Predictors of dental service utilization among visually impaired people in Chiang Mai, Thailand
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Creator 1. Pinpinut Wanichsaithong
2. Jiraporn Chompikul
3. Aroonsri Mongkolchati
4. Piyanart Chatiketu
Title Predictors of dental service utilization among visually impaired people in Chiang Mai, Thailand
Publisher ASEAN Institute for Health Development, Mahidol University
Publication Year 2558
Journal Title JOURNAL OF PUBLIC HEALTH AND DEVELOPMENT
Journal Vol. 13
Journal No. 1
Page no. 3
Keyword dental service utilization,visually impaired people,oral status,
ISSN 1905-1387
Abstract The purposes of this cross-sectional study were to examine factors associated with utilization of dentalhealth services among visually impaired people and also identify barriers affecting such utilization. Astructured questionnaire and an oral examination were used to collect data in January, 2013. In total, 266visually impaired people participated in the study. Data were analyzed using chi-square tests and multiplelogistic regression.The utilization of dental health services in the past year among visually impaired people was 26.3%.Based on the Chi-square tests, education, occupation, perception of oral status, perception of oral healthproblems and perceptions of the oral health service system were found to be statistically significant associatedwith dental service utilization. In logistic regression, significant predictors of dental service utilization amongvisually impaired people included perception of oral status (adj OR = 4.45, 95% CI = 1.41-14.05), perceptionof oral health problems (adj OR = 4.66, 95% CI = 1.96-11.07) and perception of the dental service system(adj OR = 2.44, 95% CI = 1.32-4.49). The three most commonly reported barriers to dental visits were "noone takes me to the dentist", "not enough time" and "waiting until the pain gets worse".The findings suggested that the significant key factor to increase utilization among visually impairedpeople is providing an appropriate oral health education to improve the knowledge of oral health care, andfinally lead to change the perception of oral problems in these people. Furthermore, special dental servicesystem should be established to minimize barriers to care and serve needs of these people.
ASEAN Institute for Health Development, Mahidol University

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