Factors associated with the use of oral health care services among Canadian children and youth

Background This study investigates the association between dental insurance, income, and dental care access for Canadian children and youth aged 1 to 17 years. It contributes to a baseline understanding of oral health care use before the implementation of the Canadian Dental Care Plan (CDCP).

Data and methods This study used data from the 2019 Canadian Health Survey on Children and Youth (n=47,347). Descriptive statistics and logistic regression models were employed to assess the association of dental insurance, adjusted family net income, and other sociodemographic factors on oral health care visits and cost-related avoidance of oral health care.

Results A large percentage of children under the age of 5 had never visited a dentist (79.8% of 1-year-olds to 16.4% of 4-year-olds). Overall, 89.6% of Canadian children and youth aged 5 to 17 had visited a dental professional within the past 12 months: 93.1% of those who were insured and 78.5% of those who were uninsured. Insured children and youth had a 4.5% cost-related avoidance of dental care, contrasting with 23.3% for uninsured children and youth. After adjustment for sociodemographic variables,children and youth with dental insurance were nearly three times more likely (odds ratio [OR]: 2.94; 95% confidence interval [CI]: 2.60 to 3.33) to have visited a dental professional in the past 12 months than uninsured children and youth. Having dental insurance (OR: 0.19; 95% CI: 0.16 to 0.21) was protective against barriers to seeing a dental professional because of cost. There was a strong income gradient for both dental service outcomes.

Interpretation The study emphasizes the significant association of dental insurance and access to oral health care for children and youth. It highlights a significant gap between insured and uninsured children and youth and points out the influence of sociodemographic and income factors on this disparity.

Keywords dental access, dental care, dentist, cost barriers, dental insurance, dental coverage, CDCP

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Last Updated August 6, 2024, 21:41 (UTC)
Created August 6, 2024, 21:39 (UTC)
Domain / Topic
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Social Services
Format (CSV, XLS, TXT, PDF, etc)
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application/vnd.dtg.local.html, .pdf - application/pdf
Dataset Size
Dataset size in megabytes.
0.54
Metadata Identifier
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https://www150.statcan.gc.ca/n1/en/pub/82-003-x/2024004/article/00002-eng.pdf?st=dkubNc0V
Published Date
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2024-04-17
Time Period Data Span (start date)
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2019-02-01
Time Period Data Span (end date)
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2019-08-01
GeoSpatial Area Data Span
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Canada
Field Value
Access category
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Open
Limits on use
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Subject to Statistics Canada Open Licence Agreement
Location
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https://www150.statcan.gc.ca/n1/pub/82-003-x/2024004/article/00002-eng.htm
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Owner
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Statistics Canada
Contact Point
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infostats@statcan.gc.ca
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Statistics Canada
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infostats@statcan.gc.ca
Author
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Statistics Canada
Author Email
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infostats@statcan.gc.ca
Accessed At
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2024-08-06
Field Value
Identifier
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/n1/pub/82-003-x/2024004/article/00002-eng.pdf
Language
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English
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https://www150.statcan.gc.ca/n1/pub/82-003-x/2024004/article/00002-eng.pdf
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Yes
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Yes
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No
Contains data about identifiable individuals
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No
Contains Indigenous Data
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No
Field Value
Version
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Last Updated Date: 2024-04-17
Source
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https://www150.statcan.gc.ca/n1/pub/82-003-x/2024004/article/00002-eng.pdf
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Provinces or territories
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The Indigenous communities the dataset is about
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