ArticlePloS one2023
Andersen health care utilization model: A survey on factors affecting the utilization of dental health services among school children.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Barriers to dental service utilization in children: a systematic review and meta-analysis.BMC oral health · 2026Pooled it
- Socioeconomic status and dental service utilization among children and adolescents: systematic reviews and meta analysis.BMC oral health · 2025Pooled it
- Factors influencing dental care services utilization in India using Andersen health behaviour model: a systematic review.BMC health services research · 2025Pooled it
- Influencing factors of patients' behavior of healthcare seeking: a meta-analysis in China.Frontiers in public health · 2025Pooled it
- Parents' Views on Access to Dental Care and the Interim Canada Dental Benefit.JDR clinical and translational research · 2026Article
- Beyond finance: Overcoming barriers to oral health care for immigrant children.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2026Article
- Factors associated with dental service use in Brazil according to Andersen's Behavioral Model: analysis of the 2023 Brazilian National Oral Health Survey.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Dental visits in crisis: analyzing dental service utilization amidst the pandemic.BMC oral health · 2025Article
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- Availability and utilization of oral healthcare services at rural community health centers in South India: a mixed methods study.BMC oral health · 2025Article
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- Exploring adolescents' indirect financial and non-financial barriers to dental care non-attendance: the role of payment methods.Frontiers in public health · 2025Article
- Healthcare utilisation patterns and contributory factors among middle-aged adults: a scoping review.Journal of health, population, and nutrition · 2024Article
- Factors associated with utilization of oral health services among adults aged 18-70 years in Lira district, Northern Uganda: a community based cross-sectional study.BMC oral health · 2024Article
- Article
- Analysis of the Use of Korean Medicine Treatments among Children and Adolescents in South Korea: Analysis of Nationally Representative Sample.Healthcare (Basel, Switzerland) · 2024Article
- Demand-side barriers and economic burden in accessing Human Papillomavirus screening for cervical cancer prevention in rural India: Evidence from a cross-sectional study.F1000Research · 2024Article
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildren's quality of life, academic performance, and future achievement can all be negatively affected by poor dental health. The present study aimed to assess the need for dental health services and the factors influencing their utilization using the Andersen health care utilization model among school children.
methodsThe current cross-sectional study was conducted among schoolchildren aged 13 to 15 in Bangalore, India (n = 1100). A questionnaire was developed using the concepts of the Andersen healthcare usage model. The parents of the children filled out the questionnaire. The factors were investigated using bivariate analysis and multivariate logistic regression analysis.
resultsAbout 78.1% of the children did not utilize dental health services. Regarding the reasons for not visiting a dentist, 65.8% said they did not have a dental problem, and 22.2% said they could not afford it. Bivariate analysis showed that age, gender, education level, occupation of the family's head of household, monthly family income, socioeconomic status, perceived oral health problems, accessibility of dental health facilities, and parental attitudes toward their children's oral health were significantly associated with using dental health services (p<0.05). Multiple regression analysis showed dental health service utilization was directly related to age (OR = 2.206), education, family size (OR = 1.33), and brushing frequency twice a day (OR = 1.575) with no significant relationship between distance to reach the dental facility, the number of dental visits, and socioeconomic status.
conclusionDental health service utilization was low in the past year. The age, number of family members, parent's education level, travel time to the dental facility, the child's oral health behaviors, and positive parental attitude all play a role in a children's utilization of dental health service.
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