title: Improving utilisation of dental services by understanding cultural difference.
abstract: There is considerable health and medical research and anecdotal evidence showing that members of different cultural groups and people from lower socio-economic status and/or disadvantaged ethnic minority groups are prone to increased morbidity and early mortality. It is also clear that similar patterns are found in terms of dental health status and dental health morbidity. New Zealand data from the Second International Collaborative Study (ICSII) clearly illustrate that poorer health status overall and poorer dental health status are experienced by certain sections and groups within the population. Data from these studies suggest that members of lower socio-economic status groups, different ethnic groups and those with different cultural affiliations experience different health status and use the health services at differential rates. Some of the factors that appear to influence this are clearly related to cultural beliefs and attitudes. Future efforts by the New Zealand health services and in particular by the New Zealand dental health services to redress the situation need to be based on a clear understanding of the many factors that limit the availability and uptake of preventive and dental health care services by high risk groups. Understanding cultural difference is a key requirement.
authors.affiliation: Ministry of Health, Wellington, New Zealand.
authors.forename: J A
authors.initials: JA
authors.lastname: Johnston
mesh_terms: D003466:Cultural Characteristics; D003752:Dental Health Services / Q000706:statistics & numerical data*; D015438:Health Behavior / Q000208:ethnology*; D006301:Health Services Needs and Demand; D006801:Humans; D009520:New Zealand; D009909:Oral Health; D012959:Socioeconomic Factors