安徽省儿童龋病预防服务选择偏好的异质性分析

余红; 胡璐; 王丽; 常想想; 蒋加诚; 王丽丹; 徐文华

doi:10.16835/j.cnki.1000-9817.2024015

安徽省儿童龋病预防服务选择偏好的异质性分析

doi: 10.16835/j.cnki.1000-9817.2024015

余红^{1, 2},
胡璐²,
王丽²,
常想想²,
蒋加诚²,
王丽丹^{2, 3, ,},
徐文华¹

1.
安徽医科大学附属口腔医院护理部，合肥 230032
2.
安徽医科大学卫生管理学院
3.
安徽医科大学卫生政策研究中心

基金项目:

安徽省自然科学基金项目 2308085MG236

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 PHG202310

详细信息

作者简介:
余红(1979-)，女，安徽宿松人，在读硕士，护理中级，主要研究方向为口腔健康服务

通讯作者:
丽丹，E-mail: wanglidan@ahmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R781.1 R179 G78
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- 被引次数: 0
出版历程
- 收稿日期: 2023-09-08
- 修回日期: 2023-11-23
- 网络出版日期: 2024-02-01
- 刊出日期: 2024-01-25

Population heterogeneity analysis of caries prevention service preferences among children in Anhui Province

YU Hong^{1, 2},
HU Lu²,
WANG Li²,
CHANG Xiangxiang²,
JIANG Jiacheng²,
WANG Lidan^{2, 3
, ,},
XU Wenhua¹

1.
Department of Nursing, Affiliated Stomatology Hospital of Anhui Medical University, Hefei (230032), Anhui Province, China

摘要

摘要: 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。
- 龋齿 /
- 牙疾病预防 /
- 选择行为 /
- 儿童
Abstract: Objective To determine the heterogeneity for caries prevention service preferences among children in Anhui Province, 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 method 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 preference (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 children 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 levels, 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 caries /
- Dental prophylaxis /
- Choice behavior /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 儿童龋病预防服务DCE问卷内容

Table 1. Contents of DCE Questionnaire on caries prevention services for children

变量	水平	定义
服务时间	非寒暑假时间	接受儿童龋病预防服务时间
	寒暑假时间
服务效果	略差(60%~ < 70%预防有效率)	接受预防服务后能有效预防龋齿发生的概率
	一般(70%~ < 80%预防有效率)
	较好(80%~ < 90%预防有效率)
	非常好(≥90%预防有效率)
服务点距离	较远(≥10 km)	距离龋病预防服务机构的路程
	一般(5~ < 10 km)
	较近(2~ < 5 km)
	很近(< 2 km)
服务费用/元	10	龋病预防服务流程中平均每颗牙齿花费价格
	30
	60
	100

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表 2 不同家长对儿童龋病预防服务偏好混合Logit模型主效应模型回归分析结果(n=785)

Table 2. Regression analysis results of mixed Logit model in main effect model of different parents' preferences for child caries prevention services (n=785)

自变量	选项	β值(95%CI)	标准误	P值
服务时间	非寒暑假	1.00
	寒暑假	0.78(0.66~0.91)	0.06	< 0.01
服务效果	较差(60%~ < 70%预防有效率)	1.00
	一般(70%~ < 80%预防有效率)	1.51(1.35~1.66)	0.08	< 0.01
	较好(80%~ < 90%预防有效率)	2.36(1.54~3.17)	0.41	< 0.01
	非常好(≥90%预防有效率)	3.60(2.79~4.42)	0.41	< 0.01
服务点距离	较远(≥10 km)	1.00
	一般(5~ < 10 km)	0.26(0.17~0.35)	0.05	< 0.01
	较近(2~ < 5 km)	0.69(0.12~1.27)	0.29	0.02
	非常近(< 2 km)	0.65(0.07~1.22)	0.29	0.03
服务费用		-0.02(-0.02~-0.01)	0.00	< 0.01

下载: 导出CSV

表 3 不同性别和教育水平家长对儿童龋病预防服务偏好交互效应模型回归分析结果(n=785)

Table 3. Regression analysis results of interaction effect model for parents of different gender and educational level on their preferences for child caries prevention services (n=785)

交互项	教育水平(高中以上)		性别(男)		儿童年龄(< 7岁)		儿童口腔健康状况评价(不佳)
交互项	β值	标准误	β值	标准误	β值	标准误	β值	标准误
服务时间为寒暑假	-0.23	0.14	0.05	0.13	-0.20	0.13	-0.28^*	0.14
70%~ < 80%预防有效率	0.38^*	0.15	0.35^*	0.15	0.75^**	0.14	0.12	0.16
服务点距离较近(2~ < 5 km)	1.66^*	0.71	-1.88	1.14	-0.99	0.62	-1.14	0.77
服务点距离很近(< 2 km)	1.64^*	0.71	-1.87	1.14	-1.05	0.62	-1.19	0.77
服务费用	0.00^*	0.00	0.01^**	0.00	0.00	0.00	0.00^**	0.00
注：P < 0.05，*P < 0.01。教育水平以高中及以下、性别以女、儿童年龄以≥7岁、儿童口腔健康状况评价以较好为参照。

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