Evidence map›Paper›PMID 31537556›Full record

ArticleBMJ open2019

Clinical and non-clinical variables associated with preventive and curative dental service utilisation: a cross-sectional study among adolescents and young adults in Central Mexico.

Carlo Eduardo Medina-Solís, José Obed García-Cortés, José Luis Robles-Minaya, Juan Fernando Casanova-Rosado, Jairo Mariel-Cárdenas, María Del Socorro Ruiz-Rodríguez, José de Jesús Navarrete-Hernández, Leticia Ávila-Burgos, Gerardo Maupomé

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

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  12. Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Carlo Eduardo Medina-SolísAcademic Area of Dentistry, The Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, Hidalgo, Mexico cemedinas@yahoo.com leticia.avila@insp.mx.ORCID 0000-0002-1410-9491
José Obed García-CortésSchool of Dentistry, The Autonomous University of San Luis Potosí, San Luis Potosi, Mexico.
José Luis Robles-MinayaSchool of Dentistry, The Autonomous University of Campeche, Campeche, Mexico.
Juan Fernando Casanova-RosadoSchool of Dentistry, The Autonomous University of Campeche, Campeche, Mexico.
Jairo Mariel-CárdenasSchool of Dentistry, The Autonomous University of San Luis Potosí, San Luis Potosi, Mexico.
María Del Socorro Ruiz-RodríguezSchool of Dentistry, The Autonomous University of San Luis Potosí, San Luis Potosi, Mexico.
José de Jesús Navarrete-HernándezAcademic Area of Dentistry, The Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, Hidalgo, Mexico.
Leticia Ávila-BurgosHealth Systems Research Center, The National Institute of Public Health, Cuernavaca, Mexico cemedinas@yahoo.com leticia.avila@insp.mx.
Gerardo MaupoméRichard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, Indiana, USA.
Autonomous University of San Luis Potosí · MXAutonomous University of Campeche · MXUniversidad Autónoma del Estado de Hidalgo · MXIndiana University Bloomington · USNational Institute of Public Health · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe present study aimed to identify preventive and curative dental health service utilisation (DHSU) in the context of associated clinical and non-clinical factors among adolescents and young adults in Mexico.

designCross-sectional study.

settingApplicants to a public university in Mexico.

participantsParticipants were 638 adolescents and young adults aged 16-25 randomly selected from university applicants.

interventionsData were collected using a self-administered questionnaire filled out by the students. For assessment of dental caries experience, we used the index of decayed, missing and filled teeth. PRIMARY OUTCOME: The dependent variable was DHSU in the previous 12 months, coded as 0=non-use, 1=use of curative services and 2=use of preventive services.

resultsThe mean age was 18.76±1.76 years, and 49.2% were women. The prevalence of DHSU was 40.9% (95% CI 37.1 to 44.8) for curative services and 22.9% (95% CI 19.7 to 26.3) for preventive services. The variables associated with curative services were age, sex, mother's education, dental pain in the previous 12 months, caries experience, use of self-care devices and oral health knowledge. For preventive services, the variables associated were mother's education, dental pain in the previous 12 months, caries experience, use of self-care devices and self-perception of oral health.

conclusionsWhile differences emerged by type of service, a number of variables (sociodemographic and socioeconomic characteristics as well as dental factors) remained in the final model. Greater oral health needs and socioeconomic inequalities remained as predictors of both types of DHSU. Given the differences revealed by our study, oral health policies should refer those seeking dental care for oral diseases to preventive services, and promote the use of such services among the poorer and less educated population groups.

Indexed as

Dental CareOral HealthPreventive Health ServicesStomatognathic DiseasesAdolescentCross-Sectional StudiesDental Health ServicesDental Health SurveysFemaleHealth Services Needs and DemandHumansMaleMexicoPatient Acceptance of Health CarePrevalenceSocioeconomic Factorsadolescentshealth servicesinequalitiesMexicooral health

Identifiers

PMID31537556
PMCPMC6756346
OpenAlexW2973891329

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.