The DOI matches its Crossref record; 40 of the 41 references it cites were found in a registry or an index.
The impact of demographic, health-related and social factors on dental services utilization: Systematic review and meta-analysis
Abstract
Objectives Regular and/or preventive dental services utilization is an indicator of healthcare access and associated with improved health outcomes. We assessed the proportion of individuals regularly/preventively utilizing dental services, and how this was affected by demographic, health-related and social factors.Sources Three electronic databases (Medline, Embase, Central) were searched (2005-2017).Study selection We included observational studies investigating the association between preventive/regular dental service utilization and age, oral and general health, edentulism, family structure and health literacy.Data The proportion of individuals with regular/preventive utilization overall and in different sub-groups were extracted. Random-effects meta-analyses, with subgroup analyses by region, were performed. Meta-regression was used to assess whether and how associations changed with time and countries' human developmental status (HDI). 103 studies on 7,395,697 participants from 28 countries were included. The global mean (95% CI) proportion of individuals regularly/preventively utilizing dental services was 54% (50-59%). In countries with higher HDI, more individuals regularly/preventively utilized services (p < 0.001). Age did not have a significant impact on utilization in adults (OR = 1.00; 0.89-1.12). Utilization was significantly lower in younger than older children (OR = 0.52; 0.46-0.59), individuals with poorer general health (OR = 0.73; 0.65-0.80) and poorer oral health (OR = 0.64; 0.52-0.75), edentulous individuals (OR = 0.32; 0.23-0.41), and individuals with less supportive family structures (OR = 0.81; 0.73-0.89) or poor health literacy (OR = 0.41; 0.01-0.81). The observed differences within populations did not significantly change with time and were universally present.Conclusions Regular/preventive utilization varied widely between and within countries. Understanding and tackling the reasons underlying this may help to consistently improve utilization.Clinical significance Higher developmental status of countries is reflected in greater regular/preventive utilization of dental services. However, large demographic, health-related and social differences in utilization remain. These may contribute to dental health inequalities.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Previous studies have shown evidence that similar variables are predictors for NCD incidence [20,21,22] and for health workforce [23].”
From Oral health workforce in Africa: a scarce resource (2023) · cites this paper as [21]
Citations
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
(2014) · Medical Entomology and Zoology · Cited by 17,633
Duval, S., & Tweedie, R. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00455.x · Cited by 14,099
Interaction revisited: the difference between two estimates.
Altman, D. G., & Bland, J. M. (2003) · BMJ · doi:10.1136/bmj.326.7382.219 · Cited by 3,203
Transformations Related to the Angular and the Square Root
Freeman, M. F., & Tukey, J. W. (1950) · The Annals of Mathematical Statistics · doi:10.1214/aoms/1177729756 · Cited by 2,665
The global burden of oral diseases and risks to oral health.
(2005) · Europe PMC (PubMed Central) · Cited by 2,619
Global Burden of Oral Conditions in 1990-2010: A Systematic Analysis
Marcenes, W., Kassebaum, N. J., Bernabé, E., Flaxman, A., Naghavi, M., Lopez, A., & Murray, C. J. L. (2013) · Journal of Dental Research · doi:10.1177/0022034513490168 · Cited by 1,495
Cited by
Sorted by citations
Perspectives on Social and Environmental Determinants of Oral Health
de Abreu, M. H. N. G., Cruz, A. J. S., Borges‐Oliveira, A. C., Martins, R. D. C., & Mattos, F. D. F. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413429 · Cited by 144
“Neither utilization nor its differences between groups have changed significantly with time [13].”
BackgroundWinkelmann, J., Rossi, J. G., Schwendicke, F., Dimova, A., Атанасова, Е., Habicht, T., Kasekamp, K., Gandré, C., Or, Z., McAuliffe, Ú., et al. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02095-4 · Cited by 79
Time-to-Treatment in Oral Cancer: Causes and Implications for Survival
Saka‐Herrán, C., Salas, E. J., Marí-Roig, A., Estrugo‐Devesa, A., & López‐López, J. (2021) · Cancers · doi:10.3390/cancers13061321 · Cited by 76
“81) [28] and that participants with lower educational level had a significantly lower access to dental services compared to those with higher education level (OR: 0.”
BackgroundInfluentialXu, M., Cheng, M., Gao, X., Wu, H., Ding, M., Zhang, C., Wang, X., Feng, X., Tai, B., Hu, D., et al. (2019) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12497 · Cited by 73
Impact of dental visiting patterns on oral health: A systematic review of longitudinal studies
Mohd Khairuddin, A. N., Bogale, B., Kang, J., & Gallagher, J. E. (2024) · BDJ Open · doi:10.1038/s41405-024-00195-7 · Cited by 67
“This review could provide valuable evidence for early interventions and promotional strategies designed to prevent oral diseases in support of the WHO global strategy for oral health.”
Metadata
- Authors
- Reda, S. M., Krois, J., Reda, S. F., Thomson, W. M., & Schwendicke, F.
- Affiliations
- Stiftung Charité (DE)
- University of Otago (NZ)
- Corresponding author
- Schwendicke, Falk
- Venue
- Journal of Dentistry
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 75
- Pages
- 1-6
- ISSN
- 0300-5712 (ISSN-L)
- OpenAlex
- W2799740911
- Cited by
- 125
- References
- 41
- Citations by year
- 2026: 14 · 2025: 10 · 2024: 18 · 2023: 14 · 2022: 14 · 2021: 23 · 2020: 25 · 2019: 5 · 2018: 2
- FWCI
- 2.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Dentistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
- Keywords
- service utilization, preventive dentistry, health care access, oral health, health status, edentulism, family structure, health literacy, Human Development Index, socioeconomic disparities, children's dental care, determinants of health care use, cross-national comparison, dental caries prevention, oral cancer screening, periodontal disease
- MeSH terms
- Facilities and Services Utilization, Adult, Child, Demography, Dental Care, Humans, Oral Health, Socioeconomic Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
