Author(s)

Annika Gustafsson^1,2*, Carina Persson³, Carina Källestål⁴

¹Department of Pedodontics, Postgraduate Dental Education Center, Örebro County Council, Örebro, Sweden.
²Department of Dental Research, Public Dental Service, Region Örebro County, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
³Department for Sustainable Development, Region Örebro County, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
⁴Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.

Background: Understanding why adolescents miss dental appointments is central to promoting people’s oral health into adulthood. Studies on non-attendant adolescents are rare. Method: Using information from a population-based survey of schoolchildren in Örebro County, Sweden, we aimed to find factors associated with adolescents’ dental non-attendance and to suggest a risk-factor model for non-attendance. The 2014 survey of all pupils in three grades (~ages 13, 15, and 17) in the county (N = 7399) had a response rate of 80%. The questionnaire asked 67 or 86 questions (depending on grade) on five components: socioeconomic conditions, quality of life, social relations, lifestyle and health (with two specific questions on dental care and oral health), social cohesion and social capital. Using a model based on risk factors identified in the literature, we used descriptive statistics, bivariate analyses, and logistic regressions to find associations between dental attendance and potential risk factors. Results: Youth were non-attendant (n = 171) and attendant (n = 4236). Strong associations were found between non-attendance being a boy, being born outside Sweden, and living with parents not in the labor market. Health and health behaviors such as consuming sweet drinks or foods every day and being overweight were also associated with non-attendance. A model for risk of non-attendance based on variables significant in the analysis is presented. Conclusions: This study shows a strong association between non-attendant behavior and sociodemographic factors and health behavior. It also adds knowledge of the increased vulnerability to non-attendance in adolescents having at least one disability and/or experience of critical life.

Adolescence, Dental Attendance, Health Behaviors, Population Characteristic, Psychosocial Concomitants, Self-Rated Oral Health

Gustafsson, A. , Persson, C. and Källestål, C. (2018) Factors Associated to Non-Attendance to Dental Care among Adolescents—Suggesting a Model. Psychology, 9, 2731-2751. doi: 10.4236/psych.2018.913157.