Factors influencing dental utilisation in Greece.
OBJECTIVE
To identify factors that influence utilisation of dental services in Greece.


METHODS
Data was obtained through the "WHO Multi-Country Survey Study on Health and Responsiveness", a survey organised by the WHO and locally executed by the National School of Public Health. A national random sample of 5,000 prospective participants was selected through the national phone directory. Of those, half (2,500 participants) were mailed the self-administered questionnaire designed to assess the general health status of the Greek population, while the other half were mailed the questionnaire designed to assess responsiveness of the Greek healthcare system. Both research instruments contained a question related to utilisation of dentists during the last month, and several potential predictors. 1,819 individuals answered the questions and participated in the analysis. Two main outcomes were identified: a) reporting of any utilisation vs. none, statistically analyzed using Logistic Regression, and b) frequency of utilisation (number of visits), analyzed using Poisson Regression.


RESULTS
25.1% reported at least one dental visit, while the mean number of visits during the last month was 0.48. Income gave an odds ratio of 1.139 (95% CI:1.038, 1.251). Dental visit frequency increased with increased income (b = 0.11, p = 0.004) and decreased whith improved self-rated health (b = 0.15, p = 0.003) and age (b = -0.006, p = 0.026).


CONCLUSIONS
Income is an important determinant of dental utilisation in Greece; it influences both the percentages and the frequency of such utilisation. Additionally, increased age and high self-rated health are associated with less frequent dental utilisation.
Zavras
Dimitrios
D
Department of Health Economics, National School of Public Health of Greece, Athens, Greece. dzavras@yahoo.com
Economou
Charalabos
C
Kyriopoulos
John
J
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D003710:Demography; D003729:Dental Care / Q000706:statistics & numerical data*; D005260:Female; D006115:Greece; D005102:Health Expenditures / Q000706:statistics & numerical data; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D011795:Surveys and Questionnaires