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Complete Health Indicator Report of Routine Dental Health Care Visits

Definition

Percentage of adults ages 18 years and older who reported a dental visit in the past year.

Numerator

Number of survey respondents who reported a dental visit within the past 12 months.

Denominator

Total number of survey respondents excluding those with missing, "Don't know/Not sure" or "Refused" responses.

Data Interpretation Issues

Question Text: "How long has it been since you last visited a dentist or a dental clinic for any reason? Interviewer Instruction: Include visits to dental specialists, such as orthodontists." Beginning in 2011, BRFSS data include both landline and cell phone respondent data along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. More details about these changes can be found at: [http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf]. As with all surveys, some error results from nonresponse (e.g., refusal to participate in the survey or to answer specific questions) and measurement (e.g., social desirability or recall bias). Error was minimized by use of strict calling protocols (up to 15 calls were made to reach each household), good questionnaire design, standardization of interviewer behavior, interviewer training, and frequent, on-site interviewer monitoring and supervision.

Why Is This Important?

Regular dental visits are important in the prevention, early detection, and treatment of oral and craniofacial diseases and conditions for all ages. Adults need regular professional care to avoid tooth loss, the need for complex restorative treatment, and even systemic health problems. Even people without teeth need to be monitored regularly for oral health which may be affected by systemic conditions, medications, prosthetic devices, and exposure to tobacco. Infrequent use of dental services has been associated with poor oral health among adults.

Healthy People Objective OH-7:

Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year
U.S. Target: 49.0 percent

Other Objectives

Chronic Disease Indicator: Visits to dentist or dental clinic among adults aged >= 18 years.

How Are We Doing?

In 2014, 69.0% of Utah adults reported visiting a dentist or dental clinic in the past year (age-adjusted rate). This percentage has varied little since 1995 when the question was first asked. Utah adults with higher incomes and more education are more likely to report a dental visit in the past year than those with lower incomes and less education. There is little difference in this percentage among age groups in Utah. According to 2001 data, Utah adults with dental insurance were more likely to report a dental visit in the past year than those without this type of insurance (83.3% vs. 63.7%). NOTE: The dental insurance question has not been asked for adults again since 2001.

How Do We Compare With the U.S.?

Since 1999, the percentage of Utah adults who reported visiting a dentist or dental clinic in the past year has been slightly higher than reported by adults in the U.S. as a whole (69.0% vs. 63.8% in 2014).

What Is Being Done?

The Utah Department of Health Oral Health Program's current priorities include promoting fluoride and dental sealants, preventing tooth decay in young children, and encouraging annual dental visits for both children and adults.

Available Services

As of September 2015, Medicaid includes basic dental care for children and pregnant women. There is only emergency coverage for all other adults. For information call 801-538-6155, or 1-800-662-9651 or visit [https://medicaid.utah.gov/]. CHIP includes preventive and restorative services for children. For more information call 1-877-KIDS-NOW or visit [http://health.utah.gov/chip/]. There are a few dental clinics that provide services on a sliding fee scale or at a reduced rate. For more information on these clinics, contact your local health department or the State Oral Health Program at (801) 273-2995, or visit the [http://health.utah.gov/oralhealth/dentist.php Oral Health Program - Find a Dentist] website. Dental Hygiene Schools throughout the state of Utah offer preventive services including sealants and fluoride treatments. Dental Schools also offer treatment services in addition. Contact the UDOH Oral Health Program at (801) 273-2995, or visit the [http://health.utah.gov/oralhealth Oral Health Program] website for more information. [http://www.healthypeople.gov/2020/topics-objectives/topic/oral-health Link for Healthy People 2020 for Oral Health]


Related Indicators

Relevant Population Characteristics

Utah adults with less than a high school education and those with annual household incomes less than $15,000 were least likely to receive routine dental care.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

In state surveys, Utahns have reported problems with access to dental care. The cost of dental care is the most commonly cited reason for problems with access. Utah adults with dental insurance were more likely to report a dental visit in the past year than those without dental insurance.

Related Health Care System Factors Indicators:


Risk Factors

Gum infections have been called the "sixth complication of diabetes," because people with diabetes are more likely to have periodontal disease.

Related Risk Factors Indicators:


Health Status Outcomes

Mothers who suffer from gum disease are significantly more likely to deliver their babies prematurely than women without that illness. Regular preventive dental care for pregnant women and, more generally, for women in their childbearing years, could prevent this illness and decrease the numbers of premature births.

Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of Adults Who Reported a Dental Visit in the Past Year by Income Category, Utah, 2014

::chart - missing::
confidence limits

Income CategoryAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 6
<$25,00049.1%46.7%51.5%
$25,000-$49,99963.1%60.9%65.2%
$50,000-$74,99974.5%72.1%76.7%
$75,000+83.2%81.5%84.7%
Total69.0%68.1%69.9%

Data Notes

Age-adjusted to U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Percentage of Adults Age 25+ Who Reported a Dental Visit in the Past Year by Education, Utah, 2014

::chart - missing::
confidence limits

Education LevelAge-adjusted Percentage of Adults 25+Lower LimitUpper Limit
Record Count: 5
Less Than High School45.1%40.9%49.4%
H.S. Grad or G.E.D.62.9%60.9%64.8%
Some Post High School70.0%68.3%71.6%
College Graduate80.4%79.1%81.6%
Total69.0%68.0%69.9%

Data Notes

Age-adjusted to U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Percentage of Adults Who Reported a Dental Visit in the Past Year, Utah and U.S., 1995-2002, 2004, 2006, 2008, 2010, 2012, and 2014

::chart - missing::
confidence limits

BRFSS Utah vs. U.S.YearAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 29
UT Old Methodology199572.9%70.7%75.1%
UT Old Methodology199671.2%69.1%73.3%
UT Old Methodology199771.8%69.6%73.9%
UT Old Methodology199869.4%67.0%71.7%
UT Old Methodology199972.6%70.5%74.7%
UT Old Methodology200073.6%71.4%75.7%
UT Old Methodology200176.2%74.3%78.0%
UT Old Methodology200272.9%71.1%74.7%
UT Old Methodology200471.9%70.3%73.4%
UT Old Methodology200669.7%68.0%71.3%
UT Old Methodology200871.7%70.1%73.3%
UT Old Methodology201072.6%71.4%73.9%
US Old Methodology199568.3%67.6%69.1%
US Old Methodology199668.1%67.4%68.8%
US Old Methodology199766.7%66.1%67.3%
US Old Methodology199870.7%69.9%71.5%
US Old Methodology199967.9%67.5%68.3%
US Old Methodology200071.6%70.6%72.6%
US Old Methodology200170.5%69.9%71.1%
US Old Methodology200269.4%69.0%69.7%
US Old Methodology200468.9%68.6%69.3%
US Old Methodology200667.9%67.5%68.3%
US Old Methodology200868.3%68.0%68.6%
US Old Methodology201067.9%67.6%68.2%
UT New Methodology201068.7%67.6%69.7%
UT New Methodology201268.6%67.5%69.7%
UT New Methodology201469.0%68.1%69.9%
US New Methodology201265.1%64.8%65.4%
US New Methodology201463.8%

Data Notes

Age adjusted to U.S. 2000 population. U.S. data are the average of all states and the District of Columbia; they do not include U.S. territories. (Beginning in 2002 this question is only asked in even years.) The data in this graph include estimates from the old landline-only methodology, and from the new methodology that includes both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. The new methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. More details about these changes can be found at: [http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf].

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Percentage of Adults Who Reported a Dental Visit in the Past Year by Age, Utah, 2014

::chart - missing::
confidence limits

Age GroupPercentage of AdultsLower LimitUpper Limit
Record Count: 6
18-3465.9%64.1%67.6%
35-4969.7%68.0%71.5%
50-6471.5%69.8%73.3%
65+71.0%69.0%72.9%

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Dental Visit in the Past Year by Local Health District, Utah, 2014

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 14
Bear River73.5%69.8%76.9%
Central62.5%57.1%67.6%
Davis County75.4%72.7%77.8%
Salt Lake County68.0%66.4%69.6%
San Juan56.7%45.4%67.3%
Southeast59.7%52.6%66.5%
Southwest68.9%65.1%72.4%
Summit76.2%70.0%81.5%
Tooele66.8%60.4%72.6%
TriCounty58.2%52.5%63.7%
Utah County70.5%68.2%72.7%
Wasatch74.4%68.6%79.4%
Weber-Morgan71.5%68.4%74.5%
State of Utah69.0%68.1%69.9%

Data Notes

Age-adjusted to U.S. 2000 standard population. Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Percentage of Adults Who Reported a Dental Visit in the Past Year by Dental Insurance Status, Utah, 2001 (SEE NOTES)

::chart - missing::
confidence limits

Have Dental Insurance vs. No Dental InsuranceYearPercentage of AdultsLower LimitUpper Limit
Record Count: 2
Have Dental Ins.200183.2%81.3%85.2%
No Dental Ins.200163.7%60.0%67.4%

Data Notes

The dental insurance question has not been asked for adults again since 2001.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

References and Community Resources

Centers for Disease Control and Prevention (CDC) Oral Health Resources: [http://www.cdc.gov/OralHealth] More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention - [http://www.cdc.gov/brfss]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 10/12/2016, Published on 10/27/2016
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 26 September 2017 8:25:24 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 26 May 2017 10:19:48 MDT