Abstract
Background: Despite high levels dental issues and insurance coverage in the East Java province Indonesia, the utilization of dental services is still low. This research aims to test whether certain individual-level sociodemographic, behavioural, and clinical characteristics influenced the current level of dental services utilization by East Java residents. Methods: A secondary analysis was undertaken using data on the East Java province from the Indonesian Basic Health Research 2013, which included 90,551 randomly selected respondents aged 5-100 years old. Socio-demographic characteristics (age, sex, education and residential location), dental behavior (tooth brushing habit), and clinical (dental) condition were self-reported through a questionnaire. Multivariable models were generated to estimate prevalence ratios (PR), and 95% confidence intervals (95% CI). Results: Prevalence of dental service utilization during the last 12 months in East Java province is only 9 %. Respondents 25-<50 years old showed the highest utilization of dental services. Being male, having lower education and living in a district (as opposed to municipalities) were indicators for having lower utilization of dental treatment (PR [95% CI] = 0.81 [0.79-0.84], PR [95% CI] = 0.89 [0.86-0.93] and PR [95% CI] = 0.91 [0.88-0.95], respectively). Respondents with poor tooth brushing habit showed lower utilization of dental services. Having teeth was associated with higher utilization of dental treatment (PR [95% CI] = 1.39 [1.16-1.66). Conclusions: Age, sex, education and residential location influence the utilization of dental services among Indonesia's East Java residents. Poor tooth brushing habits and being edentulous are also indicators of lesser utilization. These results call for urgent public health interventions to increase equitable dental care services utilization.
Highlights
Despite high levels dental issues and insurance coverage in the East Java province Indonesia, the utilization of dental services is still low
While table 1 in the previous version only gave the characteristics of the total study participants in terms of their percentage and 95% confidence intervals (95% CI); in this current version, we added the size (n) as well as the characteristics of the final participants included in the multivariable analysis [both the size (n) and their percentage and 95% CI]
While the previous article showed that people with lower educational background have lower access to dental treatment, this new article showed that due to the fact that the analysis sample in this study were better educated than the total respondent population, the influence of education on dental service utilization found in this study might only be underestimated. This new version provided more deep discussions in all aspects of the study findings. Both versions provided the same conclusions that people less than 25 years old, male, those with lower educational background, those living in a district, those with poor tooth brushing habit and being edentulous are associated with lower dental service utilization
Summary
Despite high levels dental issues and insurance coverage in the East Java province Indonesia, the utilization of dental services is still low. This research aims to test whether certain individual-level sociodemographic, behavioural, and clinical characteristics influenced the current level of dental services utilization by East Java residents. Methods : A secondary analysis was undertaken using data on the East Java province from the Indonesian Basic Health Research 2013, which included 90,551 randomly selected respondents aged 5–100 years old. Socio-demographic characteristics (age, sex, education and residential location), dental behavior (tooth brushing habit), and clinical (dental) condition were self-reported through a questionnaire. Results : Prevalence of dental service utilization during the last 12 months in East Java province is only 9 %. Respondents 25–
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