Factors influencing use of dental services in rural and urban communities: considerations for practitioners in underserved areas.
Individuals' utilization of dental services depends upon an array of factors, including access to care, financial restrictions, attitudes toward dental care, and dental fear. These factors, in turn, may vary across geographic locations and demographic groups. The goals of this study were to assess the use of dental services in both rural and urban areas of Kentucky and to examine challenges facing practitioners in rural areas. Individuals sampled from a rural population and patients in rural and urban dental clinics completed questionnaires about use of dental services, self-rated dental health, and dental fear. While these variables were strongly interrelated, differences emerged across locations. Patients in the urban area reported having more dental insurance but not better dental health. Patients in more rural areas reported seeking more emergency dental treatment but not more dental fear. While these factors are important considerations across locations, dental practitioners in rural areas in particular should be aware of barriers to dental care facing individuals in these areas. They have unique opportunities to provide education to their patients regarding the importance of dental care and the role of oral health in overall physical health.
A-219 Kentucky Clinic, College of Dentistry, University of Kentucky, Lexington, KY 40536-0284, USA. tprayb1@email.uky.edu
Lisa J
LJ
Heaton
Timothy A
TA
Smith
Ted P
TP
Raybould
D000293:Adolescent; D000328:Adult; D000368:Aged; D016854:Dental Anxiety / Q000453:epidemiology; D003752:Dental Health Services / Q000706:statistics & numerical data*; D005260:Female; D006267:Health Education, Dental; D006297:Health Services Accessibility; D006801:Humans; D007347:Insurance, Dental; D007629:Kentucky; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012044:Regression Analysis; D012424:Rural Population; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D014505:Urban Population