Explaining public dental service utilization: A theoretical model.

<h4>Objectives</h4>Constructing and validating a theoretical model of relationships between dental services use and socioeconomic characteristics, oral health status, primary care coverage, and public dental services.<h4>Methods</h4>The first stage of the study consisted of d...

Full description

Bibliographic Details
Main Authors: Maria Helena Rodrigues Galvão, Angelo Giuseppe Roncalli
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290992&type=printable
_version_ 1797680703975981056
author Maria Helena Rodrigues Galvão
Angelo Giuseppe Roncalli
author_facet Maria Helena Rodrigues Galvão
Angelo Giuseppe Roncalli
author_sort Maria Helena Rodrigues Galvão
collection DOAJ
description <h4>Objectives</h4>Constructing and validating a theoretical model of relationships between dental services use and socioeconomic characteristics, oral health status, primary care coverage, and public dental services.<h4>Methods</h4>The first stage of the study consisted of developing a theoretical-conceptual model to demonstrate the expected relationships between variables based on the literature. In the second stage, we tested the proposed theoretical model using the Partial Least Squares Structural Equation Modeling (PLS-SEM) technique, using data from the Brazilian National Health Survey conducted in 2019 with a sample of 41,664 individuals aged 15 or older.<h4>Results</h4>This study successfully defined a theoretical model that explains the systematic relationships involving public dental services utilization. Socioeconomic status was negatively associated with oral health status (β = -0.376), enrollment in primary care facilities (β = -0.254), and the use of public dental consultations (β = -0.251). Being black, indigenous, or living in a rural area was directly associated with lower socioeconomic status and greater use of public dental services.<h4>Conclusions</h4>The identified relationships, establishing a theoretical basis for further investigations, also provide evidence of a public access policy's effect on oral health services on equity, supporting the construction of more effective and equitable public policies.
first_indexed 2024-03-11T23:33:54Z
format Article
id doaj.art-94043e2be19d4b2ba57643094c009b2f
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-03-11T23:33:54Z
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-94043e2be19d4b2ba57643094c009b2f2023-09-20T05:32:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01189e029099210.1371/journal.pone.0290992Explaining public dental service utilization: A theoretical model.Maria Helena Rodrigues GalvãoAngelo Giuseppe Roncalli<h4>Objectives</h4>Constructing and validating a theoretical model of relationships between dental services use and socioeconomic characteristics, oral health status, primary care coverage, and public dental services.<h4>Methods</h4>The first stage of the study consisted of developing a theoretical-conceptual model to demonstrate the expected relationships between variables based on the literature. In the second stage, we tested the proposed theoretical model using the Partial Least Squares Structural Equation Modeling (PLS-SEM) technique, using data from the Brazilian National Health Survey conducted in 2019 with a sample of 41,664 individuals aged 15 or older.<h4>Results</h4>This study successfully defined a theoretical model that explains the systematic relationships involving public dental services utilization. Socioeconomic status was negatively associated with oral health status (β = -0.376), enrollment in primary care facilities (β = -0.254), and the use of public dental consultations (β = -0.251). Being black, indigenous, or living in a rural area was directly associated with lower socioeconomic status and greater use of public dental services.<h4>Conclusions</h4>The identified relationships, establishing a theoretical basis for further investigations, also provide evidence of a public access policy's effect on oral health services on equity, supporting the construction of more effective and equitable public policies.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290992&type=printable
spellingShingle Maria Helena Rodrigues Galvão
Angelo Giuseppe Roncalli
Explaining public dental service utilization: A theoretical model.
PLoS ONE
title Explaining public dental service utilization: A theoretical model.
title_full Explaining public dental service utilization: A theoretical model.
title_fullStr Explaining public dental service utilization: A theoretical model.
title_full_unstemmed Explaining public dental service utilization: A theoretical model.
title_short Explaining public dental service utilization: A theoretical model.
title_sort explaining public dental service utilization a theoretical model
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290992&type=printable
work_keys_str_mv AT mariahelenarodriguesgalvao explainingpublicdentalserviceutilizationatheoreticalmodel
AT angelogiusepperoncalli explainingpublicdentalserviceutilizationatheoreticalmodel