Information on the social origin, dental health related behavior and patterns of utilization of dental services were collected simultaneously with epidemiologic data on dental caries from 1,719 Danish recruits called‐up for military training at the Karup Air Base during 1972. The findings indicated that the less privileged social groups had more decayed teeth, had lost more teeth and had fewer filled teeth than the more privileged groups. Exposure to the regular care program provided by the School Dental Health Service and the Youth Dental Care Scheme seemed to have a leveling effect among social groups. However, the less privileged social groups had a significantly lower participation rate in the Youth Dental Care Scheme and accounted for a larger number of drop‐outs from the regular care program when compared to the more privileged groups. Rural/urban residency was not found to be associated with the number of DMF teeth or the rate of utilization of the Youth Dental Care Scheme, if selected social variables were held constant.
The present study attempted to develop an explanatory model for the lack of preventive dental behavior as demonstrated by the non-utilization of the Danish Youth Dental Care Scheme (YDCS). A focused interview was conducted with young, working class men by two carefully trained and experienced interviewers. Analysis of the interviews showed that no single factor could explain non-utilization of the YDCS. Rather a complex of factors partly on the individual social-psychologic, psychologic and economic level and partly on the social level, operating directly and indirectly with varying strength, needs to be considered. A new explanatory model for preventive dental behavior is developed and discussed in the light of recent theories on health behavior.
The present study attempts to establish operational criteria which can be used in the evaluation of the Youth Dental Care Scheme (YDCS) established in Denmark in 1965. The utilization of the YDCS is studied in a population of 1655 16-22-year-old males and females all of whom had attended the Public Child Dental Care in the municipality of Aarhus. Data on enrollment and use of the YDCS were collected using an official data base established with the purpose of administering the YDCS and by a mailed questionnaire. The study showed that enrollment rate was approximately 80% for those individuals who had just left Public Child Dental Care. For individuals who had left Public Child Dental Care 4-5 years earlier, the enrollment rate was 74%. Enrollment rate at a given time did, however, prove not to be a valid measure for the utilization. The study thus showed that only 65% of the individuals had been constant users for 4-5 years after they had left Public Child Dental Care. Women were more frequently constant users than men. Individuals from the higher social groups were more frequently constant users than individuals from the lower social groups.
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