type="given">Dana N.</namePart><namePart type="family">Teusner</namePart><namePart type="termsOfAddress">BA</namePart><affiliation>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia</affiliation><affiliation>E-mail: dana.teusner@adelaide.edu.au</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David S.</namePart><namePart type="family">Brennan</namePart><namePart type="termsOfAddress">BA (Hons), Grad Dip, MPH, PhD</namePart><affiliation>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A. John</namePart><namePart type="family">Spencer</namePart><namePart type="termsOfAddress">MDSc, MPH, PhD</namePart><affiliation>Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, SA, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Inc</publisher><place><placeTerm type="text">Malden, USA</placeTerm></place><dateIssued encoding="w3cdtf">2013-03</dateIssued><edition>Received: 7/27/2011; accepted: 4/15/2012.</edition><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">7</extent><extent unit="formulas">0</extent><extent unit="references">16</extent><extent unit="linksCrossRef">0</extent><extent unit="words">4329</extent></physicalDescription><abstract>Objective: Dental insurance status is strongly associated with service use. In models of dental visiting, insurance is typically included as an enabling factor. However, in Australia, people self‐select into health insurance (privately purchased) and levels of cover for dental services are modest. Rather than enabling access, insurance status may be a “marker” for unmeasured predisposing attitudes. This study aims to explore associations between dental insurance status and visiting while adjusting for dental care attitudes.</abstract><abstract>Methods: Participants (South Australians aged 45‐54 years) of a 2‐year prospective cohort study (2005‐2007) investigating dental service use were surveyed on their attitudes to dental care and insurance status. Six attitudinal factors were assessed using a 23‐item Likert scale. Bivariate associations between insurance, attitudes, visiting, and other known covariates (age, sex, and household income) were explored. A series of regression models assessed whether prevalence ratios of visiting were attenuated after controlling for attitudinal factors.</abstract><abstract>Results: Response rate was 85.0 percent. Analysis was limited to dentate adults with known dental insurance status (n = 529). The majority had dental insurance (75.2%) and made regular visits (63.7%). Insurance status, visiting, and attitudinal factors were significantly associated. Controlling for covariates, insured adults, compared with the uninsured, were 57 percent more likely to make regular visits. After adjusting for attitudinal factors, the significant association between insurance and visiting persisted.</abstract><abstract>Conclusion: Dental care attitudes did not confound the association between dental insurance and visiting, indicating that dental insurance status was not a “marker” for predisposing attitudes.</abstract><subject lang="en"><genre>keywords</genre><topic>dental health services</topic><topic>dental insurance</topic><topic>attitude to health</topic><topic>dental service use</topic><topic>oral health behaviors</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Public Health Dentistry</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>ORIGINAL ARTICLE</topic></subject><identifier type="ISSN">0022-4006</identifier><identifier type="eISSN">1752-7325</identifier><identifier type="DOI">10.1111/(ISSN)1752-7325</identifier><identifier type="PublisherID">JPHD</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>73</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>103</start><end>111</end><total>9</total></extent></part></relatedItem><identifier type="istex">A175F85378E4506DCBEA8AC03837453B5DB6B097</identifier><identifier type="ark">ark:/67375/WNG-Q33DT7QW-J</identifier><identifier type="DOI">10.1111/j.1752-7325.2012.00345.x</identifier><identifier type="ArticleID">JPHD345</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2013 American Association of Public Health Dentistry© 2012 American Association of Public Health Dentistry</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Inc</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/A175F85378E4506DCBEA8AC03837453B5DB6B097/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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