Dental services utilization between 1977 and 1995 by Finnish adolescents of different socioeconomic levels.

Equal distribution of health care services has long been a major goal of health policy in the Nordic countries. According to these guidelines, every child is expected to have an examination and treatment at least every second year. The aim of this study was to analyze the trends and, in particular, the socioeconomic differences in dental visits between 1977 and 1995. The data were collected as part of a nationwide research program, the Adolescent Health and Lifestyle Survey, which began in 1977. Every second year a self-administered questionnaire was mailed to a representative sample of 14-, 16- and 18-year-old Finns. The sample sizes in the surveys varied from 2422 to 9556, making a total of 56,605 subjects in the whole study. The response rates in different years varied from 77% to 88%. The percentage of adolescents visiting a dentist increased between 1977 and 1981 and thereafter remained stable. Dental visits seemed to correlate with the occupational and educational status of the parents up to 1983, but not after that. The Finnish primary oral health care policy seems to have gained a major objective by eliminating social inequality in dental service utilization among adolescents.

[1]  M. Rimpelä,et al.  Trends in toothbrushing frequency among Finnish adolescents between 1977 and 1995. , 1997, Community dental health.

[2]  E. Honkala,et al.  Toothbrushing frequency between the ages of 12 and 18 years-- longitudinal prospective studies of Finnish adolescents. , 1996, Community dental health.

[3]  P. West,et al.  Factors associated with the dental visiting habits of adolescents in the west of Scotland. , 1993, Community dental health.

[4]  Elderton Rj.  Overtreatment with restorative dentistry: when to intervene? , 1993 .

[5]  N. Wang,et al.  Extending recall intervals--effect on resource consumption and dental health. , 1992, Community dentistry and oral epidemiology.

[6]  N. Nuttall,et al.  Dental attendance behaviour of children in Scotland between 1983 and 1988 , 1992, British Dental Journal.

[7]  W. Shaw,et al.  The effect of toothbrushing frequency, toothbrushing hand, sex and social class on the incidence of plaque, gingivitis and pocketing in adolescents: a longitudinal cohort study. , 1990, Community dental health.

[8]  I. Lissau,et al.  Use of dental services among Danish youths: role of the social environment, the individual, and the delivery system. , 1989, Community dentistry and oral epidemiology.

[9]  T. Laaksonen,et al.  Use of children's oral health services in Finland with special reference to heavy consumption. , 1988, Community dentistry and oral epidemiology.

[10]  I. Macgregor,et al.  Toothbrushing frequency and personal hygiene in 14-year-old schoolchildren , 1987, British Dental Journal.

[11]  R. Elderton.  Six-monthly examinations for dental caries , 1985, British Dental Journal.

[12]  M. Vehkalahti,et al.  Dental caries in the adult population in Finland: I. Prevalence of dental caries. , 1984, International journal of epidemiology.

[13]  N. Nuttall,et al.  Variation among dentists in planning treatment , 1983, British Dental Journal.

[14]  A. Milén,et al.  Caries in primary dentition related to age, sex, social status, and county of residence in Finland. , 1981, Community dentistry and oral epidemiology.

[15]  R. Croucher,et al.  Factors that influence dental visiting amongst young adults 16--20 years old. , 1980, Community dentistry and oral epidemiology.

[16]  A. Sheiham.  IS THERE A SCIENTIFIC BASIS FOR SIX-MONTHLY DENTAL EXAMINATIONS? , 1977, The Lancet.

[17]  A. Nordblad,et al.  Oral Health Care in Finnish Health Centres in 1991. Teoksessa Public Health around the Baltic Sea XII Nordic Conference on Social Medicine. Kuopio, June 16-18, 1993. , 1993 .

[18]  R. Prättälä,et al.  Oral health promotion among Finnish adolescents between 1977 and 1989 , 1991 .