Effects of a national economic crisis on dental habits and checkup behaviors – a prospective cohort study

• Published in: Community Dentistry and Oral Epidemiology
• Main Authors: McClure, Christopher Bruce, Sæmundsson, Sigurður Rúnar
• Format: Article in Journal/Newspaper
• Language: English
• Published: Wiley 2013
• Subjects: Iceland
• Online Access: http://dx.doi.org/10.1111/cdoe.12060; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fcdoe.12060; https://onlinelibrary.wiley.com/doi/pdf/10.1111/cdoe.12060

Abstract Objectives The effects of economic recessions on dental health behaviors and care utilization are vastly unexamined. Thus, we aimed to ascertain changes in dental health behaviors and checkup frequency from before to after the start of the 2008 I celandic economic collapse using a nationally representative, prospective cohort – the H ealth and W ellbeing in I celand cohort. Methods Participants in the cohort ( n = 4100) were contacted first from O ctober to D ecember of 2007 and again from N ovember to D ecember of 2009. The questionnaires assessed respondent's demographics, dental behaviors (brushing, flossing), and dental checkup frequency. We present odds ratios derived from multivariate logistic regression of visiting a dentist annually after the collapse compared with before, as well as odds ratios of daily brushing and flossing habits. Results Overall, there was no strong evidence for drastic changes in dental health behaviors as from 2007 to 2009. However, employed men (odds ratio 1.29; 95% confidence interval 1.07–1.54) – as well as unemployed women (1.98; 1.00–3.92) – experienced increased odds of visiting a dentist at least annually. Additionally, men were more likely to brush (1.42; 1.05–1.93) and floss daily (1.20; 1.03–1.42) after the collapse compared with before. Conclusions Overall, it seems as if the collapse did not have drastic negative effects on dental health behaviors of the population in Iceland. Our findings suggest that men may have opted for healthier dental health behaviors following the national economic collapse in 2008.