Patrick Brzoska|Fabian Erdsiek|Dorothee Waury
Enabling and Predisposing Factors for the Utilization of Preventive Dental Health Care in Migrants and Non-Migrants in Germany
Chemnitz University of Technology|Chemnitz University of Technology|Chemnitz University of Technology
background many european countries including germany migrants utilize preventive services less frequently majority population also true utilization dental checkups little known demographic social behavioral healthrelated factors influence decision migrants seek preventive dental health care factors differ nonmigrants aim present study examine role factors among migrants nonmigrants residing germany methods data crosssectional national health surveys used providing information preventive dental health behavior n41220 individuals 150 migrants andersons behavioral model health services use conceptual framework investigation multiple logistic regression models applied examine role different predisposing enabling factors interaction terms included order examine whether determinants differ migrants nonmigrants average marginal effects ame reported addition odds ratios measures effect size robust bias arising unobserved heterogeneity results migrants 36 lower chance utilizing regular dental checkups nonmigrants or06495ci061068ame008195ci00930069 differences partly explained influence demographic social behavioral healthrelated factors adjusted or06995ci064073ame006595ci00760053 younger age male lower socioeconomic status nonstatutory health insurance living relationship living western part germany urban setting poor limited social support associated lower chance utilizing regular dental checkups interaction effects could observed age type health insurance discussion study identifies different enabling predisposing factors relevant utilization dental checkups among population germany differ migrants nonmigrants differences particularly pronounced younger ages differs findings preventive services older migrants tend disadvantaged additional explanatory factors barriers migrants experience dental health care system need considered order implement patientoriented services reduce disparities access dental prevention