Utilization of dental care services among adult Indian population: A meta-analysis of evidence from 2011–2022
Background: This study aimed to generate a pooled national estimate on dental health care services utilization by the adult population in India from any public or private facility in an effort to highlight the demand and usage for oral health care. Methods: In this meta-analysis, PubMed, ScienceDire...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2022-12-01
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| Series: | Health Promotion Perspectives |
| Subjects: | |
| Online Access: | https://hpp.tbzmed.ac.ir/PDF/hpp-12-325.pdf |
| _version_ | 1797894297075318784 |
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| author | Rounik Talukdar Diplina Barman Vallabh Thakkar Suman Kanungo |
| author_facet | Rounik Talukdar Diplina Barman Vallabh Thakkar Suman Kanungo |
| author_sort | Rounik Talukdar |
| collection | DOAJ |
| description | Background: This study aimed to generate a pooled national estimate on dental health care services utilization by the adult population in India from any public or private facility in an effort to highlight the demand and usage for oral health care. Methods: In this meta-analysis, PubMed, ScienceDirect, DOAJ, and Google Scholar were searched using a search strategy that combined MeSH headings and keywords (e.g., "Oral Health", "Dental Health Services", utilization, India, etc.) for articles on dental utilization among Indian adults, published between January 2011 and June 2022. Study quality was assessed using the NIH Quality assessment tool, and a random-effects inverse-variance method was used for pulling utilization proportions. Meta-regression and sub-group analyses were conducted to identify the sources of heterogeneity. Heterogeneity is reported as I2 . To examine publication bias, the funnel plot, egger’s test, and trim-and-fill analysis were performed. Results: From 4012 identified articles, 21 were eligible for inclusion. The pooled dental care utilization amongst Indian adults were found to be 23.96% (confidence interval [CI]: 16.81%– 31.11%, P<0.001, I2=98.93%), and the highest estimate was in South Zone (30.02%, CI: 19.14–40.90, P<0.01, I2=98.63%). Visual inspection of the funnel plot revealed the presence of publication bias (egger’s P value 0.02). A mild decrease in utilization estimate was noted through trim and fill analysis (adjusted estimate 17.65%, CI: 8.97–26.33, P=0.03). No significant subgroup effect was found for the variables study zone and conduction years (P value: 0.09 & 0.34 respectively). Conclusion: Future studies should be undertaken to focus on the demand and supply of oral health care services since an evidential gap has been identified due to the uneven distribution of studies available from various regions of India. The heterogeneity can be attributed to the diverse socioeconomic, literacy, and inherent health system performance status. |
| first_indexed | 2024-04-10T07:06:43Z |
| format | Article |
| id | doaj.art-edb7efdc4d5b4dbb95fd72f1de35eff6 |
| institution | Directory Open Access Journal |
| issn | 2228-6497 |
| language | English |
| last_indexed | 2024-04-10T07:06:43Z |
| publishDate | 2022-12-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Health Promotion Perspectives |
| spelling | doaj.art-edb7efdc4d5b4dbb95fd72f1de35eff62023-02-27T07:41:25ZengTabriz University of Medical SciencesHealth Promotion Perspectives2228-64972022-12-0112432533510.34172/hpp.2022.42hpp-40726Utilization of dental care services among adult Indian population: A meta-analysis of evidence from 2011–2022Rounik Talukdar0Diplina Barman1Vallabh Thakkar2Suman Kanungo3Division of Epidemiology, ICMR-National Institute of Cholera and Enteric Diseases, West Bengal, IndiaDivision of Epidemiology, ICMR-National Institute of Cholera and Enteric Diseases, West Bengal, IndiaJan Swasthya Sahyog, Chhattisgarh, IndiaDivision of Epidemiology, ICMR-National Institute of Cholera and Enteric Diseases, West Bengal, IndiaBackground: This study aimed to generate a pooled national estimate on dental health care services utilization by the adult population in India from any public or private facility in an effort to highlight the demand and usage for oral health care. Methods: In this meta-analysis, PubMed, ScienceDirect, DOAJ, and Google Scholar were searched using a search strategy that combined MeSH headings and keywords (e.g., "Oral Health", "Dental Health Services", utilization, India, etc.) for articles on dental utilization among Indian adults, published between January 2011 and June 2022. Study quality was assessed using the NIH Quality assessment tool, and a random-effects inverse-variance method was used for pulling utilization proportions. Meta-regression and sub-group analyses were conducted to identify the sources of heterogeneity. Heterogeneity is reported as I2 . To examine publication bias, the funnel plot, egger’s test, and trim-and-fill analysis were performed. Results: From 4012 identified articles, 21 were eligible for inclusion. The pooled dental care utilization amongst Indian adults were found to be 23.96% (confidence interval [CI]: 16.81%– 31.11%, P<0.001, I2=98.93%), and the highest estimate was in South Zone (30.02%, CI: 19.14–40.90, P<0.01, I2=98.63%). Visual inspection of the funnel plot revealed the presence of publication bias (egger’s P value 0.02). A mild decrease in utilization estimate was noted through trim and fill analysis (adjusted estimate 17.65%, CI: 8.97–26.33, P=0.03). No significant subgroup effect was found for the variables study zone and conduction years (P value: 0.09 & 0.34 respectively). Conclusion: Future studies should be undertaken to focus on the demand and supply of oral health care services since an evidential gap has been identified due to the uneven distribution of studies available from various regions of India. The heterogeneity can be attributed to the diverse socioeconomic, literacy, and inherent health system performance status.https://hpp.tbzmed.ac.ir/PDF/hpp-12-325.pdforal healthdental caredental health servicesutilizationmeta-analysisindia |
| spellingShingle | Rounik Talukdar Diplina Barman Vallabh Thakkar Suman Kanungo Utilization of dental care services among adult Indian population: A meta-analysis of evidence from 2011–2022 Health Promotion Perspectives oral health dental care dental health services utilization meta-analysis india |
| title | Utilization of dental care services among adult Indian population: A meta-analysis of evidence from 2011–2022 |
| title_full | Utilization of dental care services among adult Indian population: A meta-analysis of evidence from 2011–2022 |
| title_fullStr | Utilization of dental care services among adult Indian population: A meta-analysis of evidence from 2011–2022 |
| title_full_unstemmed | Utilization of dental care services among adult Indian population: A meta-analysis of evidence from 2011–2022 |
| title_short | Utilization of dental care services among adult Indian population: A meta-analysis of evidence from 2011–2022 |
| title_sort | utilization of dental care services among adult indian population a meta analysis of evidence from 2011 2022 |
| topic | oral health dental care dental health services utilization meta-analysis india |
| url | https://hpp.tbzmed.ac.ir/PDF/hpp-12-325.pdf |
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