Introduction In Brazil about 55% of 6-yrs-old children, even in the highest socioeconomic levels, had never been to a dentist. The aim of this study was to investigate factors associated with the delay in the first dental visit (DDV).
Methods We used data from the follow-up (2004) of the birth cohort study of Ribeirão Preto (1994), including 1/3 of the original sample (n=790). DDV was defined as the age at the first dental visit after 6 yrs-old. Covariates used were maternal age, education and skin colour, marital status, number of siblings and household members and health insurance. Bivariate and stratified analysis was followed by a logistic regression with hierarchical modelling.
Results Overall, 55.5% had not been to a dentist by the age of 6. The final model showed that DFV was negatively associated with private health insurance (OR 0.67; 95% CI 0.46 to 0.97) and with mother's education. Compared to mothers with university degrees the OR for those with <4 years of schooling was 11.0 (95% CI 4.66 to 26.24) and the OR for those with at least 8 yrs of education was 5.49 (95% CI 2.65 to 11.39). Moreover, DFV was positively associated with mothers age (>20 compared to £ 20 yrs-old) 1.77 (95% CI 1.1 to 2.83) and with the n umber of household members (>4 compared with <4 members) 1.73 (95% CI 1.09 to 2.75).
Conclusions Considering the universal system studies are necessary to understand the barriers mothers with low educational level to take their children to the dentist. Grant Fapesp 00/09508-7.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.