首页|安徽省儿童龋病预防服务选择偏好的异质性分析

安徽省儿童龋病预防服务选择偏好的异质性分析

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目的 了解安徽省儿童龋病预防服务选择偏好的异质性,为适龄儿童龋病预防服务的推广和普及提供循证参考。方法 基于离散选择实验,采用多阶段抽样法,选择于2021年10月至2022年10月间在安徽省7个地市医院口腔门诊就医的家中有3~12岁儿童的785名家长进行面对面问卷调查,利用混合Logit模型评估受访者对儿童龋病预防服务的选择偏好及其异质性。结果 纳入的4个离散选择实验(DCE)属性对儿童家长的选择偏好有统计学意义(P值均<0。05)。相比对照组,高中以上学历家长更偏好预防有效率70%~<80%、距服务点2~<5 km和<2 km且服务费用高的龋病预防服务(β值分别为0。38,1。66,1。64,0。00);男性家长更偏好有效率为70%~<80%、服务费用较高的预防服务(β值分别为0。35,0。01);<7岁儿童的家长更偏好预防有效率70%~<80%的服务(β=0。75);口腔健康无龋的儿童家长更偏好寒暑假接受预防服务(β=-0。28),患龋儿童的家长更偏好服务费用高的预防服务(β=0。00)(P值均<0。05)。结论 不同教育程度、性别、孩子年龄和口腔健康状况的家长在儿童口腔龋病预防服务的选择偏好上具有异质性。应针对性地提供精准服务有助于提高适龄儿童龋病预防服务的参与度和覆盖率。
Population heterogeneity analysis of caries prevention service preferences among children in Anhui Province
Objective To determine the heterogeneity for caries prevention service preferences among children in Anhui Prov-ince,so as to provide reference for the promotion and popularization of caries prevention services for school-age children.Methods Based on a discrete selection experiment,a face-to-face questionnaire survey was administered using a multi-stage sampling meth-od among 785 parents with children 3-12 years of age who were hospitalized in the stomatology clinics of 7 prefectures and cities in Anhui Province from October 2021 to October 2022.A mixed Logit model was used to evaluate caries prevention service preferences for children.Results Four discrete choice experiment attributes included in the study were statistically significant for choice prefer-ence(P<0.05).Compared with the control group,parents with a high school education or above preferred caries prevention services with 70%-<80%preventive effectiveness,2-<5 and<2 km from the service point,and a high service cost(β=0.38,1.66,1.64,0.00);female parents preferred preventive services with 70%-<80%preventive effectiveness and a high service cost(β=0.35,0.01);parents of children<7 years of age preferred services with 70%-<80%preventive effectiveness(β=0.75);parents of chil-dren with oral health preferred preventive services during winter and summer vacations(β=-0.28);parents of children with caries preferred preventive services with a high cost per denticle(β=0.00)(P<0.05).Conclusions Parents with different education lev-els,gender,child age,and oral health status have heterogeneity in dental caries prevention service preferences.The provision of targeted and precise services can improve the participation and coverage of caries prevention services for school-age children.

Dental cariesDental prophylaxisChoice behaviorChild

余红、胡璐、王丽、常想想、蒋加诚、王丽丹、徐文华

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安徽医科大学附属口腔医院护理部,合肥 230032

安徽医科大学卫生管理学院

安徽医科大学卫生政策研究中心

龋齿 牙疾病预防 选择行为 儿童

安徽省自然科学基金项目安徽医科大学公共健康社会治理安徽省哲学社会科学重点实验室项目

2308085MG236PHG202310

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(1)
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