ArticleCommunity dentistry and oral epidemiology2023
Income-based inequalities in dental service utilization: A multiple mediation analysis.
Article in Community dentistry and oral epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Psychosocial Impact of Dental Aesthetics Among Aboriginal and Torres Strait Islanders: Mixed‑Methods Study Using Psychosocial Impact of a Dental Aesthetics Questionnaire.International dental journal · 2026Article
- Exploring the relationship between oral healthcare service choice, treatment needs and oral health-related quality of life.BMC oral health · 2025Article
- Inequalities in dental service utilization among adults in Bangladesh, Bhutan, and Nepal: a population-based cross-sectional study.BMC public health · 2025Article
- From Clinics to Communities: Understanding Public Perceptions of Dental Services in Pakistan.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Remoteness-attributable financial inequality in dental service utilization in Australian older adults: A Blinder-Oaxaca decomposition.Community dentistry and oral epidemiology · 2025Article
- From Patient Experience to Dental Service Return Visits: A Narrative Review of Strategies for Improving Dental Care Services.Journal of patient experience · 2025Article
- Examining the Effect of Income-Based Inequalities and Dental Service Provision on Dental Service Utilization among Older Australians: A Multiple Mediation Analysis.JDR clinical and translational research · 2024Article
- Income-based inequalities in dental service utilization: A multiple mediation analysis.Community dentistry and oral epidemiology · 2023Article
- Relationship between Precarious Employment and Unmet Dental Care Needs among Korean Workers: A Longitudinal Panel Study.Medicina (Kaunas, Lithuania) · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWith elimination of the financial burden of dental services, one can expect an increase in utilization of dental services. This study aimed to investigate the effective mechanisms of financial barriers to the utilization of dental services in an Australian adult population.
methodsSouth Australian survey data from the Dental Care and Oral Health Study (2015) were analysed. Following the flexible mediation approach, the direct effect of income and indirect effect of income through mediators (insurance, concession card and service sector) on the outcomes (visit avoidance and treatment prevention due to the cost) were calculated.
resultsFindings showed that around half of the low-income people and one-third of the high-income South Australians experienced a financial burden on receiving a dental visit or service. The indirect effect of income on both outcomes of financial burden was negligible, while the direct effect was significant. By changing the potential outcome distribution to their counterfactual exposure distribution and if the mediators are drawn from their counterfactual exposure (lower/higher income) distribution, the odds of visit avoidance and treatment prevention due to the cost were almost twice (Odds Ratio: 2.13, 95% CI 1.72-2.60) and 98% (Odds Ratio: 1.98, 95% CI 1.67-2.35) than in the lower-income individuals, respectively.
conclusionsIt can be concluded that the level of household income, directly and regardless of insurance status, concession card ownership and whether the service sector was public or private, affected the financial burden on utilization of dental services.
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