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. 2019 Jun;69(3):200-206.
doi: 10.1111/idj.12449. Epub 2018 Oct 26.

Dental service utilisation among adults in a European developing country: findings from a national health survey

Sladjana Šiljak  1 , Janko Janković  2 , Jelena Marinković  3 , Miloš Erić  4 , Teresa Janevic  5 , Slavenka Janković  6
Affiliations

Dental service utilisation among adults in a European developing country: findings from a national health survey

Sladjana Šiljak et al. Int Dent J. 2019 Jun.

Abstract

Background: The objective was to estimate the frequency of visits to a dentist and to assess the impact of determinants on dental care utilisation among adults in the Republic of Srpska (RS), Bosnia and Herzegovina.

Methods: We conducted a cross-sectional study using data from the 2010 National Health Survey performed in the RS. A total of 4,128 adults (≥18 years) were interviewed in their homes. Multivariate logistic regression was used to assess the relationship between demographic characteristics, socio-economic characteristics, health behaviours, self-rated health, self-reported noncommunicable diseases (NCDs) and dental care utilisation.

Results: Only 20% of all respondents reported a visit to a dentist in the year preceding the interview. Younger respondents (OR = 0.97), women (OR = 1.30-1.39), urban dwellers (OR = 1.41-1.61), those who were employed (OR = 1.20) and those who self-reported NCDs (OR = 1.32-1.33) more frequently utilised dental services. The opposite was true for those in the low wealth index group (OR = 0.79), persons with a low (OR = 0.31) and middle (OR = 0.48) level of education and people who self-rated their health as average (OR = 0.76-0.80).

Conclusion: The present study revealed a low frequency of visits to a dentist, especially for preventive oral health care. It also confirmed demographic, socio-economic and health-related differences in dental-care utilisation in RS. To minimise those differences, systemic approaches aimed at increasing access to dental care could be an important step. Oral health-promotion policies need to be adopted in the RS.

Keywords: Oral health; Republic of Srpska; adults; dental services; socio-economic status.

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