Barriers to seeking preventive dental care by Kuwaiti adults

Med Princ Pract. 2007;16(6):413-9. doi: 10.1159/000107733.

Abstract

Objective: The aim of this study was to assess the prevalence of preventive dental visits and to identify self-reported barriers for this practice among Kuwaiti adults.

Materials and methods: A self-administered, anonymous, structured questionnaire was distributed to a random sample of Kuwaiti nationals 18 years of age or older recruited from all six health districts of Kuwait. A total of 2,400 questionnaires were distributed. Multiple logistic regression analysis was performed to identify factors independently associated with not having a preventive dental visit for more than 1 year.

Results: Of the 2,400 questionnaires, 1,925 (80.2%) were completed. Of these, 620 (32.2%) had a dental visit within the previous 6 months, 504 (26.2%) between 6 and 12 months and 801 (41.6%) more than 12 months ago. The most common reasons for the last dental visits were pain or a dental emergency, need for restorative treatment, and an examination/prophylaxis. The strongest factors for not having preventive visits were not using a mouthrinse daily, flossing less than once a day, dental fear, belief that there is no need for visits unless pain was present, brushing the teeth less than twice a day, and believing that appointments are too far ahead. Also older respondents (>30 years), female gender, and those having only high school education or less were less likely to visit a dentist for preventive reasons.

Conclusion: More than half of the studied population reported not having had a preventive visit for more than 1 year. Unfavorable self-care habits, dental fear and belief that visiting a dentist is necessary only for pain relief were the strongest factors for the nonattendance behavior.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Dental Prophylaxis / statistics & numerical data*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility*
  • Humans
  • Kuwait
  • Male
  • Middle Aged
  • Office Visits / statistics & numerical data*
  • Oral Hygiene / statistics & numerical data
  • Patient Acceptance of Health Care / psychology
  • Sex Factors
  • Socioeconomic Factors
  • Surveys and Questionnaires