Gaps in need, demand, and effective demand for dental care utilization among residents of Krishna district, Andhra Pradesh, India
Autor: | Alexis Ghenam, Y Pradeep, Guntipalli M Naidu, Sudhakar Vundavalli, Kavya Simhadri, Kalyan K Chakravarty |
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Rok vydání: | 2016 |
Předmět: |
Gerontology
Effective demand media_common.quotation_subject Logistic regression 03 medical and health sciences 0302 clinical medicine stomatognathic system Service utilization Environmental health Medicine 030212 general & internal medicine normative need General Dentistry media_common Variables business.industry dental service utilization 030206 dentistry Dental care Test (assessment) Dental care delivery stomatognathic diseases Demand for dental care Normative Original Article business |
Zdroj: | Journal of International Society of Preventive & Community Dentistry |
ISSN: | 2231-0762 |
DOI: | 10.4103/2231-0762.189737 |
Popis: | Aims: To identify the relation between need, demand, and effective demand for dental services in Andhra Pradesh, India. Materials and Methods: This is a cross-sectional study performed among populations residing in the rural and urban areas of Krishna district, Andhra Pradesh, India. Data were collected from 3102 individuals who were selected through multiphase random sampling. Data regarding self-perceived dental need, dental service utilization, and barriers for utilization were collected through s pretested questionnaire followed by type-III clinical examination to assess the normative need of the individuals. Chi-square test was used to compare independent and dependent variables, and further comparison was done with multivariate logistic regression analysis for significant variables. Results: Less than half (40%) of the participants perceived a need for dental care. Among the people who perceived need for care, only 21.4% utilized dental care and 78.6% of them had unmet dental needs. The two main reasons for not seeking dental care was lack of money, i.e., unaffordable dental treatment (48%) and having the perception that they do not have any dental problem (19.4%). Conclusions: There is an enormous difference between normative need, demand, and actual utilization rates in dental care, and hindrances for effective demand need to be addressed to improve dental care delivery system. |
Databáze: | OpenAIRE |
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