Thesis (M.D.S.)--University of Hong Kong, 1993. / Questionaire also in Chinese. Includes bibliographical references. Also available in print.

Thesis (M.S.)--University of Michigan, 1997. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Objective: To explore the changes in the accessibility of dental services among middle-class Canadians in response to recent changes in the labour market and the increasing costs of dental plans. Methods: Secondary analyses of all Canadian surveys that collected information on dental insurance, utilization and out-of-pocket expenditures were conducted. Descriptive analyses were used to identify and compare trends among middle-class against the Canadian average. Results: Since 1996, the number of insured middle-class grew from 43% to 48%, with the number perceiving cost-barriers to dental care increasing by 2.7 times. In 2009, 30% of middle-class visited a dentist only when emergency happened. Since 1978, fewer middle-income households spent out-of-pocket on dental care, while per capita costs per household spending increased. Compared to national average, middle-class trends implied to poorer access. Conclusions: Access to dental care issues might be ascending from lower income sectors to involve middle-income earners as well.

Objective: To explore the changes in the accessibility of dental services among middle-class Canadians in response to recent changes in the labour market and the increasing costs of dental plans. Methods: Secondary analyses of all Canadian surveys that collected information on dental insurance, utilization and out-of-pocket expenditures were conducted. Descriptive analyses were used to identify and compare trends among middle-class against the Canadian average. Results: Since 1996, the number of insured middle-class grew from 43% to 48%, with the number perceiving cost-barriers to dental care increasing by 2.7 times. In 2009, 30% of middle-class visited a dentist only when emergency happened. Since 1978, fewer middle-income households spent out-of-pocket on dental care, while per capita costs per household spending increased. Compared to national average, middle-class trends implied to poorer access. Conclusions: Access to dental care issues might be ascending from lower income sectors to involve middle-income earners as well.

Objective: To determine who avoids the dentist and declines recommended dental treatment due to cost. Methods: A secondary data analysis was undertaken. Weights were utilized to ensure data were nationally representative. Univariate and bivariate descriptive statistics were calculated and logistic regressions were used to observe the characteristics that were predictive of reporting cost barriers to care. Results: Over 17 per cent of the Canadian population reported avoiding a dental professional due to cost, and 16.5 per cent reported declining recommended dental treatment due to cost. These individuals had a higher prevalence of needing treatment, had more untreated decay, missing teeth, and reported having poor oral health and oral pain often. Having no insurance, lower income, and reporting “poor to fair” oral health were the greatest predictors of reporting cost barriers to care. Conclusions: Individuals who report cost barriers experience more disease and treatment needs than those who do not.

Objective: To determine who avoids the dentist and declines recommended dental treatment due to cost. Methods: A secondary data analysis was undertaken. Weights were utilized to ensure data were nationally representative. Univariate and bivariate descriptive statistics were calculated and logistic regressions were used to observe the characteristics that were predictive of reporting cost barriers to care. Results: Over 17 per cent of the Canadian population reported avoiding a dental professional due to cost, and 16.5 per cent reported declining recommended dental treatment due to cost. These individuals had a higher prevalence of needing treatment, had more untreated decay, missing teeth, and reported having poor oral health and oral pain often. Having no insurance, lower income, and reporting “poor to fair” oral health were the greatest predictors of reporting cost barriers to care. Conclusions: Individuals who report cost barriers experience more disease and treatment needs than those who do not.

American’s agree that dental health is important and vital to our overall wellbeing. However, not every American is achieving the same degree of oral health. Obstacles that American’s face include dental health disparities, limited access to affordable dental care, and limited access to dental insurance. This study examined how disease risk is shaped within the culture of oral health in Florida. This study examined those who provide dental care, those who cannot afford dental health insurance but earn too much money to qualify for Medicaid, and those with dental insurance. Hypotheses two and three were proven to be true, while hypotheses one and four were proven to be false. Research indicated that the participants believe that pleasingly aesthetic teeth are highly desirable. It revealed that the poor and working poor are unable to utilize dental health insurance, and do not seek annual preventive dental health services due to the cost.