Journal of International Society of Preventive and Community Dentistry

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 9  |  Issue : 4  |  Page : 349--355

Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia


Abed Al-Hadi Hamasha, Mohammed N Aldosari, Abdulmajed M Alturki, Saud A Aljohani, Ibrahim F Aljabali, Rakan F Alotibi 
 Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan; Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia

Correspondence Address:
Prof. Abed Al-Hadi Hamasha
Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 3660, Riyadh 11426
Kingdom of Saudi Arabia

Objectives: The study aimed to evaluate barriers associated with access and utilization of dental services among the elderly population of Saudi Arabia. Materials and Methods: A systematic random sample of 350 elderly people recruited from various gathering places of the elderly including all nursing home residents (n = 73) was included in this study. The data were collected through face-to-face structured interviews related to access and utilization of dental services, and sociodemographic, behavioral, medical, and financial barriers to dental services. Statistical analysis included frequency distributions, chi-squared tests, and regression analysis using the Statistical Package for the Social Sciences (SPSS) program. Results: Approximately 37% of the elderly had proper access to and utilization of dental services. Independent variables that affect access and utilization of dental services were low income (odds ratio [OR] = 2.23, confidence interval [CI] = 1.34–3.72), unmarried participants (OR = 3.25, CI = 1.75–6.05), community residents (OR = 5.15, CI = 2.52–10.53), smokers (OR = 1.93, CI = 1.02–3.68), irregular users of toothbrushing (OR = 3.53, CI = 2.09–5.95), no dental insurance (OR = 1.88, CI = 1.06–3.37), and unaffordable price (OR = 2.55, CI = 1.38–4.69) in the bivariate analysis. In logistic regression analysis, the significant variables that were associated with proper access and utilization of dental services were having dental insurance (OR = 2.24, CI = 1.15–3.82), affordable prices (OR = 2.19, CI = 1.21–3.70), brushing regularly (OR = 3.58, CI = 2.01–6.37), higher education (OR = 1.87, CI = 1.10–3.20), and being married (OR = 1.68. CI = 0.97–2.91). Conclusion: Lack of perceived need, no dental insurance, unaffordable price, transportation, and fear from dental treatment were the most common significant barriers to dental services.


How to cite this article:
Hamasha AA, Aldosari MN, Alturki AM, Aljohani SA, Aljabali IF, Alotibi RF. Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia.J Int Soc Prevent Communit Dent 2019;9:349-355


How to cite this URL:
Hamasha AA, Aldosari MN, Alturki AM, Aljohani SA, Aljabali IF, Alotibi RF. Barrier to access and dental care utilization behavior with related independent variables in the elderly population of Saudi Arabia. J Int Soc Prevent Communit Dent [serial online] 2019 [cited 2020 Aug 9 ];9:349-355
Available from: http://www.jispcd.org/article.asp?issn=2231-0762;year=2019;volume=9;issue=4;spage=349;epage=355;aulast=Hamasha;type=0